10: Nephrotic Syndrome- Mahoney

Question 1

C CHIP N DALE

Answer 1

• • CHF
• • Cirrhosis
• • Hypothyroidism
• • Intermittentent cyclical edema
• • Pregnancy

– Nephrotic syndrome

• • Decreased renal perfusion
• • Alcohol
• • Liver
• • Edema

Question 2

pitting edema v. non pitting

Answer 2

excessive prtn - non-pitting

Question 3

decreased renal perfusion –>

Answer 3

activation of RAA system

–> increased sodium and water retention to maintain effective blood volume

Question 4

in cirrhosis, edema caused by..

Answer 4

hypoalbuminemia and portal hypertension

Question 5

foamy urine suggests..

Answer 5

proteinuria

Question 6

paired white line (muehrcke’s lines) indicate

Answer 6

hypoalbuminemia

Question 7

big 6 etiologies of peripheral edema

Answer 7

CHF
Cirrhosis
Hypothyroidism
Intermittent cyclical edema
Pregnancy
Nephrotic Syndrome

C CHIP N

Question 8

casts with fatty inclusion points toward…

Answer 8

nephrotic syndrome

hepatic synthesis of lipoprtns is increased

Question 9

two major causes nephrotic syndrome

Answer 9

diabetes
SLE

(check ANA for lupus)
(check hPPg for diabetes)
(check serum complement for type)

Question 10

C3 and C4 decreased?

just C3 decreased?

Answer 10

SLE and cryoglobulinemia

MPGN and post-infec glomerulonephritis