Approach to the patient with nephrotic syndrome

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

A 50-year-old woman with no significant past medical history acutely develops bilateral lower extremity pitting edema. A thorough evaluation of cardiac and hepatic functions is unremarkable; however, urinalysis reveals significant proteinuria. Further testing shows an elevated serum creatinine level of 1.8 mg/dL, low serum albumin level of 2.2 g/dL, and hyperlipidemia (total cholesterol 385 mg/dL, triglycerides 480 mg/dL, LDL 245 mg/dL, and HDL 44 mg/dL). Urinary protein measures 5.2 g in a 24-h collection. The clinical diagnosis of nephrotic syndrome is made.

Original languageEnglish (US)
Title of host publicationClinical Decisions in Nephrology, Hypertension and Kidney Transplantation
PublisherSpringer New York
Pages33-41
Number of pages9
ISBN (Electronic)9781461444541
ISBN (Print)1461444535, 9781461444534
DOIs
StatePublished - Nov 1 2013

ASJC Scopus subject areas

  • General Medicine

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