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Table 142-4

Evaluation of Nephrotic Syndrome

Random spot urine for protein and creatinine
Serum albumin, cholesterol, complement
Urine protein electrophoresis
Rule out SLE, diabetes mellitus
Review drug exposure
Renal biopsy
Consider malignancy (in elderly pt with membranous GN or minimal change disease)
Consider renal vein thrombosis (if membranous GN or symptoms of pulmonary embolism are present)

Abbreviation: GN, glomerulonephritis.