Recent respiratory viral illness

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An ill-appearing toddler is brought to the ED by his mother. She is concerned that he did not urinate when get got up, his pull up was dry and his scrotum appears swollen. Past medical history significant only for a recent respiratory viral illness. On exam, the patient is found to be mildly tachycardic and BP 90s/50. He is not in respiratory distress and breath sounds are clear. His scrotum transilluminates and appears symmetrical with generalized edema. Labs are positive for a mild elevation in BUN and creatinine, normal glucose and increased HCT. The MOST likely diagnosis for this patient is Incarcerated hernia Post-strep glomerulonephritis Nephrotic syndrome Sepsis.

Reference no: EM133873675

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