7. Renal Flashcards

1
Q

¿Cuál es la glomerulopatía 1ria +frecuente en pediátricos?

¿Cuál es la etiología de la 2ria?

A

Sx nefrótico

Púrpura Henoch, LES (vasculitis), VHB y VHC

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2
Q

Clínica del Sx nefrÓtico

A

Edema palpebral en mañanas y en extrem
HTA, IR
Hepatomegalia
Dolor abdominal
Ascitis
TVP

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3
Q

Teorías del edema en Sx nefrÓtico

A

a) Hipovolemia: ↓prot = ↓p. oncótica = fuga intersticio
b) Hipervolemia: retención Na+, expansión volemia = fuga intersticio

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4
Q

Dx Sx nefrÓtico*

A

*Proteinuria >40 mg/m2/h o >3.5 g/24h
*Hipoalbuminemia <2.5 g/dl
*Edema
*Hiperlipidemia

Hipercoagulabilidad, altx tiroidea

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5
Q

Tx Sx nefrÓtico*

A

1a: Prednisona
IECAS: captopril o enalapril (nefroprotectores)
Albúmina 0-5-1 g/kg/dosis + furosemida IV 1-3 mg/kg

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6
Q

Indicaciones de albúmina en Sx nefrÓtico*

A

Erisipela, meningitis
Insuficiencia prerrenal
Albúmina <1.5 g/dl
Hipotensión
Taquicardia

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7
Q

Etiología principal del Sx nefrÍtico*

A

SBHGA

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8
Q

Clínica Sx nefrÍtico

A

Edema
HAS
Hematuria MACROSCÓPICA y cilindros

Fiebre brusca, dolor abd, oliguria

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9
Q

Dx Sx nefrÍtico*

A

Hematuria
APP infx SBHA
Proteinuria baja

↓C3, espuma orina, ANA+

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10
Q

Indicaciones de diálisis

A

Rápido deterioro fx renal (uremia >200 mg/dl)
Edema pulmonar + oliguria sin resp tx
Trastorno hidroelectrolítico

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