Case A 24-year-old woman presented with swelling in the ankle and proteinuria. Examination Weight: 105 Kg Height: 1.63 m She was afebrile and had no apparent rashes. Pulse: 90 beats/min Blood pressure: 150/90 mmHg Her jugular venous pressure was not elevated. Her heart sounds were quiet. Respiratory examination revealed reduced expansion bilaterally and a stony dull percussion note at the right base with reduced breath sounds.
The abdominal examination was unremarkable. She had pitting edema to the mid-thighs. Chest X-Ray revealed blunting of right costophrenic angle. Biochemical examination Sodium: 140 mmol/L Potassium: 3.5 mmol/L Urea: 8.2 mmol/L Creatinine: 123 µmol/L Albumin: 22 g/L Cholesterol: 7 mmol/L Glucose: 6.8 mmol/L 24-hour urine collection: 7 g protein What is the most likely diagnosis for this patient? (Answer is posted in the comment section below!) *This patient case…
