Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
15 Cards in this Set
- Front
- Back
|
3 hallmark symptoms of Acute PostStreptococcal Glomerulonephritis:
|
-Tea colored urine
-Periorbital edema -Mild hypertension |
|
|
Labs that indicate APSGN:
|
-Hematuria/RBC casts
-Low C3/Normal C4 -ASO/Anti-DNAse B pos |
|
|
What else could be a cause of dark urine in an otherwise healthy teen?
|
Strenuous activity with rhabdomyolosis
|
|
|
What other symptoms do teens with rhabdo tend to have however?
|
-Fever/fatigue/muscle aches
-N/V |
|
|
What is recurrent, painless hematuria typically caused by?
|
IgA Nephropathy - Berger's
|
|
|
What is IgA nephropathy typically preceded by?
|
URI (as opposed to strep pharyngitis)
|
|
|
What nephropathy is typically seen in younger kids?
|
HSP - henoch schonlein purpura
|
|
|
What other autoimmune nephropathy mimics APSGN but how do you differentiate?
|
SLE - the C3 will fail to normalize in 6-12 weeks
|
|
|
So what is the defining triad of Glomerulonephritis?
|
-Hematuria
-Proteinuria -Mild hypertension |
|
|
In what sex and age group is APSGN most common?
|
-Males
-5-15 yrs old |
|
|
What types of preceding Strep infections can lead to APSGN?
|
-Pharyngitis
-Impetigo |
|
|
Does Abx treatment of the preceding infections affect whether the child will develop APSGN?
|
no
|
|
|
What is the usual time between pharyngitis or impetigo and APSGN?
|
Pharyngitis 1-2 weeks
Impetigo 3-6 weeks |
|
|
What is the MOST IMPORTANT lab test in APSGN?
|
Serum C3/C4 levels
|
|
|
What is the treatment for APSGN?
|
Supportive - fluid balance
|
