#74 Nephrotic Syndrome: 5 Pearls Segment
Core IM | Internal Medicine Podcast
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Kidney Biopsy in Diabetes
The indications for a kidney biopsy in patients without diabetes include proteinuria of 1 gram a day over multiple visits or 3 grams a day even just once. In patients with diabetes, you're really looking at the change in protein over time and correlation with other microvascular complications. The rates of bleeding after biopsy are around 1%. We can optimize patient outcomes by controlling blood pressure around the time of biopsy,. considering pre-biopsy dialysis and holding anticoagulation whenever possible.
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