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20 Cards in this Set

  • Front
  • Back

When may proteinuria be present

-on UA

-as edema cuased by reduced oncotic presure from serum albumin loss

Lab results of proteinuria

-dipstick albumin in concentrations of 30 mg/dL

-300-500 mg of proteinuria per day

When may false positives of proteinuria be seen

-dehydration and hematuria (both can be detected on a dipstick **specific gravity and hemoglobin)

-when there is a low molecular weight tubular protein (not albumin)

Examples of low molecular weight tubular proteins

-immunoglobulin light chains in myeloma

-beta-2 microglobulin

How much proteinuria occurs in nephrotic syndrome

->3.5 grams er day

When should systemic disease be suspected in a person with proteinuria

-presence of fever, rash or arthritis

Clinical findings in diabetes

-microalbuminuria (early marker of nephropathy) & appears before urine dipstick can detect proteinuria


What drugs/class of drugs can cause proteinuria or renal injury


-chronic acetaminophen

-contrast media

-ACE inhibitors




-gold and penicillamine

Clincial findings of acute tubular necrosis

-"dirty" casts on UA (large/pigmented/brown)

-tubular proteinuria occurs with acute illness

Clinical findings of glomerulonephritis

-urine sediment will show red cells or red cell casts

-marked proteinuria usually caused by glomerular injury

What is the most common cause of glomerulonephritis

-membranous glomerulonephritis most common cause

Clinical findings of systemic lupus erythematosus

-microscoic hematuria

-malar-distribution rash


-Raynaud phenomenon

Clinical findings of proteinuria in relation to orthostatic position

-transient orthostatic or exercise-induced proteinuria is benign

-proteinuria may be evanescent by changes in position or testing before and after exertion

Clinical findings of toxemia in regard to proteinuria

-typically occuring in 3rd trimester in a primigravida

-manifest w/ proteinuria, accelerated HTN & edema

Clinical findings of polycystic kidneys

-onset 3rd or 4th decade

-HTN, flank pain, hematuria, palpaple lumpy kidney

-Hx of renal stones

Clinical findings of interstitial nephritis



-maculopapular rash

-usually associated with the use of antibiotics

-urinary eosinophils occassionally found

what antibiotic is associated with interstitial nephritis


Clinical findings of renal vein thrombosis

-acute flank pain


-sudden appearance of a left varicocele

Clinical findings of multiple myeloma

-the dipstick will be negative or weakly positive

-bone pain (back and ribs)

Clinical findings of amyloidosis in the presence and absence of systemic disease

**if occuring in the absence of systemic disease

-enlarged palpable kidney

-benign sediment

**in the presence of systemic disease



-waxy hemorrhagic periorbital plaques