Glomerulonephritis Flashcards

1
Q

What is the basic filtering unit of the kidney?

A

Glomerulus

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2
Q

What term is defined as damage to the major components of the glomerulus (podocyte, GBM, capillary endothelium, mesangium)?

A

Glomerular disease

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3
Q

What is primary glomerular disease?

A

Glomerular injury limited to the kidney

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4
Q

What is secondary glomerular disease?

A

Renal abnormalities result from systemic disease

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5
Q

Focal glomerular disease is considered what?

A

< 50% of glomeruli involved

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6
Q

In general, hematuria should make you think of nephritic disease or nephrotic disease?

A

Nephritic disease

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7
Q

In general, proteinuria should make you think of nephritic disease or nephrotic disease?

A

Nephrotic disease

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8
Q

Glomerular disease limited to the kidney is primary or secondary disease?

A

Primary

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9
Q

Glomerular disease due to systemic disease is primary or secondary disease?

A

Secondary

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10
Q

Disease that present in the nephritic spectrum and signify inflammatory process causing renal dysfunction is what?

A

Glomerulonephritis

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11
Q

Deposition of immune complexes into the glomerulus is etiology for what glomerulonephritis or nephrotic syndrome?

A

Glomerulonephritis

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12
Q

Dysmorphic RBCs, RBC casts, proteinuria < 3.0 and smokey/cola color urine are sx for what disease?

A

Nephritic syndrome

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13
Q

Cresenteric formation, systemic sx, RBC casts and proteinuria are concerning for what disease?

A

Rapidly progressive glomerulonephritis (RPGN)

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14
Q

IgA nephropathy (aka Berger disease) is the most common etiology for what?

A

Primary glomerular disease Peak incidence 2nd/3rd decades of life Post URI by 1-2 days

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15
Q

Glomerular disease etiology that is more common in peds and onset 1-3 wks post GAS infection is what?

A

Poststreptococcal GN (PSGN)

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16
Q

What labs do you order for Poststreptococcal GN (PSGN)?

A

ASO titers

17
Q

What GN etiology has onset post URI, + IgA containing immune complexes?

A

IgA vasculitis (HSP)

18
Q

Tetrad for HSP?

A
  1. Palpable purpura 2. Arthralgia 3. Abd pain 4. Renal disease
19
Q

Glomerular nephritis + pulmonary hemorrhage is concerning for what?

A

Good pasture syndrome

20
Q

Good pasture disease has what 3 components?

A
  1. GN 2. Pulmonary hemorrhage 3. anti-GBM ab
21
Q

The presence of what are diagnostic for Anti-GBM disease?

A

anti-GBM ab

22
Q

What two GN etiologies are classic for rapid progressive GN?

A
  1. Anti-GBM disease 2. Pauci-immune GN
23
Q

T or F: Lupus nephritis presents on a range of injuries (classes I - VI)?

A

TRUE

24
Q

ABN UA +/- increased serum creatine w/ + Anti-ds DNA Abs is diagnostic for what?

A

Lupus nephritis

25
Q

What GN etiology has positive serology for ANCA?

A

Pauci-Immune GN

26
Q

Upper and lower respiratory sx w/ GN + C-ANCA is what systemic ANCA associated vasculitis?

A

Granulomatosis w/ polyangitis

27
Q

Absence of granuloma formation, sparing of the upper respiratory tract and + P-ANCA serology is what systemic ANCA associated vasculitis?

A

Microscopic polyangitis

28
Q

Asthma and eosinophilia w/ + P-ANCA serology is what systemic ANCA associated vasculitis?

A

Eosinophilic granulomatosis w/ polyangitis

29
Q

On US (or CT) you find cyst w/ benign features. What are you concerned about?

A

Simple cyst

30
Q

Autosomal dominant polycystic kidney disease affects PKD1/PKD2 or PKHD1 genes?

A

PKD1 or PKD2

31
Q

Is polycystic kidney disease inherited? Reversible or irreversible?

A

Inherited, irreversible

32
Q

What imaging is preferred in polycystic kidney disease?

A

Renal US (after 24 weeks gestation if recessive)

33
Q

What age ranges does autosomal recessive PDK effect?

A

Infants and children

34
Q

Pt present w/ BIL markedly enlarged kidneys and congenital hepatic fibrosis, what are you concerned about?

A

Autosomal recessive PKD