Hematuria, frothy urine and leg swelling: nephritic/nephrotic syndrome approach

A 25-year-old woman has had episodes of visible blood in her urine since childhood. For the past month she has noticed frothy urine and swelling of her legs. She had an upper respiratory infection recently and was diagnosed with hypertension a year ago.

Take a focused history. Then tell the examiner your examination, differential diagnosis, investigations and management.