Upper Urinary Problems

Question 1

What is pyeloneprhitis caused by?

Glomerulonephritis?

Acute Tubular Necrosis?

Answer 1

A bacteria

Allergy (Histamine Response), Commonly a STREP Infection

Death of kidneys due to lack of perfusion (similar to an MI)

Question 2

Why does a kidney infection cause so much damage to the body?

Answer 2

Kidney dysfunction or failure can effect all other organ systems

Question 3

How can the heart cause acute tubular necrosis?

Answer 3

Lack of blood flow to the kidneys

Note: Glomerularnephritis and Pyelonephritis can also cause acute tubular necrosis

Question 4

What is something to keep in mind about glomerulonephritis?

Answer 4

Glomerulonephritis is usually is secondary to 1 of 2 antibody induced injuries by

Anti-Glomerular Basement Membrane (GBM) antibodies

Reaction to circulating non-glomerular antigens (Immune Complexes)

Question 5

What is one thing to keep in mind in a Glomerulonephritis?

Answer 5

Effects BOTH Kidneys (Systemic)

Question 6

What is one S&S of Glomerulonephritis that you know that the kidneys are damage?

Answer 6

Proteinuria (You KNOW you have damage because the glomerulus stops proteins from getting through

Question 7

What can glomeruloneprhitis be secondary to?

Answer 7

STREP Infection

Impetigo

Question 8

What is your first goal when treating Glomerulonephritis?

What is the second goal? Give some examples and why do them?

Answer 8

Treat the Infection

React to Changes in the Patient
- Antihypertensives- If blood pressure is severely elevated

Question 9

What are some ways to prevent Glomerulonephritis?

Answer 9

Finish Antibiotics Treatment

Seek prompt treatment of a strep infection

Prevent HIV and Hepatitis through safe sex and avoiding IV drug use

Control Blood Sugar if Diabetic

If Hypertensive control Blood Sugar