Glomerulonephritis: Difference between revisions
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==DDx== | ==DDx== | ||
*Etiology | *Etiology | ||
** | **Poststreptococcal glomerulonephritis | ||
**IgA | **Hemolytic-uremic syndrome | ||
** | **Henoch-Schonlein purpura | ||
**IgA nephropathy | |||
**Lupus | |||
**Alport syndrome | |||
==Work-Up== | ==Work-Up== | ||
Revision as of 04:26, 25 June 2011
Background
- Characterized by hematuria and proteinuria
Diagnosis
- History
- Recent URI or skin infection (strep)
- Rash, arthralgia (HSP, SLE)
- Fever, vomiting, diarrhea (HUS)
- Often a/w HTN
DDx
- Etiology
- Poststreptococcal glomerulonephritis
- Hemolytic-uremic syndrome
- Henoch-Schonlein purpura
- IgA nephropathy
- Lupus
- Alport syndrome
Work-Up
- UA
- Hematuria, proteinuria, RBC casts
- CBC
- Chemistry
- Albumin (often reduced in acute glomerulonephritis)
- C3, C4, ASO
Treatment
Defer to nephrologist
Disposition
Coordinate with nephrologist
Source
Tintinalli