Case Study # 4: CC: A 47

Case Study # 4: CC: A 47 year old black diabetic male complains of weight loss, progressive shortness of breath, and swelling of the lower legs and arms. HPI: His past medical history is unremarkable. PE: Pallor; pitting edema in extremities; decreased lung sounds with crackles bilaterally in lower lung fields; periorbital edema; ascites. Labs UA: proteinuria (> 3.5 g/24 hr); lipiduria with oval fat bodies and fatty and waxy casts in urinary sediment; hypoalbuminemia; hyperlipidemia. 1. What is the Diagnosis? Case Study # 5: CC: A 5 year old white male presents with generalized edema and abdominal distention, producing respiratory embarrassment. HPI: The child had an upper respiratory infection one week ago. VS: normotension. PE: generalized pitting edema; free ascitic fluid in peritoneal cavity; shifting dullness and fluid thrill present; normal fundoscopic exam. Labs: UA: 4+proteinuria; Blood: hypoalbuminemia; hypercholesterolemia

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