Exam 3: GU

Question 1

Glomerulonephritis

Answer 1

inflammation that’s occuring and obstructing the glomerulus (auto-immune reaction specific to kidneys)

1. Inflammation caused by group A strep
2. Increase in plasma volume
3. Occurs 1-3 weeks after strep infection
4. urine is cloudy, smoky, brown, decreased
5. Patient is pale, poor appetite
6. Observe symptoms, urine specific, blood test, chest x-ray

Question 2

Glomerulonephritis Signs and Symptoms (4)

Answer 2

1. Rust colored urine
2. Periorbital edema
3. Generalized swelling
4. Can present as secondary infection to strep

Question 3

Lab work to confirm Glomerulonephritis (2)

Answer 3

1. Antibodies draw (ASO titers)

2. CRP, ESR: check for inflammation

Question 4

Management of Glomerulonephritis (7)

Answer 4

1. Low salt diet, low protein diet
2. Diuretics
3. Monitor BUN, Cr, K levels
4. ACE Inhibitors, Ca Channel Blockers
5. Penicillin
6. Steroids
7. Monitor I’s and O’s

Question 5

Nutrition Consideration with Glomerulonephritis (4)

Answer 5

1. Low sodium
2. Low phosphorus
3. Limit fluids and electrolytes
4. Kids need it for growth, don’t limit protein

Question 6

Differential Diagnosis with Glomerulonephritis Symptoms

Answer 6

1. Dehydrated
2. Epp Stein Barr Virus
3. Hepatitis
4. STI
5. Antibiotic side effect
6. Rhadomylosis
7. UTI / kidney infection
8. CHF