1.
SX
NEFROTICO
Nahomy Martínez Pérez
Dr. Martinez

2.
Manifestaciones clínicas
debido al ↑ de la
permeabilidad de la barrera
de FG
● Proteinuria
● Hipoalbuminemia
● Hiperlipidemia
● Edema
DEFINICIÓN

3.
PROTEINURIA:
>40
mg/m2/hora
en orina 24
horas
Índice
proteinuria/cr
eatinuria >2 en
orina aislada
> 3,5
g/24h
+ Hipoalbuminemia (<2.5 mg/dl)
+ hiperlipidemia (CT y T >200 mg/dl)

4.
ETIOLOGÍA
1. Enfermedad de cambios
mínimos
2. Glomeruloesclerosis focal
y segmentaria
3. Nefropatía membranosa
Glomerulopatías
Primarias
Glomerulopatías
secundarias
1. Enfermedades
sistémicas
2. Neoplasias
3. Infecciones
4. Trastornos hereditarios
5. Farmacos

5.
FISIOPATOLOGÍA
Podocitos:
Membrana
basal
Endotelio
Capilares
Carga
(-)
Agua y
solutos
Proteínas

6.
Aumento de la
permeabilidad capilar
glomerular
No hay inflamación
Lesion importante en
los podocitos
Proteinuria
Hipoalbuminemia
EDEMA
ALBUMINA
Mantener la
presión oncotica
Hiperlipidemia
Lipiduria

7.
EDEMA
Ascitis
Hipoalbuminemia grave
Disnea
MANIFESTACIONES
CLINICAS
Signos de
hipovolemia

8.
ABOUT THE
PATIENT
01.

9.
AGE: 25
GENDER: Male
ALLERGIES: None
LOCATION: Madrid, Spain
Despite being red, Mars
is a cold place
Mercury is the closest
planet to the Sun
Saturn is the ringed
one. It’s a gas giant
2010 2015 2020
PATIENT MEDICAL
HISTORY

10.
AGE: 25
GENDER: Female
ALLERGIES: None
LOCATION: Madrid, Spain
Despite being red, Mars
is a cold place
Mercury is the closest
planet to the Sun
Earth is the planet
where we all live on
2005
2010 2020
PATIENT MEDICAL HISTORY
Saturn is the ringed
one. It’s a gas giant
2015

11.
Saturn is the ringed one. It’s a gas
giant, composed mostly of
hydrogen and helium
Despite being red, Mars is a very
cold place. The planet is full of
iron oxide dust, which makes it
red
REVIEW OF SYSTEMS

12.
This is the ringed one
SATURN
Mars is a cold place
MARS
Jupiter is a gas giant
JUPITER
PHYSICAL EXAMINATION

13.
Despite being red, Mars is a
very cold place. The planet
is full of iron oxide dust
MARS
Saturn is the ringed one.
It’s composed mostly of
hydrogen and helium
SATURN
PHYSICAL
EXAMINATION

14.
DIAGNOSIS
VENUS
Venus has a very
beautiful name and is
the second planet
MARS
Despite being red, Mars
is a cold place. It’s full
of iron oxide dust
JUPITER
Jupiter is a gas giant
and the biggest planet
in the Solar System
SATURN
Yes, this is the ringed
one. It’s composed of
hydrogen and helium
NEPTUNE
Neptune is the farthest
planet and the fourth-
largest one
MERCURY
Mercury is the closest
planet to the Sun and
the smallest one

15.
DIAGNOSIS
VENUS
Venus has a very
beautiful name and is
the second planet
MARS
Despite being red, Mars
is a cold place. It’s full
of iron oxide dust
JUPITER
Jupiter is a gas giant
and the biggest planet
in the Solar System
SATURN
Yes, this is the ringed
one. It’s composed of
hydrogen and helium
NEPTUNE
Neptune is the farthest
planet and the fourth-
largest one
MERCURY
Mercury is the closest
planet to the Sun and
the smallest one

