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Aug 15, 2023


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).


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.


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

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