Proteinuria and Systemic Disease

Question 1

protein concentration threshold for positive dipstick test

Answer 1

over 300mg of albumin

Question 2

after confirmation of proteinuria by dipstick, what tests should be ordered?

Answer 2

quantify protein - urinalysis

albumin/creatinine ratio at first morning void

Question 3

two methods for quantifying proteinuria

Answer 3

Albumin creatinine ratio at first morning void

24h urine collection

Question 4

nephrotic range proteinuria is protein concentration of ____ in the absence of nephrotic syndrome symptoms such as :

Answer 4

> 3.5 mg/dL protein

nephrotic syndrome symtpoms include hyperlipidemia, hypoalbuminemia, edema

Question 5

how does one treat the kidney symptoms of diabetes

Answer 5

ACEI and ARBs

Question 6

screening test of kidney function in diabetics

Answer 6

annual albumin/creatinine ratio

Question 7

how to slow progression of proteinuria in diabetics

Answer 7

ACEI and ARBs

Question 8

rheumatologic causes of nephrotic syndrome

Answer 8

rheumatologic - SLE, RA

Question 9

infectious causes of nephrotic syndrome

Answer 9

HBV, HCV
HIV - FSGS
syphilis
tuberculosis

Question 10

hematologic/oncologic causes for nephrotic syndrome

Answer 10

amyloidosis
multiple myeloma
sicle cell anemia
liquid and solid tumors

Question 11

drug causes of nephrotic syndrome

Answer 11

NSAIDS
lithium
IV heroin abuse