Monday, November 26, 2012

PRESENTATION OF RENAL DISEASE

Acute or chronic renal failure: Nephrotic Syndrome: Proteinuria> 3g/24h. causingg hypoalbuminaemia and oedema . Often associated with ^ cholesterol. cause: Presentation:-Swelling of eyelids and face:"Ascietes , peripheral oedema,urine forth due to protein. Nephrotic crisis " unwell with oedema, anorexia,vomiting, pleural effusion, and muscle wasting. Investigation:- Urine-24h. urine collection for protein and creatinine clearance microscopy for red cells casts, Blood- U&E,creatinine,Albumin, Cholesterol, FBC, ESR. Management:- Refer all suspected case of nephrotic syndrome to a renal physician. Complication:- < Thromboembolism

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