How to check nephrotic syndrome?2017-05-01 19:04
When you have symptoms of nephrotic syndrome edema, you would suspect that you had nephrotic syndrome, at this time, don’t panic, arrange a day to go to the hospital to do the necessary checks on diagnosis of nephrotic syndrome, and symptomatic treatment of nephrotic syndrome .What do we often check t?
In the case of suspected nephrotic syndrome, a routine examination is in order to confirm the diagnosis:
The routine examination of the urine is performed through qualitative urine protein, urine sediment examination, preliminary judgment whether glomerular lesions exist.
24 hour urine protein quantitation in patients with nephrotic syndrome is more than 3.5g.
Determination of plasma protein: when the nephrotic syndrome, plasma albumin below 30g is a prerequisite for diagnosis.
The determination of serum lipids: nephrotic syndrome patients often have lipid metabolism disorders, elevated blood lipids.
In order to know whether the renal function is damaged or not, the diagnosis and differential diagnosis should be further clarified, and the treatment plan should be drawn up to estimate the prognosis:
Renal function test: often do the project for urea nitrogen (BUN), creatinine (Scr), which is often used to do one of the items used to understand whether renal damage and its degree.
Electrolyte and CO2 binding force (CO2-CP) determination: to find out whether there is electrolyte imbalance and acid-base imbalance, in order to correct.
Hemorheology examination: the blood of patients with nephrotic syndrome is often in the state of hypercoagulability, and the blood viscosity increases. This check will help to understand the situation.
The following items can be selected according to the needs of examination: serum complement, serum immunoglobulin, selective proteinuria index, urine protein polyacrylamide gel electrophoresis, urinary C3 and fibrin degradation products (FDP), anti renal antibody urine enzyme, serum and renal biopsy.
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