Medical history (history of illness) represents an important component in the diagnosis of isolated proteinuria. Family history What is the general health of your family members? Are there any diseases in your family that are common? Are there any hereditary diseases in your family? Social history What is your profession? Are you exposed to harmful … Protein in Urine (Isolated Proteinuria): Medical History
Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Alport syndrome (also called progressive hereditary nephritis) – genetic disorder with both autosomal dominant and autosomal recessive inheritance with malformed collagen fibers that can lead to nephritis (inflammation of the kidneys) with progressive renal insufficiency (kidney weakness), sensorineural hearing loss, and various ocular disorders such as a cataract … Protein in Urine (Isolated Proteinuria): Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Auscultation (listening) of the heart. Palpation (palpation) of the abdomen (abdomen) (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial … Protein in Urine (Isolated Proteinuria): Examination
Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, ketone, blood), sediment, urine culture (pathogen detection and resistogram, that is, testing suitable antibiotics for sensitivity / resistance). … Protein in Urine (Isolated Proteinuria): Test and Diagnosis
Obligatory medical device diagnostics. Renal ultrasonography (ultrasound of the kidneys; includes the urinary tract). [Acute glomerulonephritis: renal enlargement, cortical widening, and echogenicity increase of the renal cortex. Chronic glomerulonephritis: rather reduced kidneys, narrowed renal cortex and increased echogenicity and decreased corticomedullary differentiation. Nephrotic syndrome: significantly enlarged kidneys, marked increase in parenchymechogenicity] Optional medical device diagnostics … Protein in Urine (Isolated Proteinuria): Diagnostic Tests
Isolated proteinuria refers to the excretion of protein (albumen) in the urine as the only symptom.