血尿蛋白尿鑒別定稿1-閱讀頁(yè)
2024-10-31 06:46本頁(yè)面
【正文】 n American male is brought to your office after his parents noticed that his urine appeared dark brown or coke 〔焦碳〕colored.,第五十八頁(yè)，共七十八頁(yè)。,Important questions to ask in your History 2,5. Has there been any recent trauma? 6. Has there been any joint pains or swellings? 7. Is there any history of sickle cell disease or trait? 8. Is there any family history of renal disease, transplants, or dialysis? 9.Is there a family history of hearing deficits? 10.What medications does the child take?,第六十頁(yè)，共七十八頁(yè)。,第六十二頁(yè)，共七十八頁(yè)。,擬診：最可能(kěn233。,擬診：可能(kěn233。x236。,進(jìn)一步檢查(jiǎnch225。,進(jìn)一步檢查(jiǎnch225。,治療(zh236。o)有助于診斷,The child should be monitored closely paying attention ： blood pressure, daily weights, urine output and po input.,第六十八頁(yè)，共七十八頁(yè)。qī)結(jié)果,The red blood urine ： C3 complement ： 預(yù)后(y249。u)：,第六十九頁(yè)，共七十八頁(yè)。qī)結(jié)果,The urine may continue to contain red blood cells for many months the C3 complement usually returns to normal levels in 68 weeks. Most of the PSAGN patients recover completely,第七十頁(yè)，共七十八頁(yè)。,Common Causes of Gross Hematuria,Local irritation or trauma to the perineal area Reanl trauma secondary to blunt abdominal trauma or accident UTIs,第七十二頁(yè)，共七十八頁(yè)。guǒ)1,If the patient is asympotmatic and the physical exam is normal, and there is no family history of renal disease,recheck the urine in a few days. dipstick is still positive,check a spun urine for blood, casts, protein, wbc39。,如果(r,If increased blood pressure, edema, decreased urine output, casts proteinuria a total hemolytic complement and C3,如果(r,Glomerulonephritis associated with decreased C3 include,SLE do ANA Shunt nephritis Post streptococcus glomerulonephritis Membraoproliferative glomerulonephritis Glomerulonephritis associated with SBE,第七十六頁(yè)，共七十八頁(yè)。guǒ)4,IF with persistent blood in the urine decreased real function proteinuria hypertension. with laboratory evidence of SLE.,Renal biopsy,第七十七頁(yè)，共七十八頁(yè)。ir243。正常(zh232。ng)時(shí)：無(wú)色澄清淡黃色琥珀色。4.鈣負(fù)荷實(shí)驗(yàn): 尿鈣4mg/kg.24h,尿鈣/肌酐0.21。帶陽(yáng)電荷的分子中陰電荷。ngch225。Renal biopsy,第七十八頁(yè)，共
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