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.
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Question 1 of 4
1. Question
Match the clinical finding or investigation result with the likely diagnosis.
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- Post-Streptococcal Glomerulonephritis
- Henoch Schonlein Purpura (HSP)
- Haemolytivc Uraemic Syndrome (HUS)
- Nephroblastoma (Wilms tumour)
- Urinary tract infection
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Raised Antistreptolysin O titre (ASOT)
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Non-blanching spots on buttocks and legs
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Bloody diarrhoea with impaired renal function
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Abdominal mass and aniridia
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Fever and painful micturition
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Question 2 of 4
2. Question
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.
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Question 3 of 4
3. Question
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.
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Question 4 of 4
4. Question
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.
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