16.
A PICTURE IS WORTH A
THOUSAND WORDS

17.
A PICTURE IS
WORTH A
THOUSAND
WORDS

18.
MERCURY
VENUS
2
Venus has a beautiful
name and is the second
planet from the Sun. It’s
hotter than Mercury
and its atmosphere
incredibly is poisonous
Mercury is the closest
planet to the Sun and
the smallest one in
the Solar System—it’s
only a bit larger than
Earth’s moon
1
TREATMENT

19.
Mercury is the closest planet to the Sun and
the smallest one in the Solar System—it’s
only a bit larger than Earth’s moon
Venus has a beautiful name and is the
second planet from the Sun. It’s hotter than
Mercury and its atmosphere incredibly is
poisonous
MERCURY
VENUS
2
1
TREATMENT

20.
CONTRAINDICATION
S & INDICATIONS
● Here you can describe a
reason to start the treatment
● Here you can describe a
reason to start the treatment
● Here you can describe a
reason to start the treatment
Mercury
Mercury is the
smallest
● Here you can describe a
reason to stop the treatment
● Here you can describe a
reason to stop the treatment
● Here you can describe a
reason to stop the treatment

21.
INDICATIONS
● Here you can describe a
reason to start the
treatment
● Here you can describe a
reason to start the
treatment
● Here you can describe a
reason to start the
treatment
● Here you can describe a
reason to start the
treatment
● Here you can describe a
reason to stop the
treatment
● Here you can describe a
reason to stop the
treatment
● Here you can describe a
reason to stop the
treatment
● Here you can describe a
reason to stop the
treatment
CONTRAINDICATIONS

22.
12%
23%
42% 81%
64%
TEST 2
TEST 1
Mars is a very
cold place
Mercury is the
smallest
planet
FINDINGS
Neptune
Venus
Saturn
Jupiter
12%
12%
12%
12%
TEST 3 Saturn is the ringed one
To modify this graph, click on it, follow the link,
change the data and paste the new graph here

23.
FINDINGS
To modify this graph, click on it, follow the link,
change the data and paste the new graph here
TEST 1
Mars is a very
cold place
TEST 2
Earth is where
we live on

24.
FINDINGS
To modify this graph, click on it, follow the
link, change the data and paste the new
graph here, replacing this one
MEN
WOMEN
HEARTBEATS
MEDICATION
80%
60%
80%
60%

25.
DAY 4
Jupiter is a gas giant
DAY 3
We live on Earth
DAY 2
Neptune is far away
DAY 1
The Sun is a star
CASE TIMELINE

26.
DAY 4
Jupiter is a
gas giant
DAY 3
DAY 2
We live on
this planet
Neptune is
far away
DAY 1
The Sun is
a giant star
CASE TIMELINE
DAY 5
Mars is a
cold place

27.
CASE TIMELINE
MARS
Despite being red,
Mars is a cold place
JUPITER
Jupiter is a gas giant
and the biggest
planet
SATURN
Yes, this is the ringed
one. It’s a gas giant
MERCURY
Mercury is the closest
planet to the Sun

28.
URINARY TRACT INFECTIONS
MARS
Despite being red,
Mars is a cold place
SATURN
Yes, this is the ringed
one. It’s a gas giant
MERCURY
Mercury is the closest
planet to the Sun

29.
URINARY TRACT INFECTIONS
MARS
Despite being red,
Mars is a cold place
MERCURY
Mercury is the closest
planet to the Sun

30.
BACTERIAL INFECTIONS
24%
Mercury is the closest
planet to the Sun
57%
Despite being red,
Mars is a cold place
19%
Yes, this is the ringed
one. It’s a gas giant

31.
BACTERIAL INFECTIONS
24%
Yes, this is the ringed
one. It’s a gas giant 57%
Despite being red,
Mars is a cold place
19%
Mercury is the closest
planet to the Sun
SATURN
MERCURY
MARS

