178 Nithin Reddy

I am presenting a case of a young girl of age 13yr old female, resident of Nalgonda,came to the OPD with chief complaints of  generalized swelling of the body since 1 month and hematuria since 1 month. HOPI :         Patient was apparently asymptomatic 36 days ago, the she develops fever low grade intermittent type, relieved with medications not associated with chills and regors. Vomitings: 4 episodes per day, for 3 days. Contains food particles, non bilious, non projectile, loose stools 3-4 episodes per day, watery not associated with abdominal pain, blood in stools.      Patient now presents to the OPD with complaints of hematuria since 33 days whole stream of urine red in colour. No burning micturition and frothiness of urine. Then patient develops generalized swelling of body, initially at both lower limbs pedal odema and then abdominal distension and facial puffiness. No history of sore throat, decreased urine output. PAST HISTORY:     No history of similar complaints in the past.