1371 results
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption. 
Hypertension. t BUN and creatinine.
Nephritic syndrome—due ... Proteinuria often ... Massive proteinuria ... Nephritic #Nephrotic #Syndromes ... Classification #Proteinuria
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic Syndrome ... hematuria and/or proteinuria ... nephrotic/nephritic syndromes ... Nephritic #Nephrotic #Syndrome
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... Algorithm Persistent Proteinuria ... testing Transient Proteinuria ... UTI Orthostatic Proteinuria ... • Fanconi's syndrome
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
Between Nephrotic Syndrome ... and Nephritic Syndrome ... == Nephrotic Syndrome ... - Normal/low Proteinuria ... pressure - Raised Proteinuria
Albuminuria (Grades) and Risk for CKD
Normal to mildly increased albuminuria:
 - Albumin excretion rate: < 30
Larger amounts of proteinuria ... Nephrotic-range proteinuria ... nephrotic range proteinuria ... defined as nephrotic syndrome ... nephrotic range proteinuria
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal Syndrome ... Pulmonary Renal Syndromes ... Infection, Alport Syndrome ... • Urinalysis (proteinuria ... Pulmonary #Renal #Syndrome
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
severe HTN • No proteinuria ... mmHg once And Proteinuria ... ) OR • If no proteinuria ... patients • HELLP: Syndrome ... or sudden ↑ proteinuria
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
overt glomerular proteinuria ... hemolytic-uremic syndrome ... Overglomerular proteinuria ... diagnosis #glomerular #proteinuria ... #nephrotic #syndrome
Gestational Hypertension & Preeclampsia

Gestational Hypertension (gHTN) 
• BP > 140/90 
• Onset > 20 wks gestation
Onset >= 1 • Proteinuria ... Seizure HELLP Syndrome
Renal Nutcracker Syndrome Pathophysiology
Nutcracker syndrome = compression of the left renal vein between the aorta and
Renal Nutcracker Syndrome ... Pathophysiology Nutcracker syndrome ... pain, orthostatic proteinuria ... Renal #Nutcracker #Syndrome