Pathology Flashcards

1
Q

Features of nephrotic syndrome

A
  • edema
  • proteinuria
  • hypoalbuminemia
  • hyperlipidemia
  • noninflammatory, no dysmorphic RBCs, no RBC casts
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2
Q

Key cell of nephrotic syndrome

A

visceral epithelial cell (podocyte)

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3
Q

Features of nephritic syndrome

A
  • urinary sediments
  • inflammation
  • HTN
  • high Creatinine (renal insufficiency)
  • severe crescents
  • hematuria
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4
Q

Key cell of nephritic syndrome

A

endothelial cell

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5
Q

Hyaline casts

A

most common cast, precipitation of Tamm Horsfall mucoprotein (secreted by renal tubular cells)

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6
Q

Granular casts

A

2nd most common, aggregates of plasma proteins (albumin, or IgLC), signify severe renal disease

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7
Q

Fatty casts

A

from breakdown of lipid rich epithelial cells, if they include cholesterol they are Maltese crosses (indicate lipiduria)

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8
Q

RBC casts

A

indicate glomerular damage

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9
Q

WBC casts

A

indicate inflammation due to pyelonephritic, interstitial nephritis, post streptococcal nephritis

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