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Nephro Path
Glomerular Disease
35
Pathology
Graduate
11/01/2010

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Cards

Term
uremia
Definition
azotemia + metab effects from accumulation of toxic chemical products
Term
nephritic syndrome
Definition
acute onset hematuria, hypertension, edema, azotemia
Term
nephrotic syndrome
Definition
heavy proteinuria (>3.5), hypoalbuminemia, hyperlipidemia, edema, lipiduria
Term
acute renal failure
Definition
recent onset azotemia w/oliguria or anuria
Term
describe the components of the BM of a glomerulus
Definition
type IV collagen, laminin, anionic heparan sulfate proteoglycan
Term
linear immunofluorscence pattern indicates
Definition
anti-GBM disease i.e. goodpastures
Term
lumpy bumpy immunofluorsence indicates
Definition
immune complex deposition in glomerulus
Term
Type I RPGN
Definition
anti-GBM i.e. goodpasture's
Term
Type II RPGN
Definition
immune-complex mediated
Term
Type III RPGN
Definition
pauci-immune; ANCA-assoc i.e. Wegener Granulomatous, polyarteritis nodosa
Term
What nephropathy occurs ~1 wk after an URT infection?
Definition
Berger's Disease (IgA Nephropathy)
Term
What nephropathy is characterized by episodic hematuria?
Definition
IgA nephropathy/Berger's
Term
What nephropathy mimics IgA nephropathy, but is characterized by nonmigratory arthralgia?
Definition
HSP
Term
What are the characteristics of HSP?
Definition
young children, renal abn, purpura, abd pain and/or bleeding, nonmigratory arthralgia
Term
What nephritic syndromes decrease complement?
Definition
Post-infectious, glomerulonephritis w/endocarditis, lupus nephritis
Term
What nephrotic syndromes exhibit diffuse loss of foot processes?
Definition
MCD and FSGS
Term
How do you treat MCD?
Definition
corticosteroids
Term
What nephrotic syndrome is prone to DVT?
Definition
membranous nephropathy
Term
What nephropathy is associated with subepithelial spikes and capillary wall thickening?
Definition
Membranous
Term
An African American with HT, LL Edema, HIV and renal insufficiency?
Definition
FSGS
Term
What are the mechanisms of proteinuria?
Definition
loss of glomerular polyanions, hyperfiltration to compensate for decreased GFR, immune-mediated injury
Term
kimmelstiel-wilson
Definition
diabetic nephropathy
Term
Which nephrotic syndromes are assoc with hepatitis?
Definition
membranous, membranoprolif, post-infectious
Term
factor H deficiency
Definition
type II membranoporliferative glomerulonephritis (intramembranous deposits)
Term
What glomerulonephritidies most commonly affect children?
Definition
post infectious, MCD, IgA, HSP
Term
what condition is assocaited w/nonmigratory arthralgia
Definition
HSP
Term
how do you treat membranous nephropathy?
Definition
protein-reducing drugs: ACEi, ARBs, statins, steroids, cyclphosphamide, MMF, and anti-coag
Term
Which nephrotic syndrome is assoc w/Hep B?
Definition
mebranous
Term
Which nephrotic is assoc w/Hep C?
Definition
membranoprolif
Term
How do you treat membranoprolifative glomerulonephritis?
Definition
steroids and cyclophosphoamide
Term
Which type of diabetes patients more often progress to dialysis?
Definition
type I
Term
How can amyloidosis be diagnosed?
Definition
kidney biopsy, fat pad, rectal or gingival biopsy
Term
episodic hematuria
Definition
IgA/Berger's
Term
Which nephrotic syndrome usually follows URT infection?
Definition
IgA/Berger's
Term
What are the 3 ANCA associated illnesses?
Definition
Wegner's, polyangitis, Churg-Strauss
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