肾炎肾病幻灯ppt课件.pptVIP

Nice to meet you;Acute Glomerulonephritis;Acute Glomerulonephritis;Definition;Definition;; Etiology;Pathogenesis ;streptococcal antigen;Pathology;Clinical features;Nonspecific symptoms and signs tiredness headache appetite slightly fever vomiting… the sign of infection ;Classical manifestation(1);Classical manifestation(2);;Classical manifestation(3);Classical manifestation(4);Severe case (1);Severe case(2);Severe case(3);Non- Classical manifestation(1) ;Non- Classical manifestation(2);Non- Classical manifestation(3);Laboratory findings (1);erythrocyte sedimentation rate : antistreptolysin O(ASO): pharyngitis 10~14 days of phase reach the hightest titer in 3~5weeks, return to nomal in 3~6 month antideoxyribonuclease B(+): pyoderma ;complement : return to normal 8 weeks circulationg immune complexes: (+) BUN,Cr : correlate with disease activity ;Diagnosis;Differential diagnosis(1) ;Differential diagnosis(2);Differential diagnosis(3);Differential diagnosis(4);Differential diagnosis(5);Treatment ;General treatment ;Appropriate antibiotic therapy; Other treatment;Treatment of severe cases(1) ;Hypertensive encephalopathy : sodium nitroprusside control convulsion Acute renal failure : comprehensive therapy ;Prognosis and prevention;Nephrotic Syndrome;Definition(NS);may occur as a result of any form of glomerular disease may be associated with a variety of extrarenal conditions according to etiology: primary NS: simple and nephritic type NS secondary NS congenital NS ;usually affects pre-school children the most common age : 3~5 years male/female≈3.7/1 most common form of nephropathy;racial and genomic and enviromental background: nephrin--NPHS1,podocin… steroid responsive NS: associate with HLA-DR7 frequently relapse: correlate with HLA-DR9 steroid resistant NS: NPHS2 ;Etiology and Pathogenesis ;;Physiopathology ;Hypoproteinem