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Case Study Presentation- Nephrotic Syndrome

Case Study Presentation- Nephrotic Syndrome

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Published by Vivien Marie Noel

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Categories:Types, School Work
Published by: Vivien Marie Noel on Mar 02, 2010
Copyright:Attribution Non-commercial

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05/15/2013

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Group 57
 
Nephrotic Syndrome
 
 
Nephrotic syndrome is a nonspecific disorder in which the
,
kidneys are damaged causing them to leak large amounts of
( . .
protein proteinuria at least 3 5 grams per day per 1 73m
2
) .
body surface area from the blood into the urine Other
(
symptoms include hypoalbuminemia decrease in albumin in
), , (
the blood edema hypercholesterolemia high serum
), .
cholesterol and normal renal function
* .
The most common sign is excess fluid in the body This may
:
take several forms
,
o Puffiness around the eyes characteristically in
.
the morning
(..,
o Edema over the legs which is pitting i e leaves a
,
little pit when the fluid is pressed out which resolves
).
over a few seconds
 
o Fluid in the pleural cavity causing pleural
.
effusion More commonly associated with excess fluid is
.
pulmonary edema
.
o Fluid in the peritoneal cavity causing ascites
 
Introduction
 
,
The following are baseline essentialinvestigations
*
Urine sample shows proteinuria
(>. . ).
3 5g per 1 73 m2 per 24 hour
* ()
Comprehensive metabolic panel CMP
:
shows Hypoalbuminemia albumin level
./ (=.-/).
2 5g dL normal 3 5 5g dL
*
High levels of cholesterol
(),
hypercholesterolemia specifically
,
elevated LDL usually with
 
concomitantly elevated VLDL
* ,
Electrolytes urea and creatinine
(): .
EUCs to evaluate renal function

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