Renal

system
.
 QQ.ae#t---n
①
Acute nephritis/ Nephritic syndrome ✓

Post streptococcal glomerulonephritis .

① ✓

③ Anasarca④ D
⑨✓Nephritic syndrome ① ✓
u

Nephrotic syndrome
iepweotie orange proteinuria
D ✓
✓
①
Lab
diagnosis of Acute
glomerulonephritis
✓
Managementof Nephrotic syndrome
.

É eatmeat of BTI
/
Acute
pyelonephritis ②
☒chronic Renal fatinne
✓

Acute Renal Folium ③ ✓

e.

Proteinuria ②A
Hematuria ② it

☒ edema ② VD
?⃝
?⃝
Acute
-
GDomerutonephritisfntepwu.tt Syndromes - -
-
@
-
•
①
/ ÷nI÷m÷÷nµ/
-

Haematweia
Definition-_→
④ ⑦ Nephritic syndrome
.

Oliguria
⑦ Etiology
312
Cchngh)
-

fluid retention

G
,

÷
Proteinuria ]
(17-1)
Pathogenesis Das
-

cimgh 6313)

a-EE.int
capillaries
t
swollen , infiltrated by

endothelial
vhf
and
proliferation of
cell
me¥d ¥
I
Tub# flat-Faced
I
-
°

a
belomeuulau capsular epithelium
Progress -

→ obstruct
ProI-E-e-ere-scent-sf.se
Degenareatiothnofees .

⑦ clinical
featimes-3.is#ugn)

=
④
Management
-

/→
→ signs
Cough -7313-3193
Symptoms
.

Antistreptolysino
@④ Aso
- -

Investigations Esri
-
-

✓
r
-

i
-

173
(Dos)
.

www.ninmesengium
,, g.
,
form hump
in sub endothelial
,
when

layer)
deposited
complication -

N④ Non cardiogenic
Acute renal
faliwee
④ Hypertensive encephalopathy
.

,*
Pulinonany oedema
④Ui
secondary infection ;
⑨ bronchitis ,
✓
peritonitis .

④Hypertensive left ventricular failure

✓
asthma)
② Severe Anasarca .

✓④ Oedemagioltisa
④ Differential
D-iagnosis-oon-ngioneuroticoedema.aateaaaipy.am
• Embolicnephritis from
Subacute bacterial
endocarditis .

and
⑧ Course
Prognosis -

319 (cnngn)

informant nephritis →
② Acute Post -

Streptococcal
315-316 faugh) -
③
Haematwua -
② Proteinuria -
②
-
a
-

I
-
.

= ①

{ 1=1
①
-
-
-

=
i
-

.
⇐= :
-

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¥
¥
:
.
.
=
✓
}
-

-
-

I
} Glomerular

ACR
" " ""

-
no
Urine albumin
creatinine ""
(dipstick -
ive -1>-0.581244

y .

④¥f]
- - -

- -

=_
I
=_= ECOII

.-
③ Oede_ma→ =

✓
F- =

%
°

= ✓ ✓
=
Trimethoprimesufhamethonoitole
-

21 days
For
-
12h
( 6018 omg
) every
-

n '

⇐ ciprofloxacin 750mg / 22h -21 day

-

= Ampicillin 1g /every 6h Hay

-

I ✓
I -
-

gentamicin Igt " -

Uday .

ofloseacin
300mg / 12 -21dg
-
-
-
-

=
✓

E-

=-
-

=
-

"

mid pioonolact
+ Metolazoe
⑦
Nephrotic syndrome -
③
-

ctugh symptoms → Das .

* ChronicRenalFaliwie_
s-stagesof-e.ie#
of nephron
Pathogenesis progressivet
loss > 90m ' / min
-
OEFR
.
→
normal / nigh
→ GFR ) 60 89mi / mid
hypertrophy ( wFR=
-

→ mild CKD
compensatory CKD (crFR=
45 -
59hr11min
I → 3. A -

lnqorderate
( be FR=
30-44 /
ml min)
creatinine @ ) though it is
313
serum
-

nephron
loss due to hyper filtration 15-29 ml / )
min
→ Severe GKD ( oeFR=
I → End
Stage Renal 215m11 ) mi

overburden on remaining Disease (GFR

nephrons
t
deteriorate .

I
End Renal Disease
Stage
1
Glomerular
sclerosis .

Fibrosis

hyperfiltration
,
.

t reduce
ACE inhibitor, ARBS
reno
protective

Investigations
-
Normoehromic anemia [ erythropoietin d)
Blood Test -
Normocytic
Hb TLC , DLC
,
"
-0 K+ C) ca ①
' '
Biochemistry -

urea , creatinine ueeicaeid, Poq /

, , acidosis
metabolic
.

Bicarbonate ④
P
(d) ,
→ Lead to

urine
gpoeravity 10W
-

hyaline ,
broad cell casts in CRF

Ecce → 211A
✗
Ray →
cardiomegaly , pleural effusion
.

size reduced
Us be -5
Kidney .

↳ FR → Low
 accumulation of fluid in intenser space
Anasarca -7 generalized
.

ummm
body produced by enp-E-in-mstit.at
palpable swelling on
the
-

9-hud#e → Edema

Edeena-mass-ielgener-Eanasauca.ir
farinose malignancy river
✓
- burns
Fatima
-

Etiology-
-
heart
problem
in
+ venous Trauma ,
renal Fatima =
obstruction
-

lymphatics
- .

✓Elevated
capillary hydraulic pressure
eantfaeinne kidney Pregnant
Pathogenesis g.
,
]

permtÉ
-
trauma ,
ascites)
✓ capillary malignant

✓ Lymphatic obstruction (Malignancy)

syndrome )
,

✓
Hypo albumin
@ mia
(Nephrotic
disease Malnutrition

gg.in#ng,prwdtiSr-highor1-owB.P
.

,
liver
sign.Éns
r-di-pii-tup-ezfi.gr .

heart rate
fast
.

slow or

÷÷÷==
-

and kidneys
.

liver
'

me hike

in limb
← immobility
impÉ
on

of face ,

- Shortness of breath, chest pain } pulmonary

edema .

Diagnosis
-
"

heart liven , kidney function ,

H b Irl .

blood Test
-

,
-

-
CT scan
- Chest cavity .

- Eco cardiogram
test
-
allergy
Treatment
-

condition
- Treat
underlying
- Diuretics ( Furosemide 40mg )
salt intake
-
Reduce
reduce swelling .

← Massage
✓ keep moving to prevent
spiroidaeetone
- .

.de +
→ Furoseem_ sometime]
Liver cirrhosis combination
f- [ Trippe
hypokalemia /+ 1Metolazone→ ulcer
.

Treat the
.

g.FI#iuIry-svenousu9cer
→
 :
Proteinuria
-