Renal Flashcards
which are the 3 nephrotic syndromes?
- minimal change
- focal segmental glomerulonephritis
- membranous nephropathy
which are the 3 nephritic syndromes?
- rapidly progressive glomerulosclerosis
- IgA nephropathy
- Membranoproliferative glomerulonephritis
how does minimal change disease present?
In children where they have evidence of oedema + renal impairment
How do you manage minimal change disease?
oral steroids
which glomerulonephritis has a high recurrence rate in renal transplant patients?
focal segmental glomerulonephritis
what is the management of focal segmental glomerulonephritis ?
steroids +/- immunosuppression
in which glomerulonephritis do you see sub epithelial immune deposits in the basement membrane, and thickening of the basement membrane?
membranous nephropathy
in which glomerulonephritis do you see spike and dome signs?
membranous nephropathy
which glomerulonephritis is associated with the PLA2R antibody?
membranous nephropathy
what are the causes of membranous nephropathy?
- infections (hep B/parasites)
- connective tissue disease (lupus)
- malignancies
- drugs (gold/penicillamine)
what is the management of membranous nephropathy?
ACEi + steroids + cyclophosphamide
which glomerulonephritis is associated with a recent (48hr) history of an upper respiratory tract infection?
IgA nephropathy
which glomerulonephritis is associated with a 2 week history of an upper respiratory tract infection?
post streptococcal glomerulonephritis
what biopsy findings can be seen in IgA nephropathy?
IgA deposits in the mesangium
IF diabetic and have microalbuminaemia what drug should the person be started on?
ACEi