6. nephrotisches Syndrom Flashcards

1
Q

(nephrotisches Syndrom)

Kriterien (3)

A
  1. Proteinurie > 3,5 g/d
  2. Hypalbuminämie
  3. Ödeme
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2
Q

(nephrotisches Syndrom)

häufigste Ursache im Kindersalter

A

minimal-Change-Glomerulopathie (MCD)

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3
Q

(nephrotisches Syndrom)

häufigste Ursache im Erwachsenalter

A

membranöse Glomerulopathie (MG)

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4
Q

(nephrotisches Syndrom)

Labor

A

Urinmikroskopie

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4
Q

(nephrotisches Syndrom)

Urinmikroskopie: Befunde (3)

A
  • hyaline Zylinder
  • keine bis wenige Erythrozyten und Leukozyten
  • Fetttröpfchen, Fetttröpfchenzylinder und Lipidpartikel (“Malteserkreuze”)
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5
Q

(nephrotisches Syndrom)

Bildgebung der Wahl

A

Sonografie

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6
Q

(nephrotisches Syndrom)

Sonografie: Befund

A

echoreiche Rinde

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7
Q

(nephrotisches Syndrom)

Diagnosesicherung: Goldstandard

A

Biopsie

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8
Q

(nephrotisches Syndrom)

medikamentöse Therapien (2)

A
  • ACE-Hemmer
  • Schleifendiuretika + ggf. Thiaziden
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9
Q

(nephrotisches Syndrom)

Komplikation

A

Thrombosen

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