Nephrotic vs Nephritic Flashcards
3 main pathophys steps with nephrotic syndrome
complement activation –> podocyte injury = proteinuria –> damage glomerular epithelial cells
main patho notes (4) nephritic
macrophage–> crescent from bowmans space –> glomerular sclerosis –> fibrosis
___ syndrome contains GN that are more proliferative
nephritic (RPGN, Post infectious GN, Wegners, Microscopic Polyangia etc)
__ syndrome contains GN that are more non proliferative
nephrOtic: minimal change GN, membranous GN, focal segmental GN
Classic nephritic syndrome sx
hematuria, oliguria, azotemia, HTN
azotemia
build up of nitrogen products - usually urea
oliguria
small amounts of urine produced
“coca cola” urine syndrome
nephritic
What does inflammation with nephritic syndrome lead to?
GFR drops, NA filtrate drops, renin released = increase BP via RAAS
hyalization
deposition of crystalline protein matrix = builds up BM
4 nephrotic hallmarks
TONS of serum pro lost, hyperlipidemia, sustained proteinuria, hyalization, lipiduria, hypercoagulabe, edema
___ retention happens with Nephrotic syndrome
sodium, due to decreased reabsorption at tuble?
3 main disease associated with nephrotic
minimal change GN, focal segmental Glomerulosclerosis, membranous glomerulonephritis
secondary renal diseases - nephrotic
SLE, HEP B and C, HIV, DM, Malignancy
main disease 5 with nephritic
post strepto GN, Iga nephropathy, RPGN(goodpasteurs), membranoproliferative glomerulonephritis, Henoch-Scholein purpura