A member asked:

Exam showed normal blood work, but ua = high protein (18.0 mg/dl) high microalbumin/creatinine (36.76 mg/gcrea) and high microalbumin (5.0 mg/dl)?

5 doctors weighed in across 2 answers
Dr. Ralph Morgan Lewis answered

Specializes in Family Medicine

Urine protein: Are you diabetic or have history of kidney ds? Your doc may want to do 24-hour urine collection to determine total protein/24 hours as well as other tests of kidney function (creatinine clearance). Doc may advise no soda pop & examine your list of meds for possible causes.

Answered 2/28/2012

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Proteinuria: You need to have a 24 hour urine collection to see the amount of protein (P) in the urine and to assess your kidney function. I would also do a renal ultrasound to assess the size of the kidneys. Depending on the amount of P, I would send off blood for aso, anca 2, complement C3 and c4, hiv, hepatitis b antibodies, hb a1c and ana. A renal biopsy may be needed, if the P is > than 1 gram/day.

Answered 2/13/2015

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