Patient's question:
The other day, I had high fever all the time. After taking fever-reducing medicine, it didn't improve at all, and I also had constant pain under the ribs. After a thorough examination at the hospital, I found out that I have chronic nephritis, but it's not serious—it's in the early stages, and it can be completely cured with medication. How is the detailed examination for nephrotic syndrome performed?Doctor's answer:
Renal biopsy is performed to safely obtain tissue samples from the patient's kidneys for pathological examination, thereby confirming the diagnosis and guiding treatment. Indications for renal biopsy 1. Primary kidney diseases ① Acute nephritic syndrome, rapid deterioration of renal function, suspected rapidly progressive glomerulonephritis should be biopsied as soon as possible; renal biopsy should be performed if the condition does not improve after 2-3 months of treatment for acute nephritis. ② Primary nephrotic syndrome, first-line treatment, if there is no improvement after 8 weeks of regular hormone treatment, renal biopsy should be performed; or first biopsy, and treatment should be differentiated according to the pathological type. ③ Asymptomatic hematuria, dysmorphic red blood cell hematuria, when the clinical diagnosis is unclear, asymptomatic proteinuria, proteinuria persisting for more than 1 g/d, when the diagnosis is unclear, renal biopsy should be performed.