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When the glucose filtrated by glomerular exceeds the capacity of the renal tubule to absorb it, the loss of balance occurs. It can happen due to elevated plasma glucose as in diabetes mellitus or when the ability of tubule to absorb glucose is impaired e.g., Fanconi syndrome with impairment in the absorption of phosphate, amino acids, or isolated glucosuria as an inherited disorder termed Familial Renal glucosuria.Pneumomediastinum is defined as air present in the mediastinum and less frequently referred to as mediastinal emphysema. The