Arthur VanZee, MD
Specialty: Internal Medicine
Location and Office HoursSt Charles Community Health Clinic
Saint Charles, VA 24282
- Anthem BlueCross BlueShield
- BlueCross BlueShield
- Coventry Health Care
- First Health
- Great-West Healthcare Cigna
- United Healthcare
- Lee Regional Medical Center
Why is so much attention focused on coronary artery disease?
Mehmet Oz, MD, Cardiology, answeredCoronary artery disease, or CAD, prevents the heart muscle from getting the oxygen and fuel it needs. It is the most common cause of death in the United States. And there is a lot that can be done to prevent and treat it. Watch this animation for more information about this important health problem.
How can a low-sodium diet help me if I have kidney disease?
Controlling salt (or sodium) in the diet is very important for patients with chronic kidney disease. Higher levels of salt can cause higher blood pressure and higher blood pressure in turn causes more kidney damage. The kidneys also lose the ability to filter salt from the blood as the disease gets worse, which makes the salt levels in the blood higher.
How is nephrotic syndrome diagnosed?
In addition to a medical history and physical exam, other tests to diagnose nephrotic syndrome include:
- A 24-hour urine collection, which measures the total amount of protein in the urine collected over 24 hours. You will be diagnosed with nephrotic syndrome if you have more than 3 grams of protein in your urine.
- Blood test for albumin. Lower levels of albumin in the blood can cause fluid to collect in the ankles, lungs or abdomen.
- Creatinine and creatinine clearance. Results of these tests give information on how well your kidneys are working.
- Blood profile tests to measure the amount of protein, cholesterol and sugar (glucose) in the blood.
- Kidney ultrasound to look at the kidneys. This exam can rule out other causes of your symptoms.
You may need other tests before treatment for nephrotic syndrome begins. These include:
- A test for varicella (chickenpox) antibodies.
- A bone density scan.
In adults, testing usually includes:
- Serum protein electrophoresis (SPEP).
- Antinuclear antibodies (ANA).
- Antibody tests for systemic lupus erythematosus.
- C3 and C4 complement, proteins normally found in the blood.
- Tests for hepatitis B, hepatitis C, and HIV.
Unless nephrotic syndrome is clearly caused by diabetes, a kidney biopsy is usually done to find the cause. Children do not usually have a biopsy.
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