transient persistent and benign proteinuria.pptx

proteinuria requires evaluation for cause but first it is necessary to differentiate

1. Transient and persistent Proteinuria Transient Proteinuria Urinary tract infection Orthostatic proteinuria (occurs after the patient has been upright for a prolonged period, absent in early morning urine) Fever Heavy exercise Vaginal mucus Pregnancy

2. Persistent Proteinuria Primary renal disease Glomerular (such as glomerulonephritis) and/or Tubular Secondary renal disease Diabetes mellitus Hypertension Connective tissue diseases Vasculitis Amyloidosis Myeloma Congestive cardiac failure

3. Benign Causes of Proteinuria Fever Acute illness Exercise/intense physical activity Orthostatic proteinuria Dehydration Emotional stress Any inflammation

4. Benign Causes of Proteinuria They do not increase morbidity or mortality otherwise These conditions are highly variable and Usually reversible as the precipitating factor is addressed