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''': | * '''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 | ||
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:''' | * '''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 | ||
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:''' | * '''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]]. | ||
These people are known to have kidney failure, and have either drunk too much or missed their dialysis. | |||
* '''Metastatic cancer:''' | * '''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. | ||
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. | |||
==References== | ==References== | ||
Revision as of 16:22, 28 August 2012
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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.