31. Differential diagnosis of proteinuria in childhood. Flashcards

1
Q

Causes for transient/functional proteinuria

A

Fever

Exercise

Cold exposure

Dehydration

Stress

Seizure

Heart failure

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2
Q

Causes of proteinuria

A
  • Transient/functional
  • Orthostatic
  • Diseases:
    • Glomerulonephritis
    • Nephrotic syndromes
    • Tuboluinterstitial diseases
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3
Q

Laboratory for persistent and/or symptomatic proteinuria

A
  • Electrolytes
  • Albumin
  • Cholesterol
  • BUN/Creatinine
  • Complement (C3,C4)
  • Antistreptococcal antibodies
  • (ANA, Hepatitis B & C serology, HIV-testing)
  • Renal US

referral to nephrologist

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4
Q

Warning Symptoms in Proteinuria

A

Hypertension

Edema

Hematuria

Rash

Fever

Arthralgia

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5
Q

Reference Values for Proteinuria

A

healthy urine:

< 4 mg/m2/h or UPr/Cr < 0.2

nephrotic proteinuria:

>40 mg/m2/h or U Pr/Cr > 2.0

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