Approach to proteinuria (pediatrics) Quiz: Ace Your Exams
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An 11-year-old girl is following up after 2+ proteinuria was found on a prior visit at which the patient was being evaluated for increased urinary frequency. The rest of the urine dip at that time was negative, and the symptoms resolved. The patient is well-developed and well-nourished. There is no joint pain, recent infections, rashes, dysuria, hematuria, urinary frequency, fever, or medication use. Past medical and surgical history are non-contributory. Temperature is 37� C (98.6�F), pulse is 95/min, respirations are 22/min, and blood pressure is 115/75 mm Hg. On physical examination, cardiopulmonary and abdominal examinations are normal. No edema is noted. Repeat dipstick results are shown below. Which of the following tests should be performed next to confirm the likely diagnosis?
| Laboratory value | Results |
| Specific gravity | 1.015 |
| pH | 6 |
| Protein | 2+ |
| Glucose | Negative |
| Leukocyte esterase | Negative |
| Nitrite | Negative |
| WBCs | 1-5 /hpf |
| RBCs | 2-5 /hpf |
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