nephroped Flashcards
best single Ab titer to document skin infection in PSGN
DNAse antigen
indications for renal biopsy in PSGN
ARF; nephrotic syndrom; absence of evidence of strep infxn; normal complement levels; persistently low serum C3(more than 3mos)&renal fxn
last sign to disappear in PSGN
hematuria
most common chronic glomerular disease
IgA nephropathy
poor prognostic factors in IgA nephropathy
persistent HTN; diminished renal fxn; heavy/prolonged proteinuria
low-set ears; micrognathia; flat nose
Potter facies
presumed UTI
(+) urinalysis result; asymptomatic px; single organism with a colony greater than 100k
UTI dx
culture shows greater than 100k of single pathogen; 10000 olonies and the patient is symptomatic
most common cause of ARF in young children
Hemolytic-Uermic Syndrome
transmission of HUS
by undercooked meat and unpasteurized milk
peripheral smear in HUS
helmet cells; burr cells; fragmented RBCs
causes of transient proteinuria
fever; exercise; dehydration; cold exposure; CHF; seizure; stress
cause of tubular proteinuria
TIN; Wilson dse; heavy metal poisoning; ATN; PCKD
vaccines given to patients with nephrotic syndrome
pneumococcal vaccine; varicella; influenza
worst form of Nephrotic syndrome
Focal segmental glomerulosclerosis
pathophysiology of proteinuria in MCD
T-cell dysfunction leads to alteration of cytokines w/c causes loss of negatively charged glycoproteins w/in the glomerular capillary wall
usual causes of spontaneous bacterial peritonitis
S. pneumoniae; E. coli
pathophysiology of hyperlipidemia in Nephrotic syndrome
hypoalbuminemia stimulates generalized hepatic protein synthesis; increased urinary loss of lipoprotein lipase leading to decreased lipid catabolism leading to elevated serum lipid levels
