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2577 Pediatrics

WHO defines moderate malnutrition as:

AWeight-for-age between -3 and -2 z-scores below the median of the WHO child growth standards.
BWeight-for-age between -1 and -2 z-scores below the median of the WHO child growth standards.
CWeight-for-age between -3 and -4 z-scores below the median of the WHO child growth standards.
DWeight-for-age < -3 z-scores below the median of the WHO child growth standards.
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2582 Pediatrics

A-13-year old boy is referred for evaluation of nocturnal enuresis and sho stature. His blood pressure is normal. The hemoglobin level is 8g/dl. urea 112 mg/d1, creatinine 6 mg/d1, sodium 119 mEq/ dl, potassium 4 mEq/1, calcium 7 mg/d1, phosphate 6 mg/d1 and alkaline phophatase 300 U/I. Urinalysis shows trace proteinuria with hyaline casts; no red and white cells are seen. Ultrasound shows bilateral small kidneys and the micturating cystourethrogram is normal. The most likely diagnosis is ?

AAlpo's syndrome
BMedullary sponge kidney.
CChronic glomerulonephritis.
DNephronophthisis
Pediatrics
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