Does this patient have minimal change disease and focal segmental glomerulosclerosis? Presentation Minimal change disease (MCD) and focal segmental glomerulosclerosis (FSGS) present with symptoms and signs of the nephrotic syndrome, characterized by edema, heavy proteinuria (greater than urine protein to creatinine ratio [UPCR] of 3), hypoalbuminemia, and hyperlipidemia. Patients may observe foamy or frothy urine.…
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