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Forum Name: Nephrology Symptoms

Question: Proteinuria, no edema, nocturia and metallic taste in mouth


 victoryflower - Mon Jul 26, 2010 6:28 am

What's the initial dx of a patient female 42 y.o with proteinurie 4+, no edema, wakes up 4-5times a day at night to urinate. hypertension stage 2, cardiomegali, urine production normal, 2 months of nausea and vomiting and metallic taste (+). please do help, thanks
 Dr. Tamer Fouad - Mon Jul 26, 2010 8:29 am

User avatar Hello,
You give no information about the patient's consciousness level or blood sugar / ketonuria as in DKA? Was an electrolyte panel requested? Is the patient hospitalized? It's also important to assess the possibilities and dangers of dehydration. What about her daily protenuria was it quantified?

Menstrual history?

Any scans (abdominal ultrasound) done? It really could be anything at this stage from metabolic condition, to an abdominal tumor encroaching on the viscera, to a renal condition, amyloidosis, to pregnancy and pre-eclampsia. It's a shot in the dark really - there's not enough information. Sorry I can't be of more help.
 victoryflower - Tue Jul 27, 2010 6:47 am

Hello,
Well, I was asked to dx a patient with very limited lab equipment. The patient I mention suffers from CKD, (high level of Ur/Cr, decrease of BUN < 15). Is it possible to dx a patient with CKD with very limited lab test (done manually and only once). Thank you.

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