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Pediatrics Kidney e9fc8bf7

An 8 years old child suffering from recurrent attacks of polyuria since childhood presents to the pediatrics OPD. On examination, the child has short stature. Vitals and B.P. are normal. S. Creatinine - 6 mg/dL, HCO3 - 16 meq/L, S Na+ - 134 meq/L. On USG, bilateral small kidneys are seen. Diagnosis is:

A
Reflux nephropathy
B
Nephronophthisis
C
Polycystic kidney disease
D
Medullary cystic kidney disease
High-Yield Explanation
b. Nephronophthisis(Ref: Nelson's 20/e p 2537)In this case bilateral small kidneys with clinical features of renal failure & polyuria are suggestive of Nephronophthisis.

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