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Renal-ICM
Nephrotic and Nephritic
29
Medical
Graduate
10/20/2010

Additional Medical Flashcards

 


 

Cards

Term
What Primary Glomerulonephritis diseases presents as a Nephritic syndrome
Definition

sIgA

Post-Streptococcal

Membranoproliferative (Type I)

Systemic Lupus

Term
What major nephrotic disease affects children?
Definition
Minimal Change Glomerulonephritis
Term
What Primary Glomerulonephritis diseases present as a Nephrotic syndrome
Definition

Membranous Glomerulonephritis

Minimal Change Glomerulonephritis

Focal Segmental Glomerulonephritis

Membranoproliferative Type 1

Diabetic

Term
What nephrotic disease is more common in African Amerians
Definition
Focal Segmental Glomerulonephritis
Term
What is the treatment for Minimal Change Glomerulonephritis and is it effective?
Definition
Corticosteroids, but adults have less remission and more recurrance
Term
What are the pathological variants of Focal Segmental Glomerulonephritis and what is the prognosis of each?
Definition

Collapsing: Worst Prognosis

Tip: Best Prognosis

Perihilar

Term
What disease is the collasping variant of Focal Segmental Glomerulonephritis associated with?
Definition
Higher Prevailence in Aids patients
Term
What extra-renal pathologies are seen in patients with Membranous Glomerulonephritis
Definition
DVTs and PEs
Term
What is the clinical course for most patients with Membranous Glomerulonephritis
Definition
Benign for 10 years with gradual progression to Chronic Renal Failure requiring dialysis.
Term
What other type of diseases is Membranous Glomerulonephritis associated with?
Definition
Malignancy
Term
Diagnosis of Membranous Glomerulonephritis
Definition

EM: Subepithelial Deposits

LM: Basement Spikes between Deposits

Term
Diagnosis of Minimal Change Glomerulonephritis
Definition
EM: Effacement of the Podocyte foot processes
Term
Diagnosis of Diabetic Nephropathy
Definition
Kimmelstiel-Wilson Lesion: Nodular Glomerulosclerosis
Term
Presentation of Membranoproliferative Glomerulonephritis
Definition
Nephritic or Nephrotic
Term
Diagnosis of each type of Membranoproliferative Glomerulonephritis
Definition

Type I: Subendothelial Deposits

Type II: Intramembranous Deposits

Term
What deficiency is commonly seen in Membranoproliferative Glomerulonephritis Type II
Definition
Complement Factor H Deficiency
Term
What Glomerulonephritises are associated with Hepatitis
Definition

Membranous: Hep B and some Hep C

Membranoproliferative: Hep C

Term
Where is the major site of deposition in sIgA Glomerulonephritis
Definition
Mesangium of the Glomerulous
Term
What is the most common glomerulonephritis
Definition
sIgA Glomerulonephritis
Term
When do Post-Streptococcal and sIgA Glomerulonephritises typically present?
Definition

Post-Strep: 2-3 wks after URT

sIgA: Commonly following a URT

Term
What are the glomerulonephritises that do not exhibit Hypocomplementemia
Definition

sIgA

Goodpasture's

Anca Vasculitities

Henoch-Schonlein Purpura

Term
What are the Glomerulonephritites that exhibit only C3 Hypocomplementemia
Definition

Post-Infectious

Endocarditis

Membranoproliferative Type 2

Term
What are the glomerulonephritites that exhibit C3 and C4 Hypocomplementemias
Definition

Lupus nephritis

Membranoproliferative with Cryglobulinemia

Term
During what decades of life does goodpasture's predominate present in? Is there a difference be Male and Females?
Definition

Males:    2-3 decade

Females: 6-7 decade

Term
Hallmark of goodpasture's glomerulonephritis
Definition
Cresents
Term
Target for Goodpasture's Ig
Definition
Alpha-3 chain of Type IV collagen
Term
Pauci-Immune Glomerulonephritis
Definition
Non-Ig Meadiated with 90% of patients exhibiting glomerular cresants
Term
What is the treatment for Membranous, Membranoproliferative, Goodpasture's, Pauci-immune, focal segmental, Minimal change Glomerulonephropathies
Definition

Focal segmental: ACE/ARB's, Steroids, Cyclosporin, Mycophenolate Mofetil

Membranous: ACE/ARB's, Steroids, Cyclosporin, Mycophenolate Mofetil, Rituximab

Pauci-Immune and Goodpasture's: Plasmaphoresis, Steroids, Cyclophosphamide

Membranoproliferative: Steroids, Cyclophosphamide

Minimal Change: Steroids, Resistance-> Cyclosporin or Tacrolimus

 

Term
Which glomerular diseases may present as RPGN
Definition

Vasculitities

Goodpasture's

Lupus

Post-Strep

Endocarditis

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