haematuria and proteinuria Flashcards
1
Q
what are the broad causes of haematuria?
A
- post-streptococcal glomerulonephritis
- PCKD
- renal stones
- renal tumour
- renal trauma
- UTI
- sickle cell
2
Q
what common infection causes Glomerulonephritis and why?
what colour is the haematuria?
when does it tend to occur?
A
- immune complex formation following Group A beta-haemolytic strep
- cola coloured
- 1-2 weeks after throat or 3-6 weeks after skin infection
3
Q
how would you manage post-strep glomerulonephritis?
A
- 10 day course of penicillin recommended to clear nephritic strain of streptococcus
- possible throat swab or antistreptolysin
4
Q
what are the broad causes of proteinuria?
A
- nephrotic syndrome
- acute renal failure
- orthostatic proteinuria
- UTI
5
Q
what characterises nephrotic syndrome?
what is it caused by?
A
- proteinuria
- low albumin
- oedema
- high triglycerides
- increased capillary wall permeability, allowing protein into urine
6
Q
what is the most common cause of nephrotic syndrome?
what might it be preceded by?
how do you treat it?
what is the most common presenting feature?
A
- minimal change disease (MCGN)
- viral URTI
- steroid therapy
- pitting oedema on the legs and around eyelids
