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16 Cards in this Set

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Etiology of acute GN
in the setting of infectious disease - pharyngeal or cutaneous infection with group A beta-hemolytic streptococci (but also other pathogens)
Etiology of rapidly progressive GN
Heterogenous group of disorder with rapidly progressive kidney failure (e.g., necrotizing vasculitis)
Etiology of chronic glomerulonephritis
heterogenous group of disorders leading to CRF
Etiology of nephrotic syndrome
Variant of acute GN, rapidly progressive GN or chronic GN with massive proteinuria (e.g., minimal change disease)
Etiology of asymptomatic urinary abnormalities
IgA nephropathy (Berger's disease) - immune complex disease with diffuse mesangial IgA deposition
Symptoms of nephritic syndrom
Proteinuria
Hematuria
Azotemia
RBC casts
Oliguria
Hypertension
Symptoms of acute GN usually appear
7-10 days after onset of acute pharyngeal or cutaneous infection
Symptoms of acute GN
1. Fatigue
2. Back pain
3. Mild to severe HTN - decreased GFR, sodium retention, or inappropriate release of renin
4. Oliguria (decreased GFR)
5. Micro or macro-hematuria
6. Proteinuria
7. Cough, with sputum (pharyngeal infxn)
Nephritic syndrome usually appears in
1. Acute GN
2. RPGN
3. IgA nephropathy
Nephrotic syndrome usually appears in
1. Minimal change disease
2. Membraneous nephropathy
In which age group is AGN most common?
Children 3-10 years old
Complications of AGN
1. Pulmonary edema
2. Heart failure
3. Sepsis
4. Severe HTN
5. Cardiac hypertrophy
6. Nephrotic syndrome
7. Chronic GN
8. Renal failure
9. ESRD
Which test is used to confirm GN
Kidney biopsy confirms post-streptococcal GN, but biopsies are usually not necessary
30-40% of patients with RPGN have granular Ig deposits and antibody pattern typical of _____ . 5-20% of patients have linear anti-GBM antibody deposits in glomeruli, this is called ____ .
1. Wegener's granulomatosis
2. Goodpasture's syndrome
What is Goodpasture's syndrome
1. A disease that affects kidneys and lungs
2. Involves rapidly progressive kidney failure that develops in days to weeks along with lung disease
3. Cough, shortness of breath, and blood in sputum
RPGN symptoms
1. Edema
2. Dark or smoke-coloured urine
3. Decreased urine volume
4. Other symptoms