A 3 year old child presents with four days history of puffiness of face, fever and tea coloured urine. During the course of his disease, he can have any of the complications except
**Core Concept**
The clinical presentation suggests **nephrotic syndrome** or **acute poststreptococcal glomerulonephritis**, characterized by **edema**, **hematuria** (tea-colored urine), and **fever**. The underlying mechanism involves **immune complex deposition** in the glomeruli, leading to **inflammation** and **renal dysfunction**.
**Why the Correct Answer is Right**
Since the correct answer is not provided, let's analyze the possible complications of nephrotic syndrome and acute poststreptococcal glomerulonephritis. Both conditions can lead to **hypovolemia**, **electrolyte imbalance**, and **infections**. However, without the correct answer, we cannot determine which complication is less likely to occur.
**Why Each Wrong Option is Incorrect**
**Option A:** Without the specific option, it's challenging to explain why it's incorrect.
**Option B:** Similarly, without the option, we cannot provide a detailed explanation.
**Option C:** The same applies to this option.
**Option D:** This option is also unknown.
**Clinical Pearl / High-Yield Fact**
In pediatric patients with nephrotic syndrome or acute poststreptococcal glomerulonephritis, it's essential to monitor for **complications** such as **hypertension**, **cardiac failure**, and **infections**.
**Correct Answer:** D. Hypertension is not the answer choice provided, however an example answer could be: **Correct Answer: D.**