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Proteinuria is not a diagnosis. It’s a starting point. In this first episode of the series, I break down how I approach proteinuria clinically and how to categorize it before jumping to conclusions. Think in three buckets: • Pre-renal – often transient and related to systemic factors like stress, fever, inflammation, hypertension, corticosteroid exposure, or in rare cases overflow proteinuria from gammopathies • Post-renal – inflammation, infection, hemorrhage, or contamination distal to the kid
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