Glomerulonefritis

EDITH ENCARNACIÓN RAMIREZ PEDIATRA-HN2M GLOMERULONEFRITIS AGUDA

DEFINICIