What laboratory finding, in conjunction with the presenting symptoms, indicates minimal change nephrotic syndrome?
a. Low specific gravity
b. Decreased hemoglobin
c. Normal platelet count
d. Reduced serum albumin
ANS: D
Total serum protein concentrations are reduced, with the albumin fractions significantly reduced. Specific gravity is high and proportionate to the amount of protein in the urine. Hemoglobin and hematocrit are usually normal or elevated. The platelet count is elevated as a result of hemoconcentration.
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