PLN

Question 1

CS associated with PLN

Answer 1

anorexia, effusion, dehydration, +- anemia, risk for blood clots

Question 2

what diagnostics would lead you to think renal loss of albumin

Answer 2

UA high protein, selective hypoalb, +- azotemia, UPC if clear sediment

Question 3

causes of PLN

Answer 3

lyme nephritis, lepto, amyloidosis, idiopathic nephritis, renal damage, neoplasia and globulin deposition in kidneys

Question 4

what tests to run to help decide whats causing PLN

Answer 4

lyme test, lepto, UPC to confirm, US for renal, BP

Question 5

what to recheck while treating PLN

Answer 5

cbc/chem ua, BP, azotemia

Question 6

what are the treatments for PLN

Answer 6

enalapril to lower UPC, antithrombotics, renal diet +- doxy

Question 7

what are we worried about in PLN

Answer 7

high risk of blood clots. give antithrombotic

Question 8

what do you do if UPC is <1 but increased.

Answer 8

monitor and only treat if its getting worse.