A 10 year old child develops hematuria after 2 days of diarrhoea. Blood film shows fragmented RBCs & thrombocytopenia. Ultasound shows marked enlargement of both kidnews. The likely diagnosis is -
In this case, stasis is the cause of renal vein thrombosis -stasis is due to DEHYDRATION(most conmon cause of statis in pediatric population) caused by diarrhoea . Renal thrombosis can present with falnk pain ,tenderness ,hematuria, proteinuria, rapid decline in renal function. Ref:Harrison 20 th edition pg no. 2167
Acute pyelonephritis
Disseminated intravascular coagulopathy
Haemolytic uremic syndrome
Renal vein thrombosis
Kidney