Glomerulonephritis Flashcards
1
Q
What is the most common cause of nephritis?
A
Acute post-streptococcal glomerulonephritis
2
Q
Pathology of nephritis
A
- glomerular BM injury
- endothelial proliferation and swelling
- decreased GFR
3
Q
Classical triad of nephritis
A
- hypertension
- anuria/oliguria
- haematuria
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
5
Q
Other presentations of nephritis
A
- pulmonary oedema
- convulsions (hypertensive encephalopathy)
- renal failure (rapidly progressive)
- nephrotic syndrome
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)