- 1、本文档共109页,可阅读全部内容。
- 2、原创力文档(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。
- 3、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载。
- 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
查看更多
Clinical manifestations and laboratory findings Commonly seen in adults, a male predominance. Generally occur indolently. Some patients present as acute nephritic symdrome with prodromal infection. Clinical presentations Proteinuria: A.1~3g/d. B.Glomerular proteinuria Hematuria: A.Glomerular hematuria B.Mainly in patients with proliferative or focal histologic alterations→ it can be macroscopic hematuria Clinical presentations Edema Hypertension Renal insufficiency Chronic progression of the disease is associated with: Histologic type Therapy condition. The exist of worsening factors: tiredness, infection, uncontrolled hypertension, nephrotoxic drugs. Diagnosis and differential diagnosis Diagnosis: Clinical manifestation: proteinuia, hematuria, edema, hypertension, renal insufficiency. Secondary and hereditary glomerulonephritis should be excluded. 2. Differential diagnosis Secondary GN: lupus nephritis, anaphylactoid purprua. Alport syndrome commonly seen in children( 10ys)abnormality of renal, eyes and ears exist simultaneously. A positive family history is found. Other primary glomerulonephritis Acute GN post infection: mainly seen in children prodromal symptom: 1-3 weeks before hematuria: almost 100% serum C3 , yet recover to normal level within 8 weeks. Other primary glomerulonephritis Acute GN post infection: histologic lesions: endocapillary proliferative GN favorable prognosis in children, but adults are more prone to chronic renal insufficiency. Renal damage caused by primary hypertension renal damage is seen after a long term of hypertension. tubular dysfunction occur earlier than glomerular dysfunction. Renal damage caused by primary hypertension other target organs such as heart, brain are also affected. anemia is generally not as severe as that in primary GN. Treatment The main objective: ret
您可能关注的文档
最近下载
- 金刚砂耐磨地坪施工工艺及技术要求.docx
- SD 149-1985 应力混凝土电杆制造工艺规程(离心成型).pdf VIP
- 抖音以考代罚考试题.docx
- 2022年人教生物《分析人类活动对生态环境的影响》公开课教案.doc VIP
- 信号安全数据网简介.-化文哲.pdf
- 广西丹宝利酵母有限公司每年生产折合干酵母30000吨项目新增喷雾干燥系统工程环境影响评价报告全本.pdf
- Hasselblad哈苏相机X2D 100C User Manual - Simplified Chinese用户手册说明书(中文版).pdf
- 设计导则-酒店-万达-2013年1月万达酒店设计导则(第一册:建筑设计).pdf
- 石油社《城市轨道交通车辆构造》教学课件-NO2.ppt VIP
- 高边坡专项施工方案全套.docx VIP
文档评论(0)