A 5-year-old girl appears in a clinic for routine check up. - TopicsExpress

A 5-year-old girl appears in a clinic for routine check up. Physical examination reveals blood pressure 130/95, respiratory rate 22 per minute, pulse rate 100 per minute, and rest of examination is unremarkable. Mother denies UTI. However, she visited a few times in ER for fever and each time the diagnosis was a viral syndrome. Urinalysis reveals 1+ protein, no WBCs, and no RBCs. CBC reveals a normal finding. Serum SMA6 reveals K 6.5 mEq/L, bicarbonate 15 mEq/L, creatinine 1.5 mg/dL, sodium 142 mEq/L, and chloride 99 mEq/L. Most likely diagnosis: a) Reflux nephropathy b) Acute glomerulonephritis c) Nephrotic syndrome

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