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.
1 Amsterdam in Spring. 2  The ultimate visitor resource for tulip time and more at Keukenhof, the Netherlands. 3  Stop and smell the flowers at Keukenhof's 66th season.f you miss peak tulip time, don't fret -- you'll still see flowers in bloom. Before the tulips come narcissi and hyacinths, whose fragrance is so strong you can smell it from the road as you ride by.