Thread: Renal medicine....nephrology

Patient comes with oedema and hematuria in out patient...
BP high.

What else will you do in the out patient?

my history will be to rule out false hematuria, ask about trauma, infection, sore throat, respiratory diff, skin diseases.
P/E: BP, evaluate oedeme, RS
I will admit patient.
>Urine examination...look for RBCs, 24 hour proteinuria, MSU culture and sensitivity and cytology
>U&E, creatinine
FBC...infection and anemia
Find cause if suspecting secondary GN
>Renal biopsy?? indications??

Can anyone please post the exact line of management in a chronological manner please?

age of patient?
duration of symptoms? past history/family history?

Seems a case of nephrotic syndrome.