Four days of facial swelling was preceded by several months of fatigue, leg pain, rapid weight gain. Watch the video exam for more clues to Dx.
An 8-year-old boy presents with facial swelling of 4 days’ duration. For several months he has had fatigue and leg pain and has had rapid, unexplained weight gain. Generalized edema is noted. Vital signs are: temperature: 98°F; heart rate,110 beats/min; blood pressure, 150/115 mm Hg. Watch the video interview for more signs and symptoms.
What’s your diagnosis?