Glomerular Disease Flashcards
(16 cards)
What are the Signs of Glomerulonephritis?
Hematuria -RBC casts -dysmorphic RBCs Lipiduria Proteinuria Renal Failure
WHat is IgA nephropathy?
Asymptomatic hematuria with proteinuria
Macro hematuria associated w/ upper RT infection
Henloch Shurlein Hematuria
What are the features of Rapidly progressive glomerulonephritis? (Crescentic GN
Renal Failure Oliguria Edema HTN Proteinuria Hematuria EMERGENCY
WHat are the causes of Rapidly progressing GN?
Direct IG attack
Immune complex deposition
Pauci-immune
WHat are the types of Pauci-immune GN?
Granulomatosis with polyangiitis
EGPA(Eosinophilic, churg-strauss)
Microscopic polyangiitis
No Imm Fl staining
WHat is Pulmonary renal syndrome?
Acute GN comb with pulm hemorrhage
Caused By: Anti-GBM Disease (goodpasture)
Systemic Vasculitis
Lupus
How does lupus renal disease manifest?
Tubulointersititial nephritis Vascular disease Thrombotic microangiopathy Glomerulosclerosis Glom Podocytopathy Silent Lupus Nephritis
What is another name for nephrotic syndrome?
Glomerulonephritis
WHat are the features of Nephrotic Syndrome?
Hypoalbuminemia Edema Hyperlipidemia Thrombotic Disease Massive Proteinuria (>3.5 g/24hr) Hypoprotein/albumin (
WHat are the complications of Nephrotic Syndrome?
Thrombosis 2/2 loss of hemostasis control proteins
Infection 2/2 loss of Ig
Accel atherosclerosis from Hyperlipid
Protein malnutrition
WHat is seen on EM in MCD?
Effaced Foot processes
WHat is seen on EM in Membranous Glomerulopathy?
Spikes of subepithelial deposits
Which Glomerulonephropathies have been associated with Malignancy?
MCD/Focal GS -Hodgkin dis -Lymphoma/Leukemia -Solid Tumors Prolif GN -MALT lymphoma
WHat are the non-immunologic causes of glomerulonephropathy?
Diabetic GN
Systemic HTN
Glomerular HTN
What are the indications for percutaneous renal Biopsy?
Cause cannot be predicted with less invasive procedure
S and S point to Patho Dx
DDx includes diseases that have diff Tx or prognosis
WHat is the gold standard for diagnosing glomerular renal disease?
Percutaneous Kidney Biopsy