Table of Contents
What is the definitive test for acute glomerulonephritis?
How is glomerulonephritis diagnosed? If your doctor suspects that you have glomerulonephritis, he or she will order tests that examine the contents of your urine (such a urinalysis or urine microscopy) to see if there is a high concentration of protein or inflammatory cells.
Why does GFR decrease in glomerulonephritis?
The fall in GFR is attributed to reductions in the filtering surface area (and possibly other) components of the glomerular capillary ultrafiltration coefficient (Kf), which can result from reversible mesangial cell (MC) contraction, irreversible structural damage, or a combination of both.
How is GFR affected by glomerulonephritis?
Nearly all forms of acute glomerulonephritis have a tendency to progress to chronic glomerulonephritis. The condition is characterized by irreversible and progressive glomerular and tubulointerstitial fibrosis, ultimately leading to a reduction in the glomerular filtration rate (GFR) and retention of uremic toxins.
How does glomerulonephritis lead to CKD?
Glomerulonephritis inhibits the kidney’s role in regulating blood pressure. Diabetic kidney disease (diabetic nephropathy). High blood sugar levels contribute to scarring of the glomeruli and increase the rate of blood flow through the nephrons. Focal segmental glomerulosclerosis.
What is post strep glomerulonephritis?
On This Page. Post-streptococcal glomerulonephritis (PSGN) is an immunologically-mediated sequela of pharyngitis or skin infections caused by nephritogenic strains of Streptococcus pyogenes, which is also called group A Streptococcus or group A strep.
What are the treatments for peripheral systemic glomerulonephritis?
Treatment of PSGN focuses on managing hypertension and edema. Additionally, patients should receive penicillin (preferably penicillin G benzathine) to eradicate the nephritogenic strain. This will prevent spread of the strain to other people. 1
What are the clinical features of acute glomerulonephritis (kidney infection)?
The clinical features of acute glomerulonephritis include: Edema (often pronounced facial and orbital edema, especially on arising in the morning) Hypertension Proteinuria Macroscopic hematuria, with urine appearing dark, reddish-brown Complaints of lethargy, generalized weakness, or anorexia
What is included in the differential diagnoses of acute glomerulonephritis?
The differential diagnosis of PSGN includes other infectious and non-infectious causes of acute glomerulonephritis. Clinical history and findings with evidence of a preceding group A strep infection should inform a PSGN diagnosis. Evidence of preceding group A strep infection can include 1