This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
[{'content': 'A characteristic feature of nephrotic syndrome in children – \nSelect and explain. \nA. Lipid casts in urine, B. WBC casts in urine, C. RBC casts in urine, D. Albumin in urine', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Acute nephritic syndrome \n\nNephritic syndrome is a collection of signs associated with disorders affecting the kidneys, more specifically glomerular disorders and is characterized by haematuria, proteinuria, hypertension, oedema and oliguria.\n\n1. Haematuria\n\nThe haematuria is slight giving the urine smoke appearance.\nErythrocytes are detectable by microscopy or by chemical testing for haemoglobin.\nPresence of RBC casts in urine is a classical feature of nephrotic syndrome.\n\n2. Proteinuria\n\nProteinuria is mild (< 3 gm/day) also called nephritic range proteinuria or subnephrotic range proteinuria.\nProteinuria is nonselective.\n\n\nEdema\xa0→ Usually mild and results from sodium and water retention.\nHypertension\xa0→ Is variable depending upon the severity of the glomerular disease.\nOliguria\xa0→ Reflects the severity of glomerular involvement.\n\nNote -\nOedema and proteinuria are not as severe as in nephrotic syndrome.', 'role': 'assistant'}]