Glomerulonephritis

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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
    • GAS infection (throat, skin) is most common antecedent cause
    • IgA neprhopathy (Berger disease)
    • HSP, SLE, polyarteritis, HUS

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

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