Question: An eleven year old boy living in an isolated village was experiencing drastic weight gain, with a…
Show transcribed image text An eleven year old boy living in an isolated village was experiencing drastic weight gain, with abdomina distension, in a period of sixteen days. He complained of feeling weak, lethargic, and his "belly" bothering him. His mother noticed traces of blood in his urine. The child was taken to the nearest hospital. His past medical history was significant for a recent episode of a cold and sore throat that were self-limiting conditions. A phy sical exam reveals generalized edema (anasarca), along with swelling ot 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 antibody is positive with a significant degree of hy poalbuminemia. Urinaly sis demonstrates proteinuria (2.5 gr/day) and truces oi 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 antistreptoly sin O antibody finding? Why was prednisone initiated? Should this patient be placed on a special diet?
An eleven year old boy living in an isolated village was experiencing drastic weight gain, with abdomina distension, in a period of sixteen days. He complained of feeling weak, lethargic, and his "belly" bothering him. His mother noticed traces of blood in his urine. The child was taken to the nearest hospital. His past medical history was significant for a recent episode of a cold and sore throat that were self-limiting conditions. A phy sical exam reveals generalized edema (anasarca), along with swelling ot 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 antibody is positive with a significant degree of hy poalbuminemia. Urinaly sis demonstrates proteinuria (2.5 gr/day) and truces oi 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 antistreptoly sin O antibody finding? Why was prednisone initiated? Should this patient be placed on a special diet?
