GNAPS

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Diagnosis of acute post streptococcal glomerulonephritis

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Transcript of GNAPS

Glomerulonephritis test and diagnosis

Diagnosis of acute post streptococcal glomerulonephritis Glomerulonephritis diagnosis Glomerulonephritis : often only diagnosed after a routine medical check-up or finding red-colored because the symptoms may not be obvious.Mild: asymptomatic isolated hematuria or proteinuria 30mg/day correspond to a detection level within the "trace" to "1+" range of a urine dipstick protein assay. Therefore, positive indication of any protein detected on a urine dipstick assay obviates any need to perform a urine microalbumin test as the upper limit for microalbuminuria has already been exceeded.[16]Associated conditions[edit]Proteinuria may be a sign of renal (kidney) damage. Since serum proteins are readily reabsorbed from urine, the presence of excess protein indicates either an insufficiency of absorption or impaired filtration. Diabetics may suffer from damaged nephrons and develop proteinuria. The most common cause of proteinuria is diabetes, and in any person with proteinuria and diabetes, the etiology of the underlying proteinuria should be separated into two categories: diabetic proteinuria versus the field.With severe proteinuria, general hypoproteinemia can develop which results in diminished oncotic pressure. Symptoms of diminished oncotic pressure may include ascites, edema and hydrothorax.10Laboratory diagnosisBlood testsUrea and creatinine serum C3 Normocytic normochromic anemiaSerologic tests : Throat swab ASTO, antisterptozim

Other examinationImaging testsUSG renal enlargement

MicroscopyElectron microscopy subepithelial hump-like dense deposits Endothelial cell proliferationKidney biopsy

Electron microscopy

subepithelial hump-like dense deposits were found under epithelial cells12Kidney biopsy Renal biopsy results suggested endocapillary proliferative glomerulonephritis Needle biopsyOpen biopsy

Results of kidney biospyWORKING DIAGNOSIS:

Acute post-streptococcal glomerulonephritis