Need desperate help with this clinical question regarding glomerulonephritis please?
Scenario clinical question:
A 6-year-old boy is diagnosed with glomerulonephritis secondary to a streptococcal throat infection. He had been diagnosed with nephrotic syndrome several months ago. At this time the following manifestations are noted: a decrease in urine output, increasing lethargy, hyperventilation, and generalized edema. Trace amounts of protein are detected in his urine. Blood analysis reveals the following: pH = 7.30, HCO3- = 18 mEq/L, hematocrit (Hct) = 29%, Na = 132 mEq/L, K = 5.6 mEq/L, blood urea nitrogen (BUN) = 62 mg/dL, creatinine = 4.1 mg/dL, albumin = 2 g/dL.
Interpret his laboratory values. Which are significant, and why?
Is he progressing to uremia? How can you tell?
Please, I really need help with this and am struggling to find answers. Thank you
is IGA (Glomerulonephritis) is curable? what are its remedies?
Treatment of acute glomerulonephritis and chronic forms of glomerulonephritis, and the complex includes:
1) the regime of exercise, bed rest in the active stage of disease (2-3 weeks) and its restriction during the period of remission; (+ info
what is glomerulonephritis and it's cause?
Glomerulonephritis is a kidney disease in which the kidneys' filters become inflamed and scarred, and slowly lose their ability to remove wastes and excess water from the blood to make urine. Kidney disease of diabetes, IgA nephropathy, and lupus nephritis are some types of glomerulonephritis.
The kidneys can be severely damaged before any symptoms appear.
Evidence of glomerulonephritis may include:
high blood pressure
noticeable swelling of the face, hands, feet, and ankles
blood and protein in the urine
Streptococcal infection - for post-streptococcal glomerulonephritis
Streptococcal skin infection
Certain blood disorders (+ info
precipitating factors of glomerulonephritis?
There is a lot to read about glomerulonephritis and the precipitating factors can vary from one person to another. You can go to your search bar and simply type in "glomerulonephritis" and read through the listed sites. You can also do a search on "treatment for glomerulonephritis", and "alternative treatment for glomerulonephritis". Do your research. The more you know the better choices you can make in regards to your health.
Good Luck! (+ info
relation between acute glomerulonephritis&C3 compliment?
Glomerulonephritis (Doctors & Nurses)?
I know it's renal failure caused from strep.
I want to know how the bacteria reaches the kidneys though.
If anyone can tell me that would be great.
I've had this before.
Its usually caused by a certain type of strep germ getting into the bloodstream through a skin or throat infection. It can also be caused by an autoimmune disease such as lupus. It is the inflammatory response that damages the kidneys and can cause the kidneys to fail. Sometimes it is acute and sometimes it is a chronic process. If it's acute, you get the symptoms very suddenly. If chonic they occur more slowly over a period of time.
http://www.mayoclinic.com/health/glomerulonephritis/ds00503 (+ info
Is mesangio-capillary glomerulonephritis hereditary?
A girl asked this question here:
Not purely, but HAO is characterized by an inherited defect of complement-deficiency of C1 esterase. MCGN is often associated with another complement abnormality which leads to depression of serum C3 and there is some evidence that the complement abnormality precedes the nephritis. The coincidence of these two rare diseases in the present patient, and in one previously described, suggests that other complement abnormalities may predispose to the development of MCGN. (+ info
Glomerulonephritis patient with 39.5degree fever...?
A 59 year old man with 14 year history of focal segmental glomerulosclerosis. U-albumin 2-5g/day at last checkup, GFR OK at last checkup. Hypercholesterolaemia. BMI 33 kg/m2. Smoker.
High dose Felodipin, metoprolol and irbesartan, but still high BP at regular checkups.
Recently (2 weeks ago) returned from holiday in Turkey
Vomited 3 days ago, since then no more vomit, but fever and general aches. Feels tired, worn out. Slight cough, some throat soreness.
Presents today for tiredness...
Lungs sound fine
Cardiac sounds faint, no murmurs
No flank pain, no other pain
Normal abdominal sounds
And that's all I've got!
I'm thinking possible ANF, possible sepsis with a hidden pressure drop (maybe he's normally over 200 - I don't know!), possibly a malignancy...
Any pointers gratefully received!
Have you considered intravenous bisphosphonates? Or a referral to a Kidney specialist? (+ info
Do they have wishes for adults in California?
My nephew has a kidney disease he has dialysis 3 times a week and needs a transplant. He moved to Oregon with all his musical instruments then got sick there and had to come back to California by bus ill and all. Unfortunately all his equipment that he loves is still in Oregon. Is there a foundation that would travel to pick up his equipment. This would make him very happy. Note: I just lost a sister who died from complications of Glomerulonephritis- which is a different form of kidney disease. Please someone help me make my nephew happy again, he is very depressed.
This question was asked before and the answer was that the Make-a-wish foundation was age indiscriminate. The majority of cases are children, but adults can be applied for as well. (+ info
quick ? on glomerulonephritis?
My nephew who is 10 y/o has had strep throat....not sure when the infection hit, but he started having small amounts of blood in his urine yesterday, so far this is not linked to anything else, just the recent strep infection. My ? is, i learned in nursing school that this can be a pretty bad complication and the dr is acting as if all is ok, he was given Keflex twice a day for 14 days and told to just rest.....i just scares me b/c he is a child ya know?? Also, i was thinking it may be better for him to take motrin for his fever, as tylenol can do more damage during the filtering process, what does everyone think about this???
pj, i am not diputing the dr, he is great, however i worry about everything MORESO when it comes to children!
as far as iknow, his bp and all were ok, again i am not disputing the dr...i just remember the instructor going over this with us and it seemed to me like it would be more of a big deal? I just worry, thats all......
Yea, I can see you concern. I would definitely question the physician if the hematuria persists. Although children are more less likely to suffer long-term effects of post-strep glomerulonephritis it would be wise of the MD to monitor him. I would at least ask him/her to do a UA and BMP. One to confirm the hematuria and proteinuria, also to make sure his BUN/Creat are not becoming elevated. The hematuria usually becomes evident between 1-2 weeks post infection. I'd keep a close eye on him to make sure he doesn't develop any more symptoms of it. Tylenol and motrin are more or less filtered by you liver. Motrin metabolites are excrited in higher concentrations than tylenol.
Hope he gets better, I use to have Strep A infections all the time when I was a kid - it was horrible, glad I grew out of it. (+ info
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