31- nephrotic syn

Question 1

causes of conjunctivitis

Answer 1

• chemical irritant
• allergy
• infection- adeno

Question 2

differential of bilateral periorbital swelling

Answer 2

URI

allergic rhinitis

sinusitis

acute allergic rxn

Question 3

rashes that desquamate

Answer 3

rubeola

scarlet fever

kawasaki

toxic shock syndrome

Question 4

Periorbital cellulitis

Answer 4

unilateral edema

history of a local insect bite, trauma, or infection

caused by pneumococci, Moraxella catarrhalis, or non-typable Haemophilus influenzae

Question 5

treatment for nephrotic syndrome

Answer 5

corticosteroids
sodium restriction

IV furosemide only if swelling is symptomatic

Question 6

common complications of nephrotic syndrome when treated with steroids

Answer 6

Spontaneous bacterial peritonitis

others: pneumonia, cellulitis, UTI

Question 7

labs to order to evaluate generalized edema

Answer 7

Electrolytes
BUN, Cr
AST, ALT, cholesterol, albumin, triglycerides
C3 and C4 levels (immune complexes)
streptozyme

Question 8

Differential Diagnosis for Fatigue, Periorbital Edema, and Increasing Abdominal Girth

Answer 8

acute glomerulonephritis

nephrotic syndrome

CHF

hepatic failure

Question 9

what should you do with steroid resistant group for kids with nephrotic syndrome

Answer 9

renal biopsy