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April 12, 2024

3-year-old female brought to the emergency department by parents after a visit to the pediatrician earlier for generalized edema,

3-year-old female brought to the emergency department by parents after a visit to the pediatrician earlier for generalized edema, fatigue, and frothy urine. History of upper respiratory infection 2 weeks prior. No significant past medical or surgical history. Immunizations up to date. Playful but fatigued easily. Moves all extremities well. Moderate generalized edema, severe periorbital edema. Difficulty opening eyes. Lungs clear to auscultation. Tachycardic, no murmurs present. Distended abdomen. Bowel sounds present. Decreased urine output of frothy urine.

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