RENAL DISEASES Flashcards
What are the 3 renal diseases?
GLOMERULAR, TUBULAR, TUBULOINTERSTITIAL
- Majority are of immune origin
- Exposure to chemicals and toxins
GLOMERULAR
- Disruption of the electrical membrane charges
- Deposition of amyloid material from systemic disorders
GLOMERULAR
Basement membrane thickening
GLOMERULAR
It refers to a sterile, inflammatory process that affects the glomerulus and is associated with the finding of blood, protein, and casts in the urine
glomerulonephritis
Immune-mediated and have symptoms of Hypertension and Oliguria?
NEPHRITIC SYNDROME
Deposition of immune complexes formed in response to Group A Streptococcal infection
ACUTE POST-STREPTOCOCCAL GLOMERULONEPHRITIS
Contains M protein in the cell wall which is deposited in the glomerulus
ACUTE POST-STREPTOCOCCAL GLOMERULONEPHRITIS
Under Glomerular, what disease that has signs and symptoms:
edema (eyes), fever, fatigue, hypertension
ACUTE POST-STREPTOCOCCAL GLOMERULONEPHRITIS
Deposition of immune complexes from systemic immune disorders (ex: SLE) on the glomerular membrane
RAPIDLY PROGRESSIVE/CRESENTIC GLOMERULONEPHRITIS
Under RAPIDLY PROGRESSIVE glomerulonephritis:
- a cellular proliferation of EC inside the Bowman’s capsule which forms crescents
Crescentic:
More serious form of acute glomerular disease
RAPIDLY PROGRESSIVE/CRESENTIC GLOMERULONEPHRITIS
Deposition of antiglomerular basement membrane antibody to glomerular and alveolar basement membranes.
GOODPASTEUR SYNDROME
Under Glomerular, what disease that has signs and symptoms:
hemoptysis and dyspnea
GOODPASTEUR SYNDROME
Causes a granuloma-producing inflammation of the small blood vessels of primarily the kidney and respiratory system
WEGENER’S GRANULOMATOSIS
WEGENER’S GRANULOMATOSIS disease is?
(+) Antineutrophilic cytoplasmic antibody (ANCA)
Occurs in children following viral respiratory infections
HENOCH-SCHONLEIN PURPURA
Allergic purpura that causes decrease in the number of platelets and affects vascular integrity
HENOCH-SCHONLEIN PURPURA
A pronounced thickening of the glomerular basement membrane resulting from the deposition of IgG immune complexes
MEMBRANOUS GLOMERULONEPHRITIS
Seen in SLE, Sjogren’s syndrome, secondary syphilis and hepatitis B infection
MEMBRANOUS GLOMERULONEPHRITIS
Develop and increase the tendency to thrombosis
MEMBRANOUS GLOMERULONEPHRITIS
Cellular proliferation affecting capillary walls or the glomerular basement membrane
MEMBRANOPROLIFERATIVE GLOMERULONEPHRITIS (MPGN)
The glomerular disease that has type 1 and 2?
MEMBRANOPROLIFERATIVE GLOMERULONEPHRITIS (MPGN)
What MPGN Type that:
Displaced increased cellularity in the sub-endothelial cells of the mesangium that progresses to nephrotic syndrome
Type 1
What MPGN Type that:
- Extremely dense deposits in the glomerular basement membrane which is a chronic glomerulonephritis
Type 2
Gradual worsening of symptoms leading to loss of kidney function
CHRONIC GLOMERULONEPHRITIS
Progression to renal failure and end stage renal disease may also occur
CHRONIC GLOMERULONEPHRITIS
Under Glomerular, what disease that has signs and symptoms:
fatigue, anemia, hypertension, edema, and oliguria
CHRONIC GLOMERULONEPHRITIS
Most common cause of glomerulonephritis
IgA NEPHROPATHY / BERGER’S DISEASE
Frequent in adults and children and IgA deposition on the glomerular membrane leading to thickening
IgA NEPHROPATHY / BERGER’S DISEASE
Disruption of the electrical charges of the basement membrane leading to massive loss of proteins and lipids
NEPHROTIC SYNDROME
Glomerular disease that has chronic or acute?
NEPHROTIC SYNDROME
Chronic in NEPHROTIC SYNDROME characteristics?
Less painful, Long-lasting, Irreversible
Acutein NEPHROTIC SYNDROME characteristics?
Painful, Sudden onset, Reversible
Genetic disorder showing lamellated and thinning of glomerular basement membrane
ALPORT SYNDROME
Inherited sex-linked or autosomal genetic disorder
ALPORT SYNDROME
Also known as Lipid nephrosis
MINIMAL CHANGE DISEASE
This is little cellular changes and there is a shield of negativity which increases the filtration of CHON
MINIMAL CHANGE DISEASE
MINIMAL CHANGE DISEASE is associated with what 3 things?
allergic reaction, recent immunization, human leukocyte Ag-B12
Responds to corticosteroids
MINIMAL CHANGE DISEASE
Disruption of podocytes occurring primarily in children following allergic reactions and immunizations
MINIMAL CHANGE DISEASE
Disruption of the podocytes in certain areas of the glomerulus; others remain normal
FOCAL SEGMENTAL GLOMERULOSCLEROSIS
FOCAL SEGMENTAL GLOMERULOSCLEROSIS is associated with?
heroin and analgesic abuse, and AIDS
Most common cause of end-stage renal disease
DIABETIC NEPHROPATHY / KIMMELSTIEL-WILSON
Glomerular membrane thickening and Increased proliferation of mesangial cells
DIABETIC NEPHROPATHY / KIMMELSTIEL-WILSON