A 1-year-old baby boy with renal dysplasia risks end-stage renal disease unless intervention occurs. Which of the following treatment options is his care team most likely to reject?
A)
Dietary restriction plus erythropoietin
B)
Continuous cyclic peritoneal dialysis
C)
Renal transplantation
D)
Continuous ambulatory peritoneal dialysis
Ans:
A
Feedback:
Renal transplantation and dialysis are recommended for children; of these, transplantation is the preferred treatment. Conservative measures are inappropriate in this age group because of the importance of fostering proper bone growth, especially in the first 2 years, and appropriate cognitive development, which is at risk due to issues such as uremic encephalopathy and the effect of renal failure upon the central nervous system of the developing child.
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