Pathoma 12.4 Nephritic syndromes Flashcards

1
Q

What are the two chcs of nephritic syndromes

A

Glomerular Infl and bleeding = hematuria

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2
Q

proteinuria level in nephritic syndrome

A

< 3.5g/day

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3
Q

What is seen in urine in Nephritic syndome (2)

A

RBC casts and dysmorphic RBCS

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4
Q

electrolyte status in nephritic syndrome

A

salt retention

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5
Q

salt retention leads to what two sequelae in Nephritic synd

A

periorbital edema and HTN

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6
Q

Is azotemia present in Nephritic Synd

A

yes

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7
Q

Biopsy of GLom in neph syndrome

A

hypercellular, inflammed glomeruli

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8
Q

What mediates damage in nephritic Sn (4)

A

IC deposition activates complement.

C5a attracts neutrophils which do the damage

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9
Q

After a GAS infx what NS arises

A

Poststretococcal Glomerulonephritis (PSGN)

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10
Q

What defines a nephritogenic strain of GAS?

A

M-protein antigen

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11
Q

4 things PSGN presents as

A

hematuria- coke colored urine
oliguria
HTN
periorbital edema

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12
Q

PSGN usually occurs in what pop

A

children

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13
Q

What hallmark is seen in EM with PSGN

A

subepithelial ‘humps’

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14
Q

What is the IF in PSGN

A

granular deposits

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15
Q

Crescents in Bowman’s space are comprised of what 2 things

A

fibrin and macrophages

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16
Q

Crescents in BS signify what NS?

A

Rapidly Progressive Glomerulonephritis (RPGN)

17
Q

RPGN has 6 possible etiologies: name them

A
Goodpasture syndrome
PSGN
Diffuse Proliferative GN
Wegner's Granulomatosis
Churg Strauss syndrome
Microscopic Polyangiitis
18
Q

What IF finding points to Goodpasture as etiology of RPGN

19
Q

What causes linear IF on Goodpasture

A

Anti-GBM antibody

20
Q

What 3 organ systems are affected in Wegner’s

A

nasopharynx
lungs
kidneys

21
Q

What is presentation of Goodpasture synd (2)

A

hematuria, hemoptysis

22
Q

Grnaular IC deposition on IF points to what 2 dx?

A

PSGN

Diffuse Proliferative GN

23
Q

Goodpasture classically presents in what pop

A

young adult males

24
Q

What is the MC renal disease in SLE

A

Diffuse Proliferative GN

25
c-ANCA and p-ANCA are associated with what syndromes, respectively (3)
``` c-ANCA = WeCner's (Wegner's) p-ANCA = Churg Strauss or microscopic polyangiitis ```
26
What 3 things are present in Churg-Strauss that differentiate it from microscopic polyangiitis?
granulomatous infl eosinophilia asthma
27
Berger Disease (aka?) shows deposition where?
IgA nephropathy | IgA deposits in the mesangium
28
What is the MC nephropathy worldwide
IgA nephropathy
29
IgA nephropathy follows what
mucosal infx (gastroenteritis)--> increased IgA production
30
How does IgA neph present?
in childhood with gross or microscopic hematuria
31
IF in IgA neph
shows mesangial deposition
32
progression of IgA Neph
slowly toward renal failure
33
Alport Syndrome is a defect in what
type IV collagen
34
Most common inheritance pattern for Alport Syndr
X-linked
35
What happens to GBM in Alport synd (2)
"thinning and splitting"
36
What is the presentation of Alport Synd (3)
hearing loss (sensory), ocular disturbances, oliguria
37
hallmark of Alport
isolated Hematuria