Nephritic Flashcards

1
Q

characteristics of nephritic syndrome

A

inflammation and bleeding with: less than 3.5 g/day protein, salt retention/periorbital edema/HTN, azotemia, RBC casts

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2
Q

what is the underlying cause of nephritic syndrome?

A

immune complexes activate complement,
C5a attracts neutrophils,
Neutrophils mediate damage

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3
Q

typical onset of post-infectious GN

A

2-3 weeks after infection

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4
Q

microscopic findings in PIGN

A

EM: subepithelial humps

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5
Q

presentation of IgA nephropathy

A

hematuria 1-2 days after the onset of mucosal infection

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6
Q

microscopic findings in IgA nephropathy

A

EM: immune complexes in mesangium
If: IgA in mesangium

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7
Q

defect in Alport syndrome

A

defect in type IV collagen

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8
Q

triad in alport syndrome

A

hematuria, ocular defects, SN hearing loss

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9
Q

most common type of renal disease in SLE

A

type IV- diffuse proliferative

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10
Q

only type of RPGN that has linear IF

A

Goodpasteur

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11
Q

Good pasteur: defect, symptoms, common patient

A

anti-glomerular BM antibodies
affects lung and kindey
young males

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12
Q

what is the characteristic LM finding for RPGN? composition? prognosis?

A

cresents (fibrin and macrophages), presence = poor prognosis

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13
Q

location of deposits in DPGN

A

subendothelial

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14
Q

granular IF (2)

A

post infectious GN

diffuse proliferative GN

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15
Q

Pauci immune GN (3)

A

Wegners, Microscopic polyangiitis, Churg-straus

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16
Q

Wegners

A

c-ANCA, nose/sinus/kidney/lungs, necrotizing granulomas

17
Q

microscopic polyangiitis

A

p-ANCA, necrotizing

18
Q

chrug-strauss

A

p-ANCA, granulomas, eosinophilia, asthma