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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 330:1072-1078 April 14, 1994 Number 15
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Case 15-1994— A 14-Year-Old Girl with Newly Recognized End-Stage Renal Failure
William E. Harmon, and Shane Meehan

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Presentation of Case

A 14-year-old girl was admitted to the hospital because of biochemical features of advanced renal failure.

The patient had been apparently well and active until two months earlier, when she began to experience fatigue after exercise, increasing lethargy, and occasional epistaxis. Four weeks before admission muscle cramps developed in the legs and often awakened her. Two weeks before entry a pediatrician found no abnormality except for slight proteinuria and a mixed bacterial flora in the urine. During the several days before admission her breathing became "labored." On the day of admission laboratory studies were performed at another hospital (Table . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. William E. Harmon's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

References



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