The ddx of intrinsic renal disease is: glomerular, tubular, interstitial, or vascular 3. Glomerulonephritis presents with an active sediment (RBC, protein) and nephrotic syndrome presents with a bland sediment (heavy protein, otherwise negative U/A).
Smell is the most subtle of senses touched by spring. In spring there is the sweet fragrance of flowers, which is perhaps the first thing many think of. But my thoughts are drawn to subtler scents. In winter the sun is low and weak, giving little light and even less warmth.
In this Caldecott Honor book, the sweet smell of spring awakens forest animals from their long winter naps. Hurray for Spring! by Patricia Hubbell. Celebrate the season with an energetic young boy as he splashes in puddles, swims in a pond, talks to ants, and goes bird-watching. In the Small, Small Pond by Denise Fleming. Leap through the seasons with a tiny frog as he guides you through his pond in this vivid Caldecott Honor book. Learn more.