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
2
Q
Causes of proteinuria
A
- Transient/functional
- Orthostatic
-
Diseases:
- Glomerulonephritis
- Nephrotic syndromes
- Tuboluinterstitial diseases
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
4
Q
Warning Symptoms in Proteinuria
A
Hypertension
Edema
Hematuria
Rash
Fever
Arthralgia
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