32.
INFECTIONS
Mercury is the closest
planet to the Sun
Despite being red,
Mars is a cold place
Yes, this is the ringed
one. It’s a gas giant
MARS
SATURN
MERCURY
57%
24%
19%

33.
DISCUSSION
02.

34.
DISCUSSION
DR. JENNA DOE
“Saturn is the ringed one. It’s a
gas giant, composed mostly of
hydrogen and helium”
DR. DANIEL PATTERSON
“Venus has a really beautiful
name and is the second planet
from the Sun. It's terribly hot“
“Despite being red, Mars is a cold
place, not hot. It’s full of iron
oxide dust, which makes it red“
DR. JOHN JAMES

35.
DISCUSSION
DR. JENNA DOE
“Saturn is the ringed
one. It’s a gas giant,
composed mostly of
hydrogen and helium”
DR. JANE PATTERSON
“Venus has a really
beautiful name and is
the second planet from
the Sun. It's terribly hot“
“Despite being red, Mars
is actually a cold place.
It’s full of iron oxide
dust, which makes it
red“
DR. JOHN JAMES

36.
DISCUSSION
“Saturn is the
ringed one. It’s a
gas giant”
“Venus has a really
beautiful name and
it's terribly hot“
“Despite being red,
Mars is actually a
cold place“
DR. JANE
PATTERSON
DR. JOHN JAMES
DR. JENNA DOE

37.
DISCUSSION
“Venus has a really beautiful name and is the
second planet from the Sun. It's terribly hot“
“Despite being red, Mars is a cold place. It’s full
of iron oxide dust, which makes it red“
DR. JOHN JAMES
DR. JENNA DOE

38.
DISCUSSION
SUMMARY
Mercury is the closest planet to the
Sun and the smallest one in the
Solar System—it’s only a bit larger
than the Moon. The planet’s name
has nothing to do with the liquid
metal, since it was named after a
Roman god

39.
DISCUSSION
SUMMARY
Mercury is the closest planet to the Sun
and the smallest one in the Solar
System—it’s only a bit larger than the
Moon. The planet’s name has nothing to
do with the liquid metal, since it was
named after a Roman god

40.
PATIENT 1
PATIENT 2
PATIENT 3
PATIENT 4
COMPARISON

41.
PATIENT 1
PATIENT 2
PATIENT 3
COMPARISON

42.
EVALUATION 2
WEEK 2
WEEK 1
WEEK 4
WEEK 3
Earth is where
we live on
Pluto is now a
dwarf planet
Mercury is the
closest planet
Neptune is very
far away
15%
50%
100%
75%
EVALUATION 1
EVALUATION 3
PATIENT MONITORING
Mars is a cold place
Jupiter is a gas giant
Venus has a nice name

43.
WEEK 1 WEEK 2
WEEK 4 WEEK 3
Mercury is the
smallest
planet
Neptune is
very far away
Mars is actually
a cold place
Earth is where
we all live on
PATIENT MONITORING
50%
75%
15%
95%

44.
Despite being
red, Mars is a
very cold place
Mercury is the
closest planet to
the Sun
Venus has a
beautiful name,
but it’s very hot
Neptune is the
farthest planet
from the Sun
POST-
PREVENTION

45.
Mercury is the
closest planet
to the Sun
Venus is the
second planet
from the Sun
Neptune is the
farthest planet
from the Sun
POST - PREVENTION
Despite being
red, Mars is a
cold place
01 02 03 04

46.
Despite being red, Mars is
a very cold place
Mercury is the closest
planet to the Sun
Venus has a beautiful
name, but it’s very hot
Neptune is the farthest
planet from the Sun
Bibliografia:
VENUS
MARS
SATURN
MERCURY

47.
PREMIUM ICONS

48.
PREMIUM ICONS

49.
ALTERNATIVE RESOURCES