Alex, a 9-Year-Old Boy with Edema and Hematuria

Abstract

CASE PRESENTATION You are working an overnight shift when your attending physician asks you to evaluate a direct admission patient who just arrived as a transfer from an outside hospital’s emergency department (ED). You are told that the patient, named Alex, is a 9-year-old boy who presented to that ED with dark urine, fatigue, and eye swelling. At the outside ED, his urine dipstick was positive for the presence of blood; therefore, the ED physician requested transfer to your hospital so that Alex’s symptoms could be further evaluated at a children’s hospital.