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738-B Puliakulam Road
Near Lakshmi Mills
Coimbatore 641 045
Tamil Nadu
India
Nephrotic Syndrome in Children

(Discussion on 07 August 2005)

Agenda

To discuss management of Nephrotic Syndrome in Children

Programme

Principal Discussant : Dr VijayaKumar
Paediatric Nephrologist
Chennai
Date & Time : 07 August 2005, 8:30 am
Venue : Coimbatore Kidney Centre, Coimbatore

Ground Rules
Introduction of the Moderators & Principal Discussant

: Dr. K. S. Ramalingam, M.D.,
Nephrologist
Coimbatore Kidney Centre, Coimbatore.

Details of Patient's problem
Test report & Treatment done

: Click here to for Patient Particulars
Opening remarks by Moderators :

Dr. Nandhini Kumaran, M.B.B.S., D.C.H.,
Consultant Paediatrician,
Clinic For Children, Coimbatore.

Dr. Rathinakumari, M.D., D.C.H.,
Prof. of Paediatrics,
Coimbatore Medical College, Coimbatore.

Opening remarks and
starting of discussion
by the Principal Discussant
:

Dr. M. Vijayakumar, M.D.,D.C.H., DM
Consultant Paediatric Nephrologist
Chennai.

Discussion    
Conclusion    

PATIENT PARTICULARS

12 year old girl, only child of non-consanguineous parents, father diabetic, less urine output, swelling of feet of 15 days duration.

Weight :

40.4 kgs

Height : 153 cms

Clinically fluid overload ++; BP 120/80, otherwise normal.

Investigations done on 26.5.05

Urine routine :

Pale, Yellow, Clear, Acidic

Sugar : Nil
Albumin : ++++
Puscells Uncentrifuged : Nil
Puscells Centrifuged : 6 - 7
RBC : 4 - 5
Epith cells : 5 - 6
Urea : 41
Creatinine : 0.9
Potassium : 3.3
Sugar : 69
Total protein : 4.4
Albumin : 1.7
Uric acid : 6.9
Bilirubin : 0.4
Sodium : 134
Chloride : 96
Phosphorous : 2.8
SGPT : 19
Haemoglobin : 14.1
Total count : 5300
Differential count :
P 53
L 38
M 4
Meta 3
Band 2
ASO Titre : Negative < 200 IU/ml
ANA : Negative
c ANCA : Negative
p NACA : Negative

ULTRASOUND ABDOMEN

Findings :

Right kidney measures 10.3 x 4.3 cms.
Left kidney measures 10.0 x 4.9 cms.
Normal sized kidneys with minimal increase in parenchymal echoes with prominent renal pyramids.
Bilateral Pleural Fluid
Mild to moderate ascites

The child was treated with a specific drug from 26th May 2005

On 24th June urine routine was repeated and found to have no albumin.

On 3rd July

Urine routine showed albumin - trace

Urine spot calcium / creatinine < 0.2

Click here to download patient particulars

 

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