PSGN

Question 1

task

Question 2

d/d

Question 3

hx

Answer 3

I understand that your son has dark-colored urine.
Can you tell me when it started? Have you noticed
that the urine output has decreased? Is it smoky? Did
he have any sorethroat a week or two before? Did he
have any skin infections 1-2 weeks ago? Do you know
what it was? Did you have it checked? Were
medications given? Have you noticed any weight
gain? Any changes in the urine such as burning
sensation when urinating or frequency? Any injury to
the loin region? Is it before, throughout or after urine?
Any problems with the flow? Do you know whether he
has taken any large amounts of beetroot or jellies or
lollies?
‐ How is his general health? Any significant medical
illness? How about his weight and appetite? Any fever
or joint pains? Any bleeding disorders in the child or in
the family? FHx of kidney problems?
‐ BINDS

Question 4

exam

Answer 4

bp/pr
-temperature,
periorbital edema, ascites, pleural effusion
-CVS, abdomen
-liver
-optic fundi, ENT,
-URINE DIPSTICK

Question 5

Explanation

Answer 5

-recent skin infection triggered immune reaction of body against bacteria that affect your kidneys
-this leads to decrease uop, and retention of salt and water
-increase bp and

Question 6

ix

Answer 6

-fbc, scr, bu, c3, c4 decrease, DNASE B
-URINE MICRO AND CULTURE

Question 7

MX

Answer 7

-needs admission
-maintain bp,
-strict fluid balance, fluid restriction
-daily weight
-low protein/low salt/high carbohydrate
-penicillin therapy maybe suggested

Question 8

follow up

Answer 8

measure bp/rft weekly>monthly>quarterly
-microscopic hameturia observe>may last for two year
-long term prognosis excellent