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Semio renal > sindromul nefrotic > Flashcards

sindromul nefrotic Flashcards

(18 cards)

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1
Q

caractere generale

A

edeme
hiperlipemie
hipoproteinemie

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2
Q

sindrom nefrotic primitiv

A
  • nefropatie membranoasa NM
  • glomeruloscleroza focalsa si segmentara GSFC
  • glomerulonefrite membranoproloferative GNMP
  • nefropatie cu leziuni lgomerulare minime NLGM
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3
Q

sindrom nefroic secundar

A
  • nefroaptia diabetica
  • amiloidoza
  • GNMPdupa VHC
  • LES
  • paraproteinemii
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4
Q

sindrom nefrotic pur

A

fara HTA
fara hematurie

  • cel impur le are
  • pt a diferentia glomerulonefritele proliferative de cele neproliferative
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5
Q

animalii urinare

A
  • proteinuri e >3,5 g pe zi
  • cilndrii grasosi
  • picaturi lipidice
  • eventual hematurie

declin lent cu cresterea creatininei serice

  • fibrinogen grescut
  • hipercolesterolemie
  • hipertrigliceridemie
  • hipoalbuminemie
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6
Q

hipoalbumienmie neexplicata

A

pentru ca ficatul isi creste productia de 2 3 ori si depaseste pierderea renala

ficatul prin stimularea masiva a sintezei proteice =? cresc fibrinogen si factori procoagulanti, proteina C reactiva

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7
Q

edem renal

A

est esi periorbital

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8
Q

striuri Mess

A

pe unghii in sindrom nefrotic datorita hipoalbuminemiei

+ reducere elasticitate cartilaj ureche

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9
Q

reducerea volumului plasmatic pt ca

A

hipoalbuminemia scade presiunea oncotica si lichidul extravazeaza din vas in interstitiu => se cativeaza RAA cre reabsoarbe mai mult Na

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10
Q

cresterea volumui plasmatic pt ca

A

-plasmina si alt eproteaza activeaza canalele de Na amilorid sensibile din TCD si totodata reduc actiunea PNA

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11
Q

factori favorizanti tromboze

A
  • creste vascozitatea (underfill)
  • staza sangvina
  • hiperproductie de factori ai coagularii mai ales finrinogen
  • deficit de antitrombina III
  • deficit tPA (tissue plasmin activator)
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12
Q

lipidele serice crest pt ca

A

creste sinteza hepatica de lipoproteine

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13
Q

pierdere urinara LCAT (lecitincolesterol acil transferaza) +>

A

cresc VLDL si LDL

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14
Q

hipertrigliceridemie

A

datorita captarii scazute hepatice de LDL

=> poate agrava glomerulorscelroza

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15
Q

lipidruia

A
  • cruci de Malta = picaturi libere
  • cilindrii grasosi
  • corpi lpidici = celule descuamate
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16
Q

sediment urinar inactiv

Study These Flashcards
A

NM - nefropatie membranoasa

  • NLGM nefropatie cu leziuni glomerular eminime
  • GSFS glomerulosceloraza focala si segmentala
17
Q

cele. mai frecvent enefropatii secundare

Study These Flashcards
A

nefropatia diabetica

amiloidoza

18
Q

sediment activ

Study These Flashcards
A

LES
crioglobulinemie
paraproteinemii

Semio renal (12 decks)

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