Question: An eleven year old boy living in an isolated village was experiencing drastic weight gain, w ith …
Show transcribed image text An eleven year old boy living in an isolated village was experiencing drastic weight gain, w ith abdominal distension, in a period of sixteen days. He complained of feeling weak, lethargic, and his "belly" was bothering him. His mother noticed traces of blood in his urine. The child was taken to the nearest hospital. His past medical history w as significant for a recent episode of a cold and sore throat that w ere self-limiting conditions. A physical exam reveals generalized edema (anasarca), along with swelling of the abdomen and genitalia. There is tenderness on palpation to the abdomen and genital areas. Basic blood chemistry is within normal limits. A serum antistreptolysin O antibody is positive with a significant degree of hypoalbuminemia. Urinalysis demonstrates proteinuria (2.5 gr'day) and traces of blood (hematuria), as well some hemoglobin casts in the urine (hemoglobinuria). This patient is hospitalized and placed on a tapering prednisone therapy. what is the significance of the antistreptolysin O antibody finding? Why was prednisone initiated? Should this patient be placed on a special diet? What is or should be the goal of this treatment regimen? What could have caused the abnormal proteinuria and edema? What organ(s) could have been affected by this condition? Should any other tests have been done?
An eleven year old boy living in an isolated village was experiencing drastic weight gain, w ith abdominal distension, in a period of sixteen days. He complained of feeling weak, lethargic, and his "belly" was bothering him. His mother noticed traces of blood in his urine. The child was taken to the nearest hospital. His past medical history w as significant for a recent episode of a cold and sore throat that w ere self-limiting conditions. A physical exam reveals generalized edema (anasarca), along with swelling of the abdomen and genitalia. There is tenderness on palpation to the abdomen and genital areas. Basic blood chemistry is within normal limits. A serum antistreptolysin O antibody is positive with a significant degree of hypoalbuminemia. Urinalysis demonstrates proteinuria (2.5 gr'day) and traces of blood (hematuria), as well some hemoglobin casts in the urine (hemoglobinuria). This patient is hospitalized and placed on a tapering prednisone therapy. what is the significance of the antistreptolysin O antibody finding? Why was prednisone initiated? Should this patient be placed on a special diet? What is or should be the goal of this treatment regimen? What could have caused the abnormal proteinuria and edema? What organ(s) could have been affected by this condition? Should any other tests have been done?
