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Strasinger AUBF - Renal Diseases

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Immune complexes formed are deposited on the glomerular
Glomerular disease
membranes
Complement-mediated damage to the capillaries and basement
cellular infiltration damage
membrane
proliferation damage Thickening of the glomerular basement membrane
Glomerulonephritis Sterile, inflammatory process that affects the glomerulus
Glomerulonephritis Associated with the finding of blood, protein, and casts in the urine
Deposition of immune complexes, formed in conjunction with
Acute glomerulonephritis
group A streptococci infection, on the glomerular membranes
deposition of immune complexes from systemic immune disorders
Rapidly progressive glomerulonephritis
on the glomerular membrane
Attachment of a cytotoxic antibody formed during viral respiratory
Goodpasture syndrome
infections to glomerular and alveolar basement membrane
Antineutrophilic cytoplasmic autoantibody binds to neutrophils in
Wegener granulomatosis vascular walls producing damage to small vessels in the lungs and
glomerulus
Occurs primarily in children following viral respiratory infections; a
Henoch-Schonlein purpura
decrease in platelets disrupts vascular integrity
Thickening of the glomerular membrane following IgG immune
Membranous glomerulonephritis
complex deposition associated with systemic disorders
Cellular proliferation affecting the capillary walls or the glomerular
Membranoproliferative glomerulonephritis
basement membrane, possibly immune-mediated
Marked decrease in renal function resulting from glomerular dam-
Chronic glomerulonephritis
age precipitated by other renal disorders
Deposition of IgA on the glomerular membrane resulting from
IgA nephropathy
increased levels of serum IgA
Disruption of the shield of negativity and damage to the tightly
Nephrotic syndrome fitting podocyte barrier resulting in massive loss of protein and
lipids
Disruption of the podocytes occurring primarily in children follow-
Minimal change disease
ing allergic reactions and immunizations
Disruption of podocytes in certain areas of glomeruli associated
Focal segmental glomerulosclerosis
with heroin and analgesic abuse and AIDS
Genetic disorder showing lamellated and thinning glomerular
Alport syndrome
basement membrane
Rapid onset of hematuria and edema, permanent renal damage
Acute glomerulonephritis
seldom occurs
Rapid onset with glomerular damage and possible progression to
Rapidly progressive glomerulonephritis
end-stage renal failure
Hemoptysis and dyspnea followed by hematuria with possible
Goodpasture syndrome
progression to end-stage renal failure
Pulmonaary symptoms including hemoptysis develop first fol-
Wegener granulomatosis lowed by renal involvement and possible progression to end-stage
renal failure
Initial appearance of purpura followed by blood in sputum and
Henoch-Schonlein purpura
stools and eventual renal involvement
Membranous glomerulonephritis Slow progression to the nephrotic syndrome or possible remission
Slow progression to chronic glomerulonephritis or nephrotic syn-
Membranoproliferative glomerulonephritis
drome
Chronic glomerulonephritis Noticeable decrease in renal function progressing to renal failure
IgA nephropathy
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Strasinger AUBF - Renal Diseases
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Recurrent macroscopic hematuria following exercise with slow
progression to chronic glomerulonephritis
Nephrotic syndrome Acute onset following systemic shock
Minimal change disease Frequent complete remission following corticosteroid treatment
Focal segmental glomerulosclerosis May resemble nephrotic syndrome or minimal change disease
Slow progression to nephrotic syndrome and end-stage renal
Alport syndrome
disease
Perinuclear pattern formed by the antibodies, formed when neu-
p-ANCA
trophils are ethanol fixed
Granular pattern throughout the cytoplasm when neutrophils are
c-ANCA
formalin fixed
Immunoglobulin A Nephropathy Also known as Berger disease
Acute tubular necrosis Damage to renal tubular cells caused by ischemia or toxic agents
Acute onset of renal dysfunction usually resolved when underlying
Acute tubular necrosis
cause is corrected
Inherited in association with cystinosis and Hartnup disease or
Fanconi Syndrome
acquired through exposure to toxic agents
Generalized defect in renal tubular reabsorption requiring sup-
Fanconi Syndrome
portive therapy
Inherited defect in the production of normal uromodulin by the
Uromodulin-associated kidney disease
renal tubules and increased uric acid causing gout
Continual monitoring of renal function for progression to renal
Uromodulin-associated kidney disease
failure and possible kidney transplantation
Inherited defect of tubular response to ADH or acquired from
Nephrogenic diabetes insipidus
medications
Nephrogenic diabetes insipidus Requires supportive therapy to prevent dehydration
Renal glucosuria Inherited autosomal recessive trait
Renal glucosuria Benign disorder
Condition caused by disorders affecting the interstitium that also
Tubulointerstitial disease
affects the tubules
Urinary tract infection Most common renal disease
Cystitis Ascending bacterial infection of the bladder
Acute onset of urinary frequency and burning resolved with antibi-
Cystitis
otics
Infection of the renal tubules and interstitium related to interfer-
Acute pyelonephritis
ence of urine flow to the bladder, and untreated cystitis
Acute onset of urinary frequency, burning, and lower back pain
Acute pyelonephritis
resolved with antibiotics
Recurrent infection of the renal tubules and interstitium caused by
Chronic pyelonephritis
structural abnormalities affecting the flow of urine
Frequently diagnosed in children; requires correction of the un-
Chronic pyelonephritis
derlying structural defect
Allergic inflammation of the renal interstitium in response to cer-
Acute interstitial nephritis
tain medications
Acute onset of renal dysfunction often accompanied by a skin rash
Acute interstitial nephritis but resolves following discontinuation of medication and treatment
with corticosteroids
Acute renal failure exhibit sudden loss of renal function and is reversible
characterized by a marked decrease in glomerular filtration rate
End-stage renal disease
(<25 mL/min)
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Strasinger AUBF - Renal Diseases
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Decreased blood pressure / cardiac output, Hemorrhage, Burns,
Prerenal causes of Acute Renal Failure
Surgery, Septicemia
Acute glomerulonephritis, Acute tubular necrosis, Acute
Renal causes of Acute Renal Failure
pyelonephritis, Acute interstitial nephritis
Postrenal causes of Acute Renal Failure Renal calculi, tumors
Renal lithiasis kidney stones
procedure using high-energy shock waves, used to break stones
Lithotripsy located in the upper urinary tract into pieces that can then be
passed in the urine
Frequently associated with metabolic calcium and phosphate dis-
Calcium calculi
orders and occasionally diet
Frequently accompanied by urinary infections involving urea-split-
Magnesium ammonium phosphate calculi
ting bacteria
Associated with increased intake of foods with high purine content
Uric acid calculi
and with uromodulin-associated kidney disease

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