History and examination in proteinuria
The important points to note in the history taking and the examination of a patient with proteinuria include:
- in the history:
- enquiry should include Hx of previous urinary tract infections, renal disease, skin disease, drugs, e.g. analgesics, sore throat, family history of renal disease, occupational history
- enquiry should include Hx of previous urinary tract infections, renal disease, skin disease, drugs, e.g. analgesics, sore throat, family history of renal disease, occupational history
- in the examination:
- look for features of nephrotic syndrome, heart failure, hypertension, uraemia
- examine for enlarged kidneys
- postural proteinuria - patients do not have proteinuria when lying down - thus an early morning sample of urine is negative for protein
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