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What laboratory and clinical findings suggest a diagnosis of nephrotic syndrome?

An Illustrated Guide To Vet Med Term

4th Edition

ISBN:9781305465763

Author:ROMICH

Publisher:ROMICH

Chapter7: Null And Void

Section: Chapter Questions

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J.H. is a 12-year-old boy diagnosed several months ago with nephrotic syndrome following postinfectious glomerulonephritis secondary to an episode of pneumococcal pneumonia. He has been coming to the clinic to have his condition monitored and therapies adjusted as needed. At his latest clinic visit, a decrease in urine output, increasing lethargy, hyperventilation, and generalized edema are noted. Trace amounts of protein are detected in J.H.’s urine by dipstick. Blood is drawn for laboratory analysis, and the results are as follows:pH = 7.36 PaCO2 = 33 mm Hg PaO2 = 100 mm Hg HCO3 – = 18 mEq/L Hct = 30% Na+ = 130 mEq/L K+ = 5.4 mEq/L BUN = 58 mg/dl creatinine = 3.9 mg/dl albumin = 2.0 g/dl How would a pneumococcal infection lead to glomerulonephritis? How can glomerulonephritis result in nephrotic syndrome? (Explain the pathophysiology of how pneumococcal infection leads to glomerulonephritis. Explain the pathophysiology of how glomerulonephritis results in nephrotic syndrome.)…
J.H. is a 12-year-old boy diagnosed several months ago with nephrotic syndrome following postinfectious glomerulonephritis secondary to an episode of pneumococcal pneumonia. He has been coming to the clinic to have his condition monitored and therapies adjusted as needed. At his latest clinic visit, a decrease in urine output, increasing lethargy, hyperventilation, and generalized edema are noted. Trace amounts of protein are detected in J.H.’s urine by dipstick. Blood is drawn for laboratory analysis, and the results are as follows:pH = 7.36 PaCO2 = 33 mm Hg PaO2 = 100 mm Hg HCO3 – = 18 mEq/L Hct = 30% Na+ = 130 mEq/L K+ = 5.4 mEq/L BUN = 58 mg/dl creatinine = 3.9 mg/dl albumin = 2.0 g/dl What additional physical or laboratory findings would be helpful in determining J.H.’s degree of renal impairment? ( List at least 4 additional physical findings/symptoms or laboratory tests that would be helpful in determining the degree of renal impairment.) 2. What would the treatment…
Why is edema present in individuals with nephrotic syndrome?
Relate the pathology of hemolytic uremic syndrome.