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Learnerhelp.com

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Acute Glomerulonephritis Symptoms of Glomerulonephritis Swelling in the morning, especially in the face, feet, hands, and abdomen Pain in the loin Blood in urine (red ... – PowerPoint PPT presentation

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Title: Learnerhelp.com


1
Acute Glomerulonephritis
2
  • Symptoms of Glomerulonephritis
  • Swelling in the morning, especially in the face,
    feet, hands, and abdomen
  • Pain in the loin
  • Blood in urine (red, brown, or tea-colored urine)
  • Foamy appearance of urine
  • Less frequent urination
  • Follows an episode of sore throat Streptococcus
    haemolyticus A strain

3
Periorbital Oedema puffiness of face
4
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5
Proteinuria
  • A strip of chemically treated paper will change
    color when dipped in urine that has too much
    protein.
  • Older method heating the upper part of a test
    tube of urine even after adding acetic acid a
    white precipitate
  • Laboratory tests that measure exact amounts of
    protein or albumin in the urine are recommended
    for people at risk for kidney disease, especially
    those with diabetes.

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  • Chronic glomerulonephritis can lead to kidney
    failure, which may cause these symptoms
  • Feeling tired
  • Dry, itchy skin
  • Nausea
  • Vomiting
  • Poor appetite
  • Muscle cramps at night

8
Urine Analysis
  • Look for
  • blood
  • protein
  • bacteria
  • other evidence of kidney damage in the urine
  • Blood Tests
  • blood urea
  • serum creatinine
  • Ultrasound Scan
  • Abdominal CT Scan

9
Kidney Biopsy
  • Removal of a sample of kidney tissue with a
    needle to test for glomerulonephritis

10
Treatment
  • Diuretics to reduce fluid retention
  • Medications to suppress the immune system -
    Steroids
  • Lifestyle Changes
  • Restrict salt and water intake
  • Restrict intake of potassium, phosphorous, and
    magnesium
  • Cut down on protein in the diet
  • Maintain a healthy weight through diet and
    exercise
  • Take calcium supplements

11
  • Outlook
  • A great majority of children with acute
    glomerulonephritis will recover in a period of
    weeks to months without complications.
  • Adults tend to recover more slowly.
  • The outlook for chronic (ongoing)
    glomerulonephritis is more variable depending
    upon the type.

12
  • Dialysis and Transplant
  • Temporary dialysis
  • Permanent kidney failure, chronic
    glomerulonephritis ? long-term dialysis or kidney
    transplant.
  • Prevention
  • Treat sore throats well
  • Treat diabetes or high blood pressure.

13
Hyperpigmented red cell granular cast and
numerous erythrocytes. Early stages of acute
glomerulonephritis(100x)
14
Coming from the glomerulus may produce the
following dysmorphic RBC's
15
You may also see urine leukocytes
16
The RBC cast of glomerular pathology
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