9. nephritisches Syndrom Flashcards

1
Q

(nephritisches Syndrom)

Definition

A

Volhard-Trias

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2
Q

(nephritisches Syndrom)

Volhard-Trias

A
  • aHT
  • Ödeme
  • Hämaturie
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3
Q

(nephritisches Syndrom)

Pathophysiologie (2)

A
  1. glomeruläre Schädigung
  2. tubuläre Schädigung
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4
Q

(nephritisches Syndrom)

glomeruläre Schädigung: Leitbefunde (2)

A
  • dysmorphe Erythrozyten (Akanthozyten)
  • Erythrozytenzylinder
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5
Q

(nephritisches Syndrom)

tubuläre Schädigung: Leitbefund

A

Glucosurie bei Normoglykämie

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6
Q

(nephritisches Syndrom)

Verlaufsformen (2)

A
  • infektassoziierte Glomerulonephritiden
  • pulmorenales Syndrom
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7
Q

(nephritisches Syndrom)

infektassoziierte Glomerulonephritiden: Beginn

A

1-3 Wochen nach Infekt der oberen Atemwege

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8
Q

(nephritisches Syndrom)

pulmorenales Syndrom: Beispiele (2)

A
  • ANCA-assoziierte Vaskulitiden
  • Goodpasture-Syndrom
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9
Q

(nephritisches Syndrom)

Goodpasture-Syndrom: AK

A

Antiglomerulumbasalmembran-AK (anti-GBM-AK)

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10
Q

(nephritisches Syndrom)

Bildgebung der Wahl

A

Sonografie

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11
Q

(nephritisches Syndrom)

sonografische Befunde (3)

A
  • große Nieren
  • echoreiche Rinde
  • prominente echoarme Markpyramiden
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12
Q

(nephritisches Syndrom)

Therapiemöglichkeiten

A
  • symptomatiche
  • ggf. Immunsuppressiva
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13
Q

(nephritisches Syndrom)

Therapiemöglichkeiten bei Proteinurie (2)

A
  • ACE-Hemmer

oder

  • AT1-Rezeptor-Antagonisten
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14
Q

(nephritisches Syndrom)

Therapie bei Hyperkaliämie

A

Schleifendiuretika

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