Decreased Urine Output in Pediatrics — 6yo Child | Pediatric Nephrology | SMLE Q#545

SMLE Question #545

Pediatrics Pediatric Nephrology
Last updated: February 2026
A 6-year-old boy has 3 days of morning periorbital puffiness and new bilateral ankle swelling with decreased urine output. Examination shows periorbital oedema and pitting ankle oedema. Urinalysis shows 4+ protein with no blood or casts. Serum albumin is low. What is the most likely diagnosis?

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