1. MUHAMMAD ALI BIN ABDUL RAZAK WAN AHMAD SYAZANI BIN MOHAMED NADIAH MOHD NASIR

2. NAME : SUFIAH MAAT REGISTRATION NUMBER : SB 00302319 D.O.B : 5 th NOVEMBER 2009 GENDER : GIRL AGE : 1YEAR 1 MONTH OLD ETHNIC GROUP : CAMBODIAN DATE AND TIME OF ADMISSION : 4 th DISEMBER 2010 DATE OF DISCHARGE: - WARD OF ADMISSION : WARD 8C, HSB INFORMANT : FATHER RELIABILITY : GOOD ADDRESS : KG KUBU GAJAH, SG BULOH.

8. System Complaints General No loss of appetite,no weight loss Respiratory No shortness of breath Cardiovascular No diaphoresis during feeding and no cyanosis. Gastrointestinal No constipation, no diarrheoa and no vomiting Hematologic No pallor, no bleeding, no bruises Genitourinary Decrease amount of urine,dark colour Ear, nose and throat No ear and nose discharge Central nervous No loss of consciousness, no seizure and no abnormal movement. Musculoskeletal No muscle weakness. no gross deformity Skin No rash

33. Diagram of Body: Back & Front Periorbital swelling and face puffiness Distended abdomen with positive shifting dullness and fluid thrills Bilateral pitting oedema up to mid shin

48. Inflammatory reaction Derangement in capillary walls of glomeruli Increase permeability to plasma protein Proteinuria Allows protein to escape from plasma into glomerular filtrate Drop in plasma colloid osmotic pressure Fluid escapes into tissues Edema Pathophysiology of Nephrotic Syndrome

55. 1. Infection- bacteremia and peritonitis – patient with relapse have high risk of infection with capsulated bacteria esp pneumococus / E.coli 2. Side effect of steroid 3. Hypovolemia – result from use of diueresis or diarrhea 4. Hypercoagulable state with risk of tromboembolism – d/t loss of protein -> urinary lose of antithombin, thrombocytosis (steroid therapy) -> increase synthesis of clotting factor and increased blood viscosity ->predispose to thrombosis