glomerulonepritis Flashcards
what is glomerulonephritis?
inflammation of the glomerulus
basically damage to the glomerulus with blood and protein in urine
what causes acute glomerulonephritis?
antibody/antigen complexes trapped
antigen is usually strep
sore throat followed by oliguria, haematuria, hypertension and slightly abnormal renal function
who gets minimal change?
kids
main symptom of minimal change?
proteinuria, but haematuria may also be present
how do they majority present with minimal change?
nephrotic syndrome
what would a biopsy of minimal change look like under microscope?
basically normal hence name
what is the main tx of minimal change?
steroids (prednisolone)
IgA nephropathy what is it also known as?
bergers disease
in mergers disease you get deposition of IgA in?
mesangial cells
typical presentation of bergers?
young man with haematuria a few days after a UTI/pharyngitis
most aggressive glomerulonephritis?
rapidly progressive
what appearance do you get of the glomeruli in rapidly progressive
crescent shaped appearance
what causes crescent shaped appearance?
proliferation of macrophages and parietal epitelial cells in bowmans capsule
treatment of rapidly progressive
immunosuppression (cyclosporin, cyclophosphamide)