Comprehensive Clinical Review: Proteinuria—Pathophysiology, Diagnosis, Risk Stratification, and Evidence-Based Management

I. Definition and Pathophysiology: Beyond “Leaky Kidneys” Proteinuria is defined as urinary protein excretion >150 mg/day in adults (KDIGO 2024). Physiologically, the glomerular filtration barrier—composed of fenestrated endothelium, glomerular basement…

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