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Management of Glomerular Disease

Glomerulonephritis may be identified with tests if you have an acute illness or during routine testing during a wellness visit or an appointment managing a chronic disease, such as diabetes. Tests to assess your kidney function and make a diagnosis of glomerulonephritis include:

Urine test. A urinalysis can reveal signs of poor kidney function, such as red blood cells and proteins that should not be in urine or white blood cells that are a sign of inflammation. There also may be a lack of the expected levels of waste products.

Blood tests. Analysis of blood samples can reveal higher than expected levels of waste products in the bloodstream, the presence of antibodies that may indicate an autoimmune disorder, bacterial or viral infection, or blood sugar levels indicating diabetes.

Imaging tests. If your doctor detects evidence of kidney disease, he or she may recommend imaging tests that may show an irregularity in the shape or size of the kidney. These tests may be an X-ray, an ultrasound exam or a CT scan.

Kidney biopsy. This procedure involves using a special needle to extract small pieces of kidney tissue to look at under a microscope. A biopsy is used to confirm a diagnosis and to assess the degree and nature of tissue damage.