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MediumNephrologyNephrotic syndromeau-amcau-racp

A 60-year-old man presents with progressive bilateral leg swelling, shortness of breath and frothy urine. Blood pressure is 150/95 mmHg. Urinalysis shows 4+ protein and no blood. Serum albumin is 20 g/L, and cholesterol is elevated. What is the most likely diagnosis?

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