swilm Flashcards

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1
Q

Causes of Glomerulonephritis Disease

A

1-Vascular Disease

2-Glomerular Disease

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2
Q

what are the Vascular Disease that cause Glomerulonephritis Disease

A

1-Wegener granulomatosis (now called granulomatosis polyangiitis)
2-Churg-Strauss syndrome
3-Henoch-Schönlein purpura
4-Polyarteritis nodosa
5-Thrombotic thrombocytopenic purpura (TTP)
6-Hemolytic uremic syndrome (HUS)
7-Cryoglobulinemia

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3
Q

what are the Glomerular Disease that cause Glomerulonephritis Disease

A
1-Goodpasture syndrome
2-Postinfectious glomerulonephritis
3-IgA nephropathy (Berger disease)
4-SLE
5-Idiopathic rapidly progressive
glomerulonephritis
6-Alport syndrome
7-Diabetes and hypertension
(most common causes)
8-Amyloid
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4
Q

Wegener granulomatosis (WG) is characterized by

A

1-systemic vasculitis that most often involves the kidney, lung, and upper respiratory tract such as the sinuses or middle ear.
2-can also involve the skin (50%), joints, eyes (50%), and GI tract.

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5
Q

If a patient with chronic upper and lower respiratory illness does not respond to antibiotics, consider

A

Wegener Granulomatosis

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6
Q

The best initial test specific for Wegener granulomatosis

A

antiproteinase-3 antibody (or cytoplasmic antineutrophil cytoplasmic antibody
[C-ANCA]).

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7
Q

Diagnosis of Wegener granulomatosis

A
  • Lab abnormalities include elevated ESR, anemia, and leukocytosis.
  • Rheumatoid factor is positive in 50% of patients.
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8
Q

Complement levels are ……………in WG

A

normal

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9
Q

The most accurate test is

A

a biopsy of the kidney, nasal septum, or lung, looking for granulomas.

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10
Q

Treatment for WG is

A

cyclophosphamide and steroids.

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11
Q

define Churg-Strauss Syndrome

A

vasculitis similar to Wegener granulomatosis

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12
Q

Churg-Strauss Syndrome characterized by

A

chronic lung involvement, neuropathy, skin lesions, GI, cardiac, and renal involvement.

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13
Q

All forms of vasculitis are characterized by

A

fever, weight loss, and a generalized malaise

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14
Q

CS is characterized by

A

a history of asthma, eosinophilia, and other atopic diseases.

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15
Q

Diagnosis of CS requires

A

elevated eosinophils and positive P-ANCA.

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16
Q

The most accurate test of CS is

A

lung biopsy showing the granulomas and eosinophils.

17
Q

Treatment is

A

cyclophosphamide and glucocorticoids.

18
Q

define Goodpasture Syndrome

A

idiopathic disorder of renal and lung disease characterized by a unique antibasement membrane antibody.