Renal shite

Question 1

Treatment of IgA nephropathy

Answer 1

ACEi for BP

Question 2

HSP treatment

Answer 2

Analgesia (can give steroids if really bad abdo pain)

Question 3

Treatment of Goodpasture’s

Answer 3

Plasma exchange, steroids +/- cytotoxics

Question 4

Conditions associated with diffuse proliferative glomerulonephritis

Answer 4

Streptococcal infection and SLE

Question 5

How does post-streptococcal glomerulonephritis present?

Answer 5

Dark brown uring, puffy eyes, oedema etc

Question 6

Treatment of minimal change

Answer 6

Steroids - does not progress to renal failure

Question 7

Foot process fusions

Answer 7

Minimal change (small children have feet)

Question 8

Treatment of membranous nephropathy

Answer 8

Sodium restriction and diuretics - doesn’t respond that well to steroids

Question 9

IgG and C3

Answer 9

Membranous

Question 10

IgM and C3

Answer 10

Focal segMental glomerulosclerosis

Question 11

Who does FSGS occur in?

Answer 11

Most common cause of nephrotic syndrome in adults - usually presents in young adults

Question 12

Why can people with nephrotic syndrome be at risk of clots?

Answer 12

Anti-thrombin III is a protein - gets lost in nephrotic syndrome

Question 13

When do you usually begin renal replacement therapy?

Answer 13

Usually begin when GFR <10 (or <15 in diabetics)