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.
Storm Scents: It's True, You Can Smell Oncoming Summer Rain. When people say they can smell a storm coming, they're right. Weather patterns produce distinctive odors that sensitive noses sniff out. This year's peculiar weather patternsâsuch as drought in the Midwest and a super derecho of thunderstorms earlier this summerâare no exception. In fact, as the rains return after a dryspell, many of these odors are stronger than ever.