Proteinuria in obesity: ORG or FSGS?

Teaching case

[Insert slide gallery: case slide images. Placeholder pending assets.]

Clinical stem

[Age, CKD stage, diabetes status, medication list, volume status, key labs.]

The trap

[What clinicians might miss.]

Diagnostic reasoning

Integrating biopsy pattern with albumin, nephrotic features, and the hyperfiltration phenotype to avoid misclassification.

Safety pearl

[What to monitor.]

What not to overclaim

[Limits of the evidence.]

Educational only

Illustrative teaching case, not individual medical advice.