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Eight months after an attack of acute glomerulonephritis a 38year old woman was hospitalized
for investigation of progressive bilateral leg oedema. On examination she was normotensive and
exhibited pitting edema on both ankles and dullness over her lung bases. Her face was pale and
puffy and she admitted to frequent minor intercurrent infections.
1.What is your tentative diagnosis? Explain
2. What biochemical analysis would you request, and in what order? Please give normals in a
healthy patient
3.what result would be consistent with your diagnosis

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