Solve exciting clinical cases specific to your field of interest via Docplexus’ Clinical Case Challenge . In this ‘Nephrology Case Challenge’, join your fellow doctors to discuss and answer today’s question regarding ‘Facial Swelling and Frothy Urine in an Adolescent Patient’. A 15-year-old girl with a 2-week history of facial swelling that got worse during the morning and improved over the day. She noticed some swelling in the ankles in the past three days and her urine was frothy . She had no other past medical history and was not on any medication.
Physically, the girl was slim, comfortable, and afebrile. Her BP was 110/65 mmHg , and there was mild periorbital swelling and pitting edema to her mid-shins. Clinical investigation results Urine dipstick proteinuria 4 +. Negative for hematuria, nitrites, and leucocytes Albumin: 18 g/dL Na: 136 mmol/L K: 4.0 mmol/L Urea: 4 mmol/L…
