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An 8-year-old Boy with Acute Facial Swelling

Poll

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?

A. Acute glomerulonephritis
B. Minimal change disease
C. Nephrotic syndrome
D. Hemolytic-uremic syndrome
E. Serum sickness
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