Medical MCQ-A 5 year child is brought with brown coloured urine and oliguria since 3 days with mild facial puffiness and pedal edema with 3+ proteinuria, BP 126/90. Urine examination shows RBCs 100/hpf and granular casts. Which of the following doesn't present with this finding?

A 5 year child is brought with brown coloured urine and oliguria since 3 days with mild facial puffiness and pedal edema with 3+ proteinuria, BP 126/90. Urine examination shows RBCs 100/hpf and granular casts. Which of the following doesn’t present with this finding?

Minimal change disease

Membranous glomerulonephritis

FSGS

IgA nephropathy

Question Category:

Pediatrics

Correct Answer:

Minimal change disease

Description:

Glomerular Syndromes Nephrotic Syndrome Nephritic Syndrome Urinary albumin >3.0 - 3.5 gm/24 hours Hematuria/RBC casts Hypoalbuminemia Oliguria Edema Hypeension Hyperlipidemia Decreased GFR Lipiduria Proteinuria +/- Causes SGN (HIV), MGN (SLE, Hep B, Cancer - solid tumors), Mi minimal (children), MPGN (HepC)F Others : DM, Malignancy, vasculitis, amyloidosis Focal glomerulonephritis -IgA nephropathy - Focal SLE (Type III) Diffuse glomerulonephritis - Post infectious - Diffuse SLE (Type IV) IgA nephropathy: Most common presentation asymptomatic microhematuria with mild proteinuria

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