<prompt> A 2 yrs old child comes with 1 year ho of generalised edema. His B.P. is 10770mm urine examination shows hyaline cast, proteinuria , WBC RBC are nil. the likely diagnosis is -Selective proteinuriaUremiaFocal segmental glonurulosclerosilLow serum complement level  <response>: Ans. is a i.e., Selective proteinuria It is a case of nephrotic syndrome due to minimal change disease MCD. o MCD is the most common cause of nephrotic syndrome in children Microscopic findings of urine in MCD Protenuria o Principally albumin which is a low molecular weight protein a High molecular weight proteins are seen in minimal amounts. a This type of proteinuria is known as selective proteinuria. WBC -- Absent o RBC -- Absent o hyaline cast --- can be seen o Focal segmental Glomeruloclerosis can also cause nephrotic syndrome but the urine examination in these patients will reveal protein, WBCs and RBCs . 