Approach to the patient with renal disease.
There are various ways by which a patient with renal disease can present as either an initial outpatient or an inpatient consultation. Some patients can present with incidental hematuria and/or proteinuria. Symptoms generally vary but are more commonly noted with advanced stages of chronic kidney disease. A systematic, well organized approach is of utmost necessity in arriving at the correct diagnosis. A multitude of laboratory and ancillary studies, including a percutaneous renal biopsy (performed when necessary), are available to arrive at the right diagnosis. An algorithmic approach to hematuria and proteinuria is also presented.
Lerma
Edgar V
EV
Section of Nephrology, Department of Medicine, University of Illinois at Chicago College of Medicine, 820 S. Wood Street, Chicago, IL 60612, USA. edgarvlermamd@pol.net
D001706:Biopsy; D006417:Hematuria / Q000175:diagnosis; D006801:Humans; D007668:Kidney / Q000503:physiopathology*; D007674:Kidney Diseases / Q000175:diagnosis* / Q000503:physiopathology; D011320:Primary Health Care; D011507:Proteinuria / Q000175:diagnosis; D016482:Urinalysis