Pathology of Nephritic Syndrome Flashcards

1
Q

_______ of the convoluted tubules are in the cortex.

A

2/3

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2
Q

Most of the renal arterioles do not ____________, so a vascular event such as a thrombus can affect a large wedge of tissue.

A

anastamose

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3
Q

Only about __________ percent of the glomerulus should be cells. The rest should be open space.

A

20% - 30%

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4
Q

__________ is small enough to fit through the glomerular basement membrane, but it doesn’t (normally) do so because it is negatively charged.

A

Albumin

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5
Q

Crescents are indicative of an __________ process.

A

inflammatory

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6
Q

The hallmark of __________ is red-cell casts.

A

glomerular disease

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7
Q

Where does Tamm-Horsfall protein occur?

A

In the thick ascending loop of Henle

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8
Q

Crescents are proliferations of ___________.

A

podocytes

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9
Q

A hallmark of glomerular nephritis is _________ in the glomerulus.

A

PMNs

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10
Q

Differentiate focal, diffuse, global, and segmental.

A

Focal: some glomeruli are affected
Segmental: only parts of glomeruli are affected
Global: the entire glomerulus is affected
Diffuse: a lot of glomeruli are affected

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11
Q

What is immunofluorescence used for?

A

To detect deposits of antibody and their distribution

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12
Q

Thin basement membrane disease is not really ____________.

A

a problem; it can mimic a nephritic disease process, especially under stress like prolonged exercise

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13
Q

What is the triad of Alport’s disease?

A

Deafness
Nephritis
Ocular lesions

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14
Q

What is the inheritance pattern of Alport’s disease?

A

X-linked

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15
Q

Alport’s is due to a defect in ___________.

A

type IV collagen

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16
Q

Endocapillary proliferation is characterized by ____________.

A

blockage of the capillary

17
Q

Anything beyond ____ nuclei in the mesangial region is considered hypercellular.

A

3

18
Q

IgA nephropathy can be either _______ or ________.

A

nephritic; nephrotic

19
Q

IgA nephropathy is usually ___________.

A

asymptomatic hematuria

20
Q

IgA nephropathy most often results from _________.

A

IgA deposits in the mesangium

21
Q

The systemic version of IgA nephropathy is called __________.

A

Henoch-Schonlein purpura

22
Q

Henoch-Schonlein purpura usually occurs in what age group?

A

Kids less than ten years old; often post-strep

23
Q

Post-infectious glomerulonephritis usually requires only ________ therapy.

A

supportive

24
Q

People with crescentic glomerulonephritis typically present with ____________.

A

rapidly progressive glomerulonephritis

25
Q

Immunofluorescence assay of those with lupus nephritis usually results with ___________.

A

the “full house”: all inflammatory markers will stain

26
Q

Uremia and azotemia are spectrum disorders. Which is worse?

A

Uremia

27
Q

Alport’s disease is characterized by “________” membrane.

A

basket-weave

28
Q

IgA nephropathy usually presents along with __________.

A

URI, GI infection, or liver disease

29
Q

IgA nephropathy usually presents as __________.

A

asymptomatic hematuria

30
Q

Briefly, what is the pathophysiology of Henoch-Schonlein purpura?

A

systemic IgA vasculitis

31
Q

Which kind of nephritic syndrome will display a “starry sky” pattern on immunofluorescence assay?

A

Henoch-Schonlein purpura

32
Q

What percent of post-infectious glomerulonephritis resolves?

A

99% kids

60% adults

33
Q

Crescentic glomerulonephritis usually presents as _____________.

A

rapidly progressive glomerulonephritis

34
Q

What does granular IF staining indicate?

A

Lupus
IgA nephropathy
Endocarditis
Idiopathic

35
Q

What is the difference between Goodpasture’s and anti-GBM disease?

A
Goodpasture's = lungs and kidney
Anti-GBM = kidney only
36
Q

Anti-GBM disease usually presents as ___________.

A

rapidly progressive glomerulonephritis