Diagnosis of Diabetic Nephropathy
Diagnostic Test list for Diabetic Nephropathy:
The list of medical tests
mentioned in various sources as
used in the diagnosis of Diabetic Nephropathy
includes:
- Protein urine test
- Urine "albumin" protein test - this is a urine test that looks for very small amounts of a protein called "albumin" in the urine.
- Microalbuminurea test
- Random urine microalbuminurea test (one-off test)
- Resting urine microalbuminurea test (overnight collection)
- Whole-day microalbuminurea test
- Metalloproteinase-9 blood test - this is a blood test that can detect earlier, less advanced cases of kidney damage than the microalbuminurea urine test.
- Urine creatinine test - if the kidney is failing, one of the body's waste products is not filtered properly, and creatinine is one such waste product (nitrogen is another).
- Blood creatinine test - the level of the waste product creatinine in the blood can also be measured via a laboratory blood test.
- Blood urea nitrogen (BUN) - when the kidney fails, it does not properly filter waste products like "urea", "nitrogen" and "creatinine". These can be tested in a laboratory blood test, and can indicate kidney failure.
- Iothalamate tests
- Blood pressure tests - to look for associated hypertension
Diabetic Nephropathy Diagnosis: Book Excerpts
Diagnostic Tests for Diabetic Nephropathy: Online Medical Books
16 MEDICAL BOOKS ONLINE!
Review excerpts from medical books online, free, without registration,
for more information about diagnostis of Diabetic Nephropathy.
Acute pyelonephritis:
Diagnosis
(Professional Guide to Diseases (Eighth Edition))
Diagnosis requires urinalysis and culture. Typical findings include:
❑ Pyuria (pus in urine): Urine sediment reveals the presence of leukocytes singly, in clumps, and in casts; and, possibly, a few red blood cells.
❑ Significant bacteriuria: Urine culture reveals more than 100,000 organisms/µl of urine.
❑ Low specific gravity and osmolality: These findings result from a temporarily decreased ability to concentrate urine.
❑ Slightly alkaline urine pH.
❑ Proteinuria, glycosuria, and ketonuria: These conditions are less common.
Excretory urography or computed tomography (CT) scan of the kidneys, ureters, and bladder also help in the evaluation of acute pyelonephritis by revealing calculi, tumors, or cysts in the kidneys and the urinary tract. In addition, excretory urography may show asymmetrical kidneys.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Nephrotic syndrome:
Diagnosis
(Professional Guide to Diseases (Eighth Edition))
Consistent proteinuria in excess of 3.5 g/24 hours strongly suggests nephrotic syndrome; examination of urine also reveals increased number of hyaline, granular, and waxy, fatty casts, and oval fat bodies. Serum values that support the diagnosis are increased cholesterol, phospholipids, and triglycerides and decreased albumin levels. Histologic identification of the lesion requires kidney biopsy. Other tests may be done to rule out metabolic causes.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Nephrotic syndrome:
Diagnosis
(Handbook of Diseases)
Consistent proteinuria in excess of 3.5 g/24 hours strongly suggests nephrotic syndrome; examination of urine also reveals an increased number of hyaline, granular, and waxy, fatty casts, and oval fat bodies. Serum values that support the diagnosis are increased cholesterol, phospholipid, and triglyceride levels and decreased albumin levels. Histologic identification of the lesion requires a kidney biopsy.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Pyelonephritis, acute:
Diagnosis
(Handbook of Diseases)
Diagnosis requires urinalysis and culture. Typical findings include:
❑ pyuria (pus in urine) — urine sediment reveals the presence of leukocytes singly, in clumps, and in casts; and, possibly, a few red blood cells
❑ significant bacteriuria — more than 100,000 organisms/µl of urine revealed in urine culture
❑ low specific gravity and osmolality, resulting from a temporarily decreased ability to concentrate urine
❑ slightly alkaline urine pH
❑ proteinuria, glycosuria, and keto-nuria — less common.
X-rays also help in the evaluation of acute pyelonephritis. X-ray films of the kidneys, ureters, and bladder may reveal calculi, tumors, or cysts in the kidneys and urinary tract. Excretory urography may show asymmetrical kidneys.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
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