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Difference between revisions of "Medical kidney diseases"
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→Clinical DDx: more
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=Clinical DDx= | =Clinical DDx= | ||
==Renal failure 101== | |||
*Prerenal. | |||
**Shock - cardiogenic, hypovolemic, neurogenic, septic, anaphylatic. | |||
*Renal. | |||
**What this article deals with. | |||
*Postrenal. | |||
**Outflow obstruction, e.g. [[prostatic nodular hyperplasia]] ([[AKA]] BPH). | |||
==Renal causes== | |||
*Isolated hematuria. | |||
*Isolated proteinuria. | |||
*Nephrotic syndrome. | |||
*Nephritis syndrome. | |||
*Rapidly progressive glomerulonephritis. | |||
*Chronic renal failure. | |||
*A combination of any of the above. | |||
The clinical presentations suggest a pathologic DDx.<ref>URL: [http://www.emedicine.com/med/topic886.htm http://www.emedicine.com/med/topic886.htm] and [http://www.emedicine.com/ped/topic1564.htm http://www.emedicine.com/ped/topic1564.htm]. Accessed on: 8 November 2010.</ref> | The clinical presentations suggest a pathologic DDx.<ref>URL: [http://www.emedicine.com/med/topic886.htm http://www.emedicine.com/med/topic886.htm] and [http://www.emedicine.com/ped/topic1564.htm http://www.emedicine.com/ped/topic1564.htm]. Accessed on: 8 November 2010.</ref> | ||
===Nephritic=== | ===Isolated hematuria=== | ||
*[[IgA nephropathy]]. | |||
*[[Alport syndrome]]. | |||
*[[Thin glomerular basement membrane disease]]. | |||
===Proteinuria=== | |||
*[[Diabetic nephropathy]]. | |||
*Classic causes of nephrotic syndrome: | |||
**[[FSGS]]. | |||
**[[MCD]]. | |||
**[[MN]]. | |||
*Paraprotein-related: | |||
**[[Renal amyloidosis]]. | |||
**Monoclonal immunoglobulin deposition disease (MIDD). | |||
*Weird stuff: | |||
**[[Fibrillary glomerulopathy]]. | |||
**[[Immunotactoid glomerulopathy]].<ref>{{Cite journal | last1 = Korbet | first1 = SM. | last2 = Schwartz | first2 = MM. | last3 = Lewis | first3 = EJ. | title = Immunotactoid glomerulopathy. | journal = Am J Kidney Dis | volume = 17 | issue = 3 | pages = 247-57 | month = Mar | year = 1991 | doi = | PMID = 1996564 }}</ref> | |||
===Nephritic syndrome=== | |||
Classic: | |||
*Post-infectious glomerulonephritis. | *Post-infectious glomerulonephritis. | ||
**Classically streptococcal. | **Classically streptococcal. | ||
*Crescentic glomerulonephritis ([[AKA]] rapidly progressive glomerulonephritis (RPGN)). | *Crescentic glomerulonephritis ([[AKA]] rapidly progressive glomerulonephritis (RPGN)). | ||
==== | Others: | ||
*[[IgA nephropathy]]. | |||
*[[Lupus nephritis]]. | |||
====Rapidly progressive glomerulonephritis==== | |||
Classification:<ref>URL: [http://bestpractice.bmj.com/best-practice/monograph/207/basics/classification.html http://bestpractice.bmj.com/best-practice/monograph/207/basics/classification.html]. Accessed on: 17 November 2011.</ref> | Classification:<ref>URL: [http://bestpractice.bmj.com/best-practice/monograph/207/basics/classification.html http://bestpractice.bmj.com/best-practice/monograph/207/basics/classification.html]. Accessed on: 17 November 2011.</ref> | ||
#Linear immune deposits. | #Linear immune deposits. | ||
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#**[[Microscopic polyangiitis]]. | #**[[Microscopic polyangiitis]]. | ||
===Nephrotic=== | ===Nephrotic syndrome=== | ||
*Minimal segmental disease (MSD) - [[AKA]] ''minimal change disease'' (MCD). | *Minimal segmental disease (MSD) - [[AKA]] ''minimal change disease'' (MCD). | ||
*[[Focal segmental glomerulosclerosis]] (FSGS). | *[[Focal segmental glomerulosclerosis]] (FSGS). | ||