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13 Cards in this Set

  • Front
  • Back

Postinfectious glomerulonephritis

Recent B hemolytic strep infx


edema, tea colored urine


low serum C3, increased ASO titer


"lumpy bumpy" immunofluorescence

IgA Nephropathy


(Berger's Disease)

Typically after URI or GI infx


gross hematuria or persistent microscopic hematuria


Normal C3


Tx: glucocorticoids, AceI with proteinuria



Wegener's Granulomatosis

Granulomatous inflammation + necrotizing vasculitis


hemoptysis, hematuria


c-ANCA present, segmental necrotizing glomerulonephritis on biopsy


Tx: high dose corticosteriods and cytotoxins

Goodpasture Syndrome

Rapidly progressing glomerulonephritis + pulm hemorrhage


males in mid 20's


Hemoptysis, no upper resp tract involvement


Linear anti-GBM deposits on IF


hemosiderin-filled macrophages in sputum


tx: plex, pulsed steroids



Alport's Syndrome

Hereditary glomerulonephritis


boys 5-20, a/w sensorineural deafness and eye disorders


GBM splitting on EM



Minimal Change Disease

Children, nsaids, lymphoma


light microscopy wnl


EM shows fusion of epithelial foot processes


tx: steroids

FSGS

Idiopathic, IVDA, HIV, Blacks, htn


Microscopic hematuria, sclerosis in capillary tufts



Membranous nephropathy

Most common in caucasians, solid tumors, HBV, syphillis, malaria, gold, renal vein thrombosis


"Spike and Dome" 2/2 IgG and C3 at BM



Diabetic nephropathy

1. diffuse hyalinization


2. nodular glomerulosclerosis (KW lesions)


Thickened GBM, increased mesangial matrix



Lupus Nephritis

Nephrotic and nephritic,


mesangial proliferation, sub endo/epithelial immune complex deposition

Membranoproliferative Nephropathy

HCV, cryoglobulinemia, SLE, SBE


8-30 yrs if idiopathic


Tram track double layered basement membrane


Low C3 in serum

Nephrotic Syndrome

Proteinuria, generalized edema, hypoalbuminemia, hyperlipidemia



Nephritic Syndrome

PHAROH




Proteinuria


Hematuria


Azotemia


RBC casts


Oliguria


Hypertension