OBJECTIVE:

The purpose of this assignment is to evaluate learners’ critical thinking skills in identifying the significant clinical information and specific management of children with acute glomerulonephritis (AGN).

SCENARIO:

Idham, a 7-year-old boy, the eldest child of 4 siblings from a divorced parent, was admitted to Hospital Tengku Ampuan Afzan Kuantan in March 2018 due to facial puffiness for a 1-day duration. There was also dark-colored urine. The patient had a history of productive cough for 3 days and fever for 2 days. Father also complained of a skin ulcer on the patient’s right foot for about 1 month. There was hypertension (198/80 mmHg). Urine examination showed hematuria, proteinuria, and leucocyturia. Anti-streptolysin O titer was high (1:800) and complement C3 level was low (0.29). The patient was treated with antibiotics, diuretics, and anti-hypertension.

REQUIREMENT:

Based on the above case study, identify the significant clinical information and discuss the specific management for Idham.