Urinalysis and Body Fluids 6th Edition by Majorie DiLorenzo, Susan Strasinger

Exercise 10

A routinely active 4-year-old boy becomes increasingly less active after receiving several preschool immunizations.

His pediatrician observes noticeable puffiness around the eyes. A blood test shows normal BUN and creatinine results and markedly decreased total protein and albumin values. Urinalysis results are as follows:

a. What disorder do the patient history, physical appearance, and laboratory results suggest?

b. What other renal disorders produce similar urinalysis results?

c. What is the expected prognosis for this patient?

Step 1 of 3

a.

The patient’s physical appearance, history and laboratory results suggest minimal change in the disease. It is also known as lipid nephrosis that produces little damage in glomerular cells and some damage to shield of negativity and podocytes, which allows elevated filtration of protein. Children are usually affected by this disease who are presented with normal BUN (Blood Urea Nitrogen) and creatinine results like heavy proteinuria, edema and transient hematuria