Kidney disease is always bad? Because the diagnosis is too few!

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For every patient with kidney disease to treat, we will ask them a question: What disease do you have?

 Do you think this is kidding? of course not!
Anyway, all kidney disease?

 It is no exaggeration to say that many patients with kidney disease do not know what disease they have.

 There was once a patient with nephropathy, a typical manifestation of nephrotic syndrome, and it was very swollen when admitted to hospital. Urine protein 4+ and plasma albumin remained only 11.2 g/L.

 He has been using hormone therapy, but the effect has not been good, the condition is getting heavier, he did not know why: "In the last hospital, my bed next door is also kidney synthesis, all aspects are similar to me, how he uses hormones like So, I'm not effective with hormones?"

 We did a series of tests for him (his constitution is not suitable for renal puncture), especially positive for the anti-phospholipase A2 antibody receptor, so that we eventually diagnosed as membranous nephropathy, and the effect of membranous nephropathy with hormones Very poor.

 The reason came out, that is, he did not find the reason at all, and of course treatment was ineffective.
First understand what the disease is

 Many hospitals only have poor urine routines and blood routines and are diagnosed with "nephrotic syndrome" or "chronic nephritis" before starting treatment. Better patients will be advised to make a kidney puncture in order to determine the specific pathological type. But what if the patient is not willing to take a kidney puncture?

 There are many ways to replace renal puncture. The key is whether the hospital regards the pathological type as the focus. In the final analysis, it is still a question of level and responsibility.
Are there many pathological types of nephrotic syndrome that are treated with hormones?

 The range of chronic nephritis is also very wide, and a treatment plan obviously is not acceptable.

 So, every time a patient with kidney disease is newly admitted to hospital, the first question we ask is: "What disease do you have?"

 This is not a joke. This is a serious matter.
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