A 10 year old girl with C...

A girl, 10 years old, 25 kg weight, 115 cm height, came to the polyclinic referred due to decreased renal function based on laboratory results. The patient complained of weakness and pallor since 6 months ago, urination was present, the amount was never measured, no redness. PF BP 150/100 mmHg, palpebral edema, pale conjunctiva. Other examinations found no abnormalities. Laboratory examination: Hb 9.5 g/dL, Ht 30%, leukocytes 8,000/uL, platelets 300,000/uL, MCH 75 ng/mL, MCV 82 pg/L, MCHC 80. Peripheral blood picture: normocytic normochrome, normal iron profile. Ureum 160 mg/dL, creatinine 1.7 mg/dL (LFG: 45 ml/min/1.73 m2 (Old Schwartz). Na, K, Cl, uric acid within normal limits AGD: pH 7.29; HCO3 17 mmHg; BE -10 Ca ion 0.9 mmol/L; P 7.5 mmol/L Urinalysis albumin 2+ Renal and urinary tract ultrasound: the size of the kidneys appeared reduced, parenchymal echogenicity increased. The patient was diagnosed with CKD grade 3, Normocytic normochrome anemia ec. Renal (renal anemia). Hypertension grade 2 Mineral bone disorder in CKD Metabolic acidosis