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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Oedema All Over Body, Urine Output Decreased, Blood Test Done, Given Gramocef. Advice And Treatment?

hi. my daughter is 18 mons old. she got oedema all over the body starting day before yesterday. facial oedema also present, urine output is reduced, blood tests show hb 6.4 , tlc 0000, albumin 2.5, bun 6, s. creatinine 0.6, sgot 45, sgpt 47 urine test shows trace protiens, absent rbcs . usg abdomen shows mild ascities. my physician gave her only gramocef for today.. culture reports pending, please advise me regarding the likely differential diagnosis of the child and treatement options available
Mon, 11 Nov 2013
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Pediatrician 's  Response
Hi Dear
Welcome to the HCM,
Low hemoglobin itself is a important cause of generalized swelling.

Other possible D/D considering the low urine output,

Nephrotic Syndrome.
Nephrotic nephritic syndrome
Urinary Tract Infection.
Repeat and detailed investigation are required to reach the diagnosis.
Hope the query is answered.
Thanks


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Oedema All Over Body, Urine Output Decreased, Blood Test Done, Given Gramocef. Advice And Treatment?

Hi Dear Welcome to the HCM, Low hemoglobin itself is a important cause of generalized swelling. Other possible D/D considering the low urine output, Nephrotic Syndrome. Nephrotic nephritic syndrome Urinary Tract Infection. Repeat and detailed investigation are required to reach the diagnosis. Hope the query is answered. Thanks