Young girl 4 years old comes to Dr. because of swelling in feet. Has bilateral lwoer extremity edema from ankles to calves. 24 hr urin shows 4 grams protein but no red celsl or casts. Kidney biopsy is done with electorn microscopy too. 1. What is likely to be seen on biopsy? 2. What condition does this girl have?

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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.


1. Young girl 4 years old comes to Dr. because of swelling in feet. Has bilateral lwoer extremity edema from ankles to calves. 24 hr urin shows 4 grams protein but no red celsl or casts. Kidney biopsy is done with electorn microscopy too. 1. What is likely to be seen on biopsy? 2. What condition does this girl have?