A 5 days child brought with a complaint of pufiness of face and hematuria since 4 days whats the probable diagnosis?

In a 5-day-old child presenting with facial puffiness and hematuria, the signs are suggestive of a serious underlying condition. These symptoms could be indicative of several potential diagnoses, but the most probable one is Neonatal Acute Kidney Injury (AKI) or Congenital Nephrotic Syndrome, considering the infant's age and the presence of hematuria along with edema.

1. Neonatal Acute Kidney Injury (AKI): This condition can lead to fluid retention resulting in facial swelling (puffiness) and can cause hematuria due to damage to the renal tissues.

2. Congenital Nephrotic Syndrome: This syndrome can also cause edema due to significant proteinuria leading to hypoalbuminemia and resultant fluid overload. Hematuria may result from associated renal pathology.

Moreover, other considerations could involve renal anatomical malformations or infections, but the combination of symptoms in a newborn typically narrows down the diagnosis.

In summary, the most probable diagnosis, given the age and symptoms, would be allied with renal issues, most notably Neonatal Acute Kidney Injury or Congenital Nephrotic Syndrome. A thorough medical evaluation, including laboratory tests and possibly imaging studies, is essential for accurate diagnosis and management.