Focal Segmental Glomerulosclerosis (FSGS)

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Focal Segmental Glomerulosclerosis (FSGS) Questionnaire

  • Posted: 1/13/2013
  • By: Expert Zhang Youkang
  • 5 comments

This questionnaire is aimed at providing some guidance for people with Focal Segmental Glomerulosclerosis (FSGS), their family and friends. After you submit the questionnaire, there will be free and detailed analysis for your specific illness condition, which can help you better understand your current condition. We also provide suggestions on your daily health care, prevention and treatment. Do not forget to leave your email address here or we can not send the illness analysis to you! We agree with personal privacy protection and promise not to reveal your info to anybody.

Patient Information

Provided by Expert Zhang Youkang

Patient Information

1. Are you the patient with FSGS?

Yes, I have.  No, my friend, relative or patient has.
2. Is the patient a male or female?

Male  Female
3. How old is the person with FSGS?

Under 18 18-30 30-45 45-60 Over 60
4. How long has the patient been living with FSGS?

Less than 1 year 1-5 years 5-10 years Not clear
5. What is the creatinine level?

0.5-1.2mg/dl 1.2-2.0mg/dl 2.0-4.0mg/dl 4.0-5.0mg/dl Above 5.0mg/dl Not clear
6. What is the GFR or kidney function ? (Not clear, test it now)

90 - 120 mL/min/1.73㎡ 60 - 90 mL/min/1.73㎡ 30 - 60 mL/min/1.73㎡ 15 - 30 mL/min/1.73㎡ Below 15 mL/min/1.73㎡ Not clear
7. What is the urine output per day?

Above 2500ml 1500-2500ml 1000-1500ml 400-1000ml Below 400ml Not clear
8. Discomforts or symptoms of the patient:

Foamy urine/bubbly urine Edema/Swelling Hypoalbuminemia Hyperlipidemia High blood pressure Others
9. Are there any complications?

10. What are the current treatments?

Glucocorticoid Immunosuppressive agents Angiotensin converting anzyme inhibitior Angiotensin II receptor antagonists Lipid-lowing medicines Dialysis Kidney Transplant Others
11. You can add more information that can be helpful for our analysis:


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