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| Proteinuria |
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| History
of the Disease |
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| a. |
In general, the history
is the same as the history for hematuria. Here are a few specific
points.
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| b. |
Has the parent ever noted the child
to be puffy around the face, the abdomen to be protuberant or
the feet or legs to be swollen?
Edema associated with proteinuria would
indicate a significant degree of proteinuria or decreased filtration
of salt and water.
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| c. |
Has the urine ever appeared red, coke,
tea or rust colored?
Hematuria accompanying the proteinuria
is usually indicative of glomerulonephritis.
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| d. |
Has the parent ever noted the urine
to be exceptionally frothy?
Heavy proteinuria can give a frothy
appearance to the urine.
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| e. |
Has the patient ever been noted to be
hypertensive?
Hypertension and proteinuria are indicative
of glomerulonephritis. To this add hematuria and azotemia and
the chance of progressive renal disease increases significantly.
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| f. |
Are there signs or symptoms of systemic
disease present?
Joint pain, a rash, and fever could
indicate lupus. A petechial rash on the lower extremities, abdominal
pain, and joint pain could indicate Henoch-Schönlein purpura. |
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