A 2 year old girl with leukmia develops swelling around eyes. Vitals are normal. Labs show she has low albumin, elevated cholestorl. Urine dipstick is positive for 4+ protein and under microscopy is positive for lipid casts. Electorn microscopy on a kidney biopsy shows epithelial foot process effacement. 1. What condition is occuring in her for the clinical findings above? 2. Considering her background medical history what is most likely underlying cause of these findings?

How do you remember renal physiology?
Use the mnemonic, A WET BED: A) maintenance of ACID-base balance; W) maintenance of WATER balance; E) balance of ELECTROLYTES; T) removal of TOXINS; B) control of BLOOD pressure; E) production of ERYTHROPOIETIN; and D) metabolism of vitamin D.