High -Yield Internal Medicine Board Exam Pearls by Knowmedge - HTML preview

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Cause

 Urine dipstick detects concentration of albumin in urine

 Urine concentration can affect dipstick results therefore a quantitative estimation of

proteinuria is required to evaluate dipstick proteinuria

40 | P a g e

K N O W M E D G E

 The preferred quantitative test is spot urine protein to creatinine ratio (accurate & more

convenient than 24-hr urine collection)

 A urine protein to creatinine ratio ≥ 1 has a higher risk of progression of CKD

Pearl # 4: Early-Stage CKD Should Have Periodic Evaluation and Intervention to Slow