Problem:
6-year-old boy is brought to the emergency department due to swelling in his hands and feet for the past week. He was previously in his normal state of health, other than having a respiratory tract infection two weeks ago. The patient denies fever, dyspnea, muscle aches, or joint aches. The patient has a medical history of asthma and eczema. He was born at 35 weeks' gestation and has since had normal development. His immunizations are up to date. Vital signs are within normal limits. The patient has periorbital swelling, as well as 1+ edema in his lower extremities up to his knees. Urinalysis is displayed below. The patient undergoes renal biopsy which shows normal glomeruli on light microscopy. Which of the following is the best next step in management? Urinalysis Patient Leukocyte Esterase Neg Nitrite Neg Urobilinogen Neg Protein 3+ pH 5.5 Blood Neg Specific Gravity 1.009 Ketone Neg Bilirubin Neg Glucose Neg (A) Cyclophosphamide (B) Furosemide (C) Intravenous fluids (D) Lisinopril (E) Prednisone. Need Assignment Help?