A 15 year old male has bilateral ankle edema. His BP=110/70mmHg and urinalysis shows protein++++. What is the most likely diagnosis?
belongs to book: 1700 MCQ REVISED VERSION TOPIC WISE|DR. KHALID SAIFULLAH|4th EDITION| Chapter number:7| Question number:4
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Medicine
The key is D. Minimal change glomerulonephritis. [Points in favour of minimal change glomerulonephritis are i) Age 15 ii) Ankle oedema iii) Normotension iv) Heavy proteinuria. Treatment of choice is steroid (prednisolon). In case of failure of steroid or frequent relapse (>3) cyclophosphamide should be given].
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