Nephritic Syndrome Flashcards
Features of Nephritic syndrome ?
- Glomerular inflammation ‘
- Bleeding
- Proteinuria <3.5g/day
- Salt retention
- OLiguria
- Azotemia
- Urine-RBC cast & Dysmorphic RBC
- HTN
- Periorbital edema
Biopsy of nephritic syndrome ?
- Hypercellular
- Inflammed glomeruli
Damage process in nephritic syndrome ?
Immune co plex mediated activation of complex C5a - that attacts neutrophils - Damage
Pathoma-130
PSGN features ?
- Hematuria-Coca cola urine
- Oliguria
- HTN
- Periorbital edema
Post streptococcal glomerulonephritis
PSGN ?
Group-A Beta hemolytic streptococcal infection
PSGN site ?
- Skin - Impetigo
- Pharynx
IF result in PSGN ?
+
Subepithelial HUMP on EM
Tx of PSGN ?
Supportive
H & E result in PSGN ?
Hypercellular
Inflammed glomeruli
Progresion of PSGN ?
- Adult = Rapidly Progressive Glomerulonephritis
- Child = renal F
Rapidly Progressive Glomerulonephritis ?
It progress to Renal F in weeks to months
H & E stain in RPGN ?
Crescents in bowman space of glomeruli
Crescent= Fibrin + Macrophage
IF = Granular ?
PSGN /
Diffuse Proliferative Glomerulonephritis
IF = Linear ?
Goodposture syndrome
Negative = IF - Pauci Immune
- Wegener granulomatosis
- Microscopic polyangitis
- Churg-Strauss syndrome
c-ANCA association ?
- Wegener granulomatosis
p-ANCA association ?
- Microscopic polyangitis
- Churg-Strauss syndrome
130
PSGN / diffuse ProL GN which disease ?
SLE
Goodposture syndrome manifestation ?
- Anti basement membrane AB
- Hematuria
- Hemoptysis
IgA nephropathy Other name ?
Berger disease
IF result in BERGER D ?
IgA immune complex deposition in mesangium
pathoma-131
IgA nephropathy manifestation ?
- inc IgA production
- Urine - RBC cast
- Gastroenteritis
- Hematuria
Alport syndrome cause ?
Inherited defect in Type-4 collagen
X-linked
AS features >
- Hematuria
- Sensory hearing loss
- Ocular disturbance
Churg strauss VS Microscopic polyangitis ?
as both p-ANCA
- Asthma
- Eosinophilia
- Granulomatous inflammation
130
Progression of IgA nephropathy >?
Renal F