Glomerulonephritis Flashcards
(52 cards)
Polysystemic cause of GN with involvement of lungs skin, sinuses and kidneys
Wegener’s granulomatosis
Initial test for Wegener’s
C-ANCA
Diagnostic Test for Wegener’s and what is seen
Renal Biopsy - granulomas
Treatment of Wegener’s
Cyclophosphamide + Steroids
Wegener’s with asthma
Churg-Strauss
Initial test of Churg Strauss
P-ANCA
Diagnostic test of churg strauss + what is seen
lung biopsy - granulomas, eosinophils
Treatment of Churg Strauss
cyclophosphamide + steroids
Organs involved in Goodpasture’s Syndrome
Renal and lung ONLY
Initial test of Goodpastures
anti-GBM
Diagnostic test of goodpastures
renal/lung biopsy
Treatment of Goodpastures
plasmapheresis + streoids (may add cyclophosphamide)
GN associated with Hep B, postprandial abdo pain, stenosis and aneurysms
polyarteritis nodosa
diagnostic test in polyarteritis nodosa
sural nerve biopsy
polyarteritis nodosa treatment
cyclophosphamide + steroids
GN associated with haemolytic anaemia, thrombocytopaenia, schistocytes and E.coli:H7 infection
TTP/HUS
TTP – thrombotic thrombocytopaenic purpura
HUS – haemolytic-uremic syndrome
TTP/HUS initial test (two possible)
FBC/smear
TTP/HUS treatment (not severe)
fresh frozen plasma
TTP/HUS treatment (severe)
plasmapheresis
GN in longstanding diabetes and hypertention
Diabetic nephritis
Treatment of diabetic nephritis
diabetes management with ACE or ARB
Second most common cause of nephrotic disease in adults
Membranous GN
Test for membranous GN and what is seen
renal biopsy - subepithelial IgG deposits in BM
Membranous GN treatment
steroids, alkylating agents, B cell monoclonal Ab, manage hypertension with ACE/ARB, diuretics, low salt dier