Exam questionKROK 2Medicine · 2019
A 13-year-old girl for the last two weeks has been complaining of dyspnea and shin and foot edemas that appear after a physical exertion. In the morning the edemas significantly decrease. Clinical examination revealed enlarged liver and coarse systolic murmur over the heart area. Blood tests and urinalysis are without changes. What is the most likely cause of edemas in this child?
Answer options
- Heart failure
- Hepatic cirrhosis
- Angioneurotic edema
- Acute pyelonephritis
- Nephrotic syndrome
Correct answer
Heart failure
Explanation
C. Heart failure → Right-sided heart failure hepatomegaly (ascites) and peripheral Edema. D. Acute pyelonephritis → No fever no leukocyturia E. Nephrotic syndrome → Edema with albuminuria (urinalysis changes), dyslipidemia, and proteinuria > 3
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