Clinical Aspect of Nephrotic Syndrome Flashcards

1
Q

What histologic findings would be expected in a specimen from a patient with FSGS?

A

Focal and segmental sclerosis, subendothelial IgM deposits

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2
Q

IF microscopy of a kidney biopsy in a patient with membranous nephropathy will be positive for what?

A

IgG & C3 in the subepithelium

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3
Q

Solid organ malignancies are most associated with what nephrotic syndrome?

A

Membranous neuropathy

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4
Q

This nephrotic disorder is most common in African Americans.

A

Focal segmental glomerulosclerosis

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5
Q

Membranous neuropathy is most common among what population?

A

Middle-age caucasians

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6
Q

True/False. Minimal change disease is responsive to corticosteroids.

A

True - In children with suspected MCD, corticosteroids are given empirically, without a kidney biopsy

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7
Q

Henoch0Schonlein purpura is most associated with what kidney disorder?

A

IgA Nephropathy

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8
Q

Tram-tracking is characteristic of what nephrotic disorder?

A

Membranoproliferative Glomerulonephritis (MPGN)

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9
Q

What is the number one form of idiopathic glomerulonephritis worldwide?

A

IgA Nephropathy

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10
Q

This type of MPGN is due to antibodies against C3 nephritic factor, causing hyperactivation of the alternative complement pathway.

A

Type II MPGN

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11
Q

HCV is most associated with what nephrotic disorder?

A

Membranoproliferative Glomerulonephritis (MPGN)

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12
Q

What is the leading cause of end-stage renal disease among nephrotic disorders?

A

Membranous neuropathy

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13
Q

How do Type I & Type II MPGN differ?

A

Type I - IgG & C3 subendothelial deposits

Type II - C3 intramembranous deposits

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14
Q

HIV is most associated with what nephrotic disorder?

A

Focal segmental glomerulosclerosis (FSGS)

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15
Q

What is the most common nephrotic disorder seen in children?

A

Minimal change disease

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16
Q

What antibodies are present in FSGS?

A

APOL-1

17
Q

What antibodies are present in membranous neuropathy?

A

PLA2R antibodies

18
Q

What histologic findings are present under light microscopy in a patient with minimal change disease?

A

None - the glomerulus will appear normal under LM