Nephrotic syndrome differential diagnosis: Difference between revisions
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==Differentiating Nephrotic Syndrome from other Diseases== | ==Differentiating Nephrotic Syndrome from other Diseases== | ||
* '''Heart failure''': The patient is older, with a history of heart disease. | * '''[[Heart failure]]''': The patient is older, with a history of heart disease. [[Jugular venous pressure]] is elevated on examination, might hear heart [[murmur]]s. An [[echocardiogram]] is the gold standard investigation | ||
* '''Liver failure:''' History suggestive of [[hepatitis]]/ [[cirrhosis]]: alcoholic, IV drug user, some hereditary causes. Stigmata of liver disease are seen: dilated veins over umbilicus ([[caput medusae]]), scratch marks, [[enlarged spleen]], [[spider angiomata]], [[encephalopathy]], [[bruising]], nodular liver | * '''Liver failure:''' History suggestive of [[hepatitis]]/ [[cirrhosis]]: alcoholic, IV drug user, some hereditary causes. Stigmata of liver disease are seen: dilated veins over umbilicus ([[caput medusae]]), scratch marks, [[enlarged spleen]], [[spider angiomata]], [[encephalopathy]], [[bruising]], nodular liver | ||
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==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Kidney diseases]] | |||
[[Category:Nephrology]] | |||
[[Category:Pediatrics]] | |||
[[Category:Disease]] | |||
[[Category:Syndromes]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} |
Revision as of 15:48, 27 September 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Differentiating Nephrotic Syndrome from other Diseases
- Heart failure: The patient is older, with a history of heart disease. Jugular venous pressure is elevated on examination, might hear heart murmurs. An echocardiogram is the gold standard investigation
- Liver failure: History suggestive of hepatitis/ cirrhosis: alcoholic, IV drug user, some hereditary causes. Stigmata of liver disease are seen: dilated veins over umbilicus (caput medusae), scratch marks, enlarged spleen, spider angiomata, encephalopathy, bruising, nodular liver
- Acute fluid overload in someone with kidney failure: These people are known to have kidney failure, and have either drunk too much or missed their dialysis.
- Metastatic cancer: When cancer seeds the lungs or abdomen it causes effusions and fluid accumulation due to obstruction of lymphatics and veins as well as serous exudation.