5/24/11

Kidney Disease: a patient has both systemic lupus erthematosus, which has damaged her liver, and insulin-dependent diabetes...


a patient has both systemic lupus erthematosus, which has damaged her liver, and insulin-dependent diabetes...which has damaged her kidneys. as the disease have progressed, the edema she experiences has worsened. why?

-liver damage prevents her from making suffiecient plasma proteins

- kidney daage allows some of her plasma protein to be excreted

-kidney damage allows olittle fluid to accumuate in the bowmans capsule

Posted by ldd3017
I would guess b

Posted by spikegirl9999
- kidney damage allows some of her plasma protein to be excreted

excess glucose in the urine (glucosuria) tends to happen with patients exhibiting type 2 diabetes. this glucose should not be going through the glomerular filtration barrier within bowman's capsule as its molecular weight is too high. thus i believe that her serum albumin levels would be low as the GFR has been broken down, allowing other biological molecules (albumin, aka a protein) to be lost within the urine. thus serum albumin levels are depressed.

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