What this deck covers
Haematuria, Alport Syndrome and Thin Basement Membrane in Children in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.
Board-style teaching questions for paediatricians and trainees preparing for board, MRCPCH and Prometric examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.
The 18 cases, in order
- Red urine after a red dinner
- One plus at the school medical
- Brown urine, no clots, no pain
- Brown urine on day two of a cold
- The protein that keeps coming back
- Haematuria, hearing aids and an uncle
- Which chromosome carries it
- Three generations, nobody on dialysis
- Two children who look identical
- Loin pain that keeps coming back
- Blood, protein and a rising creatinine
- Painless blood after the tournament
- More water, less salt
- Which one needs the nephrologist
- Blood at the end of the stream
- Clots, stinging and a clear culture
- What happens after the third sample
- Clear again after a week off
Diagnoses and management options tested
Across the 18 cases you are asked to choose between options such as: Glomerular bleeding that has already stopped, Repeat the urine dipstick on two further occasions, The brown colour of the urine she passed, Post-infectious glomerulonephritis, An angiotensin converting enzyme inhibitor, Thin basement membrane nephropathy, Autosomal dominant, Alport syndrome, How many red cells each has per high power field, A urine calcium to creatinine ratio, Repeat the urine in six months, Exercise-induced haematuria alone, Generous fluids and a reduced salt intake, IgA nephropathy.
Clinical pearls from this deck
- Red urine with a negative dipstick is a pigment; a positive dipstick with no red cells is haemoglobin or myoglobin.
- Most isolated microscopic haematuria in a well child is gone by the time you repeat it.
- A clot means the bleeding is below the glomerulus; a cast means it is at or above it.
- With the sore throat is IgA; weeks after it is post-infectious.
- In IgA nephropathy the protein predicts the future; the blood does not.
- Haematuria plus deafness is Alport until the collagen says otherwise; lenticonus makes it certain.
Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.
More from this system: all nephrology case decks · pediatric reference values.
