Kidney/Urinary: Nephritic Syndrome Flashcards
What characterizes nephritic syndrome
glomerular inflammation and bleeding
what are findings for nephritic syndrome
- limited proteinuria ( less than 3.5 g/day)
- Oliguira and azotemia
- salt retention ( periorbital edema and hypertension)
- RBC casts and dysmorphic RBC in urine
what does biopsy reveal for nephritic syndrome
hypercellular, inflamed glomeruli
Immune complex deposition from nephritic syndrome activates what
complement
- C5a attracts neutrophils which does the damage
Poststreptococcal glomerulonephritis arises after
group A beta-hemolytic streptococcal infection of skin ( impetigo) or pharynx
for poststreptococcal glomerulonephritis, it occurs in what strains
nephritogenic strains
- nonstreptococcal organasms as well
when do symptoms occur for poststreptococcal glomerulonephritis ? what are the symptoms? Who usually does this occur in?
2-3 weeks after infection
- hematuria ( cola-colored urine)
- oliguria
- hypertension
- periorbital edema
children, may occur in adults
what does poststreptococcal glomerulonephritis stain on H and E
hypercellular, inflamed glomeruli
poststreptococcal glomerulonephritis looks like what on IF
immune complex deposition
granular IF
poststreptococcal glomerulonephritis looks like what on EM
subepithelial ‘humps’
what is treatment for poststreptococcal glomerulonephritis
supportive
how does poststreptococcal glomerulonephritis progress in children and adults
- children rarely progress to renal failure
- some adults develop rapidly progressive glomerulonephritis (RPGN)
What is rapidly progressive glomerulonephritis
nephritic syndrome that progresses to renal failure in weeks to months
What is the H&E stain for rapidly progressive glomerulonephritis
crescents in Bowman space
- crescents fibrin and macrophages
for poststreptococcal glomerulonephritis what disease is present if the IF pattern if linear
Goodpasture syndrome
- anti-basement membrane antibody