9- 9-year-old boy is brought to your office by his mother, who notes that her son's eyes and Bout have looked pully over the last several weeks. The patient had a mild upper respiratory wact Infection a week ago The boy does not complain of any pain. The patient's mother also reen that the boy's urine has been excessively foamy recently. Physical examination is remarkable for perioral edema and lower extremity edema. Urinalysis shows 4 proteinuria hat is otherwise remarkable Which of the following secondary changes is most likely in this patient A)Decreased plasma aldosterone level B)increased liver lipoprotein synthesis C)Increased renal sodium wasting D)Decreased liver albumin synthesis



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