par R G Il y a 15 années
1152
Plus de détails
E.coli (Hemorrhagic)
Hamburger
Some develop CRF
Thrombocytopenia
Uremia
Hemolysis
This is possible
Prognosis is bad
Toxemia of pregnancy
Abruptio placentae
Bactermia
30% have severe ARF
Edema, hemorrhage, parenchymal necrosis
Vascular
Micro: endovasculitis
Edema, renal function normal after steroids
Cellular (interstitial)
Cyanotic, soft
Pre-existing Ab to HLA/ABO Ag
Tubulointerstitial nephritis (TIN)
aka
Acute interstitial nephritis
aka
Drug-induced ____
Allergic ___
Rapid Review:
LSE
Pb poisoning
Urate nephropathy
Multiple myeloma
Antibiotics
Sulfonamide
Penicillin
Diuretics
NSAIDs
Most important
Most common
Prognosis
Rx:
Peritoneal
Hemo-
Organic compounds
CCL4
Heavy Metals
Arsenic
Mercuric chloride
Aminoglycoside
Gentamicin
Reduced renal perfusion
Leads to prerenal azotemia --> hence, elevated BUN & Cr
Renal vasoconstriction
Shock
Hypovolemia
Oliguria 50%
Cr
BUN
NO DIFFUSE NECROSIS of tubular epithelial cells
Cortex pale, medulla dark
Cortex bulging out of capsule
Swollen