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Glomerulonephritis ROSSY MIJARES

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Glomerulonephritis ROSSY MIJARES

  2. 2. Overview  Glomerul/o/nephr/itis glomeruli kidney inflammation  Alternative names: acute/chronic nephritis, glomerular disease  Definition: Type of kidney disease in which the part of the kidneys that help filter waste and fluids from the blood is damaged.  Damage to the glomeruli causes blood and protein to be lost in the urine.
  3. 3. Glomeruli  Glomeruli – The filters of the kidneys which filter the blood and make urine.
  4. 4. Etiology  Often, the precise cause of glomerulonephritis is unknown.  Glomerulonephritis may be caused by specific problems with the body's immune system.
  5. 5. Signs/Symptoms  Most common symptoms:  Hematuria (dark, brown, or rusty colored,)  Proteinuria  Foamy urine  Swelling of the face, eyes, ankle, feet, legs, abdomen
  6. 6. Signs/Symptoms  Symptoms which may also appear include:  Abdominal pain  Cough  Diarrhea  Fever  Joint aches  Muscle aches  Loss of appetite  Shortness of breath
  7. 7. Risk Factors  History of cancer  Blood or lymphatic disorders  Exposure to hydrocarbon solvents  Diabetes  Infections  Strep infections  Heart infections  Viruses
  8. 8. Diagnosis  Because symptoms develop gradually, the disorder may be discovered when there is an abnormal urinalysis during a routine physical or examination for unrelated disorders.
  9. 9. Tests and Clinical Procedures  Imaging tests:  Abdominal CT scan  Abdominal ultrasound  Chest x-ray  Intravenous Pyelogram (IVP)  Urinalysis and other urine tests:  Creatinine clearance  Urine concentration test  Urine specific gravity  Total protein
  10. 10. Treatments  Treatment varies depending the type and severity of symptoms.  High blood pressure may be difficult to control, and it is generally the most important aspect of treatment.  Medicines that may be prescribed include:  Blood pressure medications are often needed to control high blood pressure.  Medications that suppress the immune system may also be prescribed, depending on the cause of the condition.
  11. 11. Prognosis  Glomerulonephritis may be a temporary and reversible condition, or it may get worse. Progressive glomerulonephritis may lead to chronic kidney failure and end-stage kidney disease.
  12. 12. Case Study  Patient:  12 year old girl who visited the doctor in distress.  Symptoms:  Has been passing rusty colored urine.  Looked puffy around the face.  High blood pressure.  Doctor saw previous antibiotics given for streptococcal infection in her records.  Doctor used test strip to test urine.  Resulted in presence of protein.  Blood test was arranged  Blood test suggested an autoimmune response had damaged part of the kidneys nephrons.  Doctor suggested she be closely watched for the time being and blood pressure monitored.  Her condition fortunately cleared up after a few months.