Glomerular Disease Flashcards
Criteria of Nephrotic Syndrome
-proteinuria (>3.5)
-hypoproteinemia
-pitting edema (hypoalbuminemia)
-hypercholestremia (hepatic lipogenesis)
What is the character of proteinuria
-frothy urine
Criteria of Nephritic Syndrome
-hematuria (RBC cast)
-oligouria
-azotemia (BUN>18, Cr>1.2)
-hypertension
-mild proteinuria
What are the nephrotic syndrome diseases
MF MDA
-minimal changes
-focal segmental glomerulosclerosis
-membranous nephropathy
-diabetic
-amyloidosis
What are the nephritic syndrome diseases
-APSGN
-RPGN (cresenteric)
-IgA nephropathy (Burger)
-Alport syndrome
What is the characteristic edema in nephrotic syndrome
-generalized edema with periorbital edema
What is proteinuria
Protein in urine more than 100mg/m2/day
What are the test to diagnose proteinuria
-urine dipstick
-24 hour urine collection
What is the most cause of nephrotic syndrome
-minimal changes
In minimal changes disease, what is the main changes occuring in EM
-effacement of the pedocyte
Why steroid is given in minimal changes disease
-it will prevent the T cell to release cytokine that will cause damage to the podocyte and GBM
What is the people at risk of FSGS
-heroin drug abuser
-black people
What happened to untreated Focal Segmental GS patient
-it will worsen to ESKD
What is the L/M findings of focal segmental GS
-sclerosis
-hyalinosis
-lipid laden (foamy) macrophage
What is the cause of focal segmental GS
-primary (idiopathic)
-secondary (drug abuser; HIV, heroin)