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@alexillustratespov: We’re heading to wedding planner now 😂 #couple #couplegoals #husbandwife #comedy #wife #husband #Relationship

Alex Illustrates POV
Alex Illustrates POV
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Region: US
Thursday 11 May 2023 18:56:42 GMT
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Comments

number1nolesfan
Softball dad :
lmao facts 😂
2023-05-11 22:18:43
8
bigtdawg1969
Anthony :
you put your foot in first 😅😅😅
2023-05-11 19:45:02
5
omizio
Omizio :
Yup.
2023-05-16 18:35:11
4
soullessvessel59
Lance Lusco :
😂😂😂 dirt don't bother me but door slammers gotta go
2023-05-14 22:01:57
6
fuel_dude
fuel_dude :
😂yep
2023-05-11 21:16:11
7
alexillustratespov
Alex Illustrates POV :
This is how we got married
2023-05-11 18:57:03
7
joebatemanfarmer
Joseph Bateman :
my truck is never clean so it doesn't matter. could build a house out of the dirt in my floor
2023-05-12 15:46:29
7
royboy4y
RoyBoy🇨🇦 :
right?!
2023-05-12 01:38:15
6
joelhartman390
“The Black Hart”Joel Hartman :
You better propose to her if not you are a fool
2023-05-12 11:58:25
7
ou81202
UserOU812 :
Congratulations. Lucky boy!
2023-05-16 12:06:54
4
7siete777
7Siete7 :
She was stepping on the clean door trim, NOPE!!!
2023-06-04 00:20:29
1
vangdawg
GDawg1979 :
A keeper for sure
2023-05-15 06:06:41
3
alexillustratespov
Alex Illustrates POV :
IG: _sarahillustrates & alex_illustrates
2023-05-11 18:56:51
1
alexillustratespov
Alex Illustrates POV :
YT: alex illustrates
2023-05-11 18:56:53
1
sarahillustrates
Sarah Illustrates :
🥰🥰🥰🥰 take notes ladies 😂😂😂😂 jk
2023-05-13 00:58:20
7
stape74
shawn :
😂😂
2023-05-12 15:18:44
6
jb36137
jb36137 :
🥺
2023-06-05 04:56:55
1
luisr8765
LuisR🧢 :
👏🏽
2023-05-19 17:47:05
1
pedrinumidia01
Pedrin_umidia :
🥰
2025-12-15 18:35:46
0
richardmadman1981
Richardmadman81 :
just sit on his face.. much easier
2023-05-12 12:56:22
4
luckylemons3
Luckylemons3 :
Trucks are made to get dirty amd a few dents…just like you Sarah
2023-05-12 13:04:52
2
edwatx
user4487518279086 :
you shouldn't have a truck if you are worried about getting it dirty
2023-05-24 18:52:38
1
To see more videos from user @alexillustratespov, please go to the Tikwm homepage.

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Proteinuria is not a diagnosis. It’s a starting point. In this first episode of the series, I break down how I approach proteinuria clinically and how to categorize it before jumping to conclusions. Think in three buckets: • Pre-renal – often transient and related to systemic factors like stress, fever, inflammation, hypertension, corticosteroid exposure, or in rare cases overflow proteinuria from gammopathies • Post-renal – inflammation, infection, hemorrhage, or contamination distal to the kidney • Renal – intrinsic kidney disease, most commonly glomerular A urine dipstick is just a screening tool. If you see protein, confirm and quantify with a urine protein:creatinine ratio, ideally using pooled samples collected over multiple days. Always interpret in the context of sediment, blood pressure, and baseline lab work. Clinical pearl: if total protein is low but globulins are normal and albumin is decreased, start thinking renal loss over GI loss. Proteinuria matters because persistent protein loss accelerates kidney damage, even in patients that appear clinically stable. Next week we’ll narrow the focus to renal proteinuria and protein-losing nephropathy. Save this for your next proteinuric case and let me know what questions you have below. #veterinarian #veterinaryspecialists #internalmedicine #medicinemonday #thefeinvet
Proteinuria is not a diagnosis. It’s a starting point. In this first episode of the series, I break down how I approach proteinuria clinically and how to categorize it before jumping to conclusions. Think in three buckets: • Pre-renal – often transient and related to systemic factors like stress, fever, inflammation, hypertension, corticosteroid exposure, or in rare cases overflow proteinuria from gammopathies • Post-renal – inflammation, infection, hemorrhage, or contamination distal to the kidney • Renal – intrinsic kidney disease, most commonly glomerular A urine dipstick is just a screening tool. If you see protein, confirm and quantify with a urine protein:creatinine ratio, ideally using pooled samples collected over multiple days. Always interpret in the context of sediment, blood pressure, and baseline lab work. Clinical pearl: if total protein is low but globulins are normal and albumin is decreased, start thinking renal loss over GI loss. Proteinuria matters because persistent protein loss accelerates kidney damage, even in patients that appear clinically stable. Next week we’ll narrow the focus to renal proteinuria and protein-losing nephropathy. Save this for your next proteinuric case and let me know what questions you have below. #veterinarian #veterinaryspecialists #internalmedicine #medicinemonday #thefeinvet

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