Case 3

A 6-year-old boy comes into the ED with his mother. He was referred up by his GP with haematuria on dipstick sample of urine. His examination is unremarkable.

Match the clinical finding or investigation result with the likely diagnosis.

He returns 2 days later. Mum reports that he has abdominal pain. They have brought a urine sample from home. It shows ++++ protein on dipstick but no blood.

Give 4 features on examination that you would look for in Nephrotic Syndrome.

His weight is unchanged from his previous visit and his examination and repeat urine dipstick are both entirely normal.

Give 2 reasons why this story is concerning for FII.

While the Mum is out of the room the child tells you that "Mum put an egg in my wee".

Give 3 actions you should take.