<prompt> A 4 year old child is brought to the clinic with slowly progressive edema following an upper respiratory tract infection. Urine analysis of the child showed massivemore than 3dmd proteinuria and oval fat bodies. Which of the following is not a feature of the childs underlying condition ?HyperlipidemiaHypercoagulabilityDecreased fibrinogenAlbuminuria  <response>: Child is most likely suffering from nephrotic syndrome. It is associated with increased fibrinogen levels. Characteristic features of nephrotic syndrome are proteinuria 3gm 24 hours, hypoalbuminemia, peripheral edema, hyperlipidemia and presence of oval fat bodies in the urine. Complications of nephrotic syndrome are hyperlipidemia, thrombosis, vitamin D deficiency, infection, hypoalbuminemia, malnutrition and anemia. Reference: Harrisons Principles of Internal Medicine, 18th Edition chapter 283. 