This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Kidney, Subject name: Medicine
[{'content': 'All are features of Nephrotic syndrome except- \nSelect and explain. \nA. RBC casts in urine, B. Hypo-proteinemia, C. Oedema, D. Hyperlipidemia', 'role': 'user'}, {'content': 'Answer: A \nExplanation: NEPHROTIC SYNDROME - proteinuria->3.5g/day-Hypoalbuminemia Oedema-due to sodium and water retention . Hyperlipidemia-due to increased hepatic lipoprotein synthesis to increase plasma oncotic pressure(which is decreased due to proteinuria) Hypercoagubale state Hypeension and minimal hematuria Rbc casts are seen in Glomerulonephritis Vasculitus Malignant hypeension Thrombotic microangiopathy Ref:Harrison 20 th edition pg. No. 293,2142.', 'role': 'assistant'}]