Chronic Glomerulonephritis
- Could be due to repeated episodes of acute glomerulonephritis, hypertensive
nephrosclerosis, hyperlipidemia, glomerular sclerosis
- Other causes include SLE, DM
- Kidney size reduce to 1/5th of original size and many scar tissue formed leading to
ESRF.
Chronic Glomerulonephritis/ S&S
- Many are asymptomatic
-? Discovered when patient diagnosed with Hypertension.
-? severe nosebleed, a stroke, or a seizure, swollen feet at night. - Heneral symptoms, such as loss of weight and strength, increasing irritability,
nocturia, Headaches, dizziness, and digestive disturbances.
- Finally, S&S of renal failure.
Medical Management
- Control BP: Na & water restriction, antihypertensive drug
- Monitor weight.
- Diuretics.
- Adequate CHO diet to spare protien
- Treat UTI
-? Dialysis.
Nephrotic Syndrome
- Is a cluster of clinical findings, including:
- Marked increase in protein (particularly albumin) in the urine (proteinuria)
- Decrease in albumin in the blood (hypoalbuminemia)
- Edema (periorbital, ascites, and dependent edema)
- High serum cholesterol and low-density lipoproteins (hyperlipidemia)