Glomerulonephritis Flashcards

1
Q

What is the most common cause of nephritis?

A

Acute post-streptococcal glomerulonephritis

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2
Q

Pathology of nephritis

A
  • glomerular BM injury
  • endothelial proliferation and swelling
  • decreased GFR
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3
Q

Classical triad of nephritis

A
  • hypertension
  • anuria/oliguria
  • haematuria
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4
Q

Clinical presentation of nephritis

A
  • sudden onset of generalised oedema and/or haematuria
  • hypertension
  • often strep impetigo
  • rare under 2 years
  • poor SES
  • clinical recovery in a few weeks
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5
Q

Other presentations of nephritis

A
  • pulmonary oedema
  • convulsions (hypertensive encephalopathy)
  • renal failure (rapidly progressive)
  • nephrotic syndrome
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6
Q

Management of glomerulonephritis

A
  • strict input and output
  • daily urine dipstick
  • BP monitoring
  • restrict fluid intake
  • restrict salt intake
  • high carb, normal protein diet
  • renal biopsy atypicals
  • penicillin
  • diuretics (Lasix, antihypertensives)
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