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27 Cards in this Set

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URI Then two days later with the gross hematuria in young person

IGA nephropathy

Young adult, palpable Purpura, Arthritis or arthralgia, abdominal pain, renal involvement (nephritic syndrome)

IGA nephropathy. Bergers


Immune complexes disease with normal complement

Differences between IgA Nephropathy & post infectious GN

IgA normal complement, sx p 2d



PIGN low complement, sx p 7-10 d or up to 30d p skin infection

Purpuric rash, pseudo-Raynaud’s, C4 VERY LOW BUT C3 nl or low, renal dx May improve with treatment of hepatitis C

Cryoglobulinemia

Which form of kidney disease and lupus is the most common in the most worrisome

Type 4 Diffuse proliferative

Induction treatment for lupus nephritis

Cyclophosphamide/MMF + steroids


Maintenance is MMF/azathioprine

Membranoproliferative GN

Associated with hepatitis A and hepatitis B


The only syndrome that you might see nephritic and nephrotic syndromes

Glomerulonephritis with normal complement

IgA


ANCA ie Wegeners or microscopic polyangiitis


EGPA or Churg-Strauss


Anti GBM

Upper tract symptoms like sinusitis, epistaxis


Lower tract symptoms like infiltrates, cavitary lesions

Wegeners

c-ANCA+ Anti-PR3

Wegeners

P-ANCA+ anti-MPO

Microscopic polyangiitis

Pulmonary hemorrhage


Mononeuritis multiplex


Palpable purpura

Microscopic polyangiitis

Asthma/Atopy


Eosinophilia

EGPA formerly Churg Strauss

Minimal change disease clues


Age of patient


Drug association


Toxin association


Tumor Association

Young patient


NSAIDS


MERCURY lead

Minimal change disease treatment for kids, adults

Kids steroids, adults may need cytotoxic’s

Nephrotic syndrome in African Americans

Focal segmental glomerulosclerosis


Usu htn, 5-20 yrs progress to ESRD


Tx

ACE ARB steroids

MCC nephrotic syndrome in Caucasians

Membranous


High risk PE, might see renal v thrombosis

Flank pain, hematuria, high LDH

Renal vein thrombosis. think membranous nephropathy

Which nephrotic syndrome association w cancer

Membranous nephropathy

Urine dipstick neg, but urine protein to creat ratio high

MM light chains


Dipstick only picks up albumin

Pearl Hypokalemia, hypertension, and high urine chloride i.e. higher than 10 suggest what

Hyperaldosteronism

Which kidney disease is associated with cerebral aneurysm’s

Polycystic kidney disease, familial, Autosomal dominant

Which RTA is associated with nephrolithiasis and hypercalciuria

Type 1

What type of kidney stone is more likely in a patient with Crohn’s disease

Calcium oxalate. Enteric hyperoxaluria Can occur with a variety of malabsorption disorders. Free enteric calcium binds to fatty acids and is unavailable for binding to enteric oxalate, resulting in increased oxalate absorption. This leads to increased oxalate excretion in the urine

What medication will improve hematuria from BPH?

Finasteride This will decrease microvessel density in the prostate, especially the sub urethral prostate

Which form of RTA can be associated with obstructive uropathy

Type 4

Which medication works faster for BPH and nocturia, Terazosin or finasteride

Terazosin