革山院 ) Defining“ Kidney Damage” Markers of Kidney Damage Proteinuria Microalbuminuria Hematuria(especially when seen with proteinuria) Isolated hematuria has a long differential: infection stone malignancy, etc Casts(especially with cellular elementsDefining ―Kidney Damage‖  Markers of Kidney Damage  Proteinuria  Microalbuminuria  Hematuria (especially when seen with proteinuria)  Isolated hematuria has a long differential: infection, stone, malignancy, etc.  Casts (especially with cellular elements)