Diseases with STAGES Flashcards
(35 cards)
↑GFR due to constriction of the EFFERENT arteriole
Stage 1: Hyperfunction/hypertrophy (diabetic)
thickening of BM and expansion of mesangium; normal GFR
Stage 2: Silent stage (diabetic)
MICROalbuminuria;
GFR dec.
Stage 3: Incipient stage (diabetic)
MACROalbuminuria, decreased GFR and hypertension
Stage 4: Overt diabetic nephropathy (diabetic)
ESRD
GFR
Stage 5: Uremic (diabetic)
subepithelial dense deposits w/o adjacent projections of GBM material.
Stage 1 membranous
projections of GBM material around these dense deposits
Stage 2 membranous
enclosure of the dense deposits within the GBM material
Stage 3 membranous
rarefaction of the deposits within a thickened GBM.
Stage 4 membranous
Immediate rise in BP is due to hyperreninemeia
STAGE 1:Renovascular HTN:
Stenotic kidney –> ↑renin and retains sodium and water
Contralateral non-stenotic kidney –> ↓ renin production
STAGE 2:Renovascular HTN:
HTN leads to renal hypoperfusion of BOTH KIDNEYS
STAGE 3:Renovascular HTN:
Glomerular hyperfiltration
Stage 1 diabetic
Thickened BM; Expanded mesagium
Stage 2: Silent Stage; diabetic
Type 1 diabetes INC. BP; Type II normal
Stage 3 Insipient Stage
Type I and Type II normal BP
Stage 1 and 2
Type i and II HTN
Stage 4 and 5
Stage 1 through 4 GFR in diabetic Nephropathy
Stage I INC. II--> NORMAL III--> GFR begins to fall IV--> GFR DEC more V--> 0-10 (esrd)
Alport vs benign familial hematuria EM
Alport–> irregular thickening of basement membrane; foci of rarefaction;
Bfh–> diffuse thinning of BM
AKI
Slight oliguria with INC. in BUN
Initiation phase AKI
AKI
Inc. Oliguria; rising BUN;
HYPERkalemia
Metabolic acidosis
Maintenance phase
AKI
Polyuria
HYPOkalemia
Recovery phase AKI
Chronic renal:
GFR 50%; normal BUN:Cr; asymptomatic
Stage I: Dim. Renal reserve
Chronic Renal:
GFR 20-50%
Polyuria and nocturia
Stage II: Renal insuff