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I need an ideal format of history taking for nephrotic syndrome of five year old boy. There are many different types of history taking format. But I don't think they are ideal. Please help me. I am a medical student of final year from Myanmar.

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2 Answers

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by Doctor of Medicine (9.9k points)
You can use this format for all pediatric cases.
http://www.pedchrome.com/2013/05/a-guide-and-format-for-pediatric.html

In nephrotic syndrome you have to focus on
Swelling- when and where it started, progression, severity, genitalia swelling?
Frothy urine- Amount, color, redness, cola color, froathy, urinary complains
Shortness of breath
And negative history to rule out other processed like
Cardiac cause of edema
Liver cause
Malnutrition
Inflammation

0 votes
by Doctor of Medicine (5.6k points)
Basically, it's an approach to a child with edema. You need to rule out other causes of generalized edema as specified by admin. For a more detailed approach: [Approach to a child with edema | Epomedicine][1]

As you begin to get a clue, from the history that the case might be probably of a nephrotic syndrome, you need to ask also the following things:

 1. Number of hospital admissions (To see if it's frequent relapse)
 2. Relation of the symptoms with steroid use (To see if it's steroid dependent)
 3. Recurrent infections, neurologic symptoms, cushingoid symptoms (To rule out complications of disease and steroids)
 4. If renal biopsy had been performed previously
 5. Any history of insect bite or drug allergies
 6. History of any extra immunizations after the diagnosis of disease
 7. Blood pressure must be taken carefully and percentile must be calculated

  [1]: http://epomedicine.com/clinical-medicine/approach-to-a-child-with-edema/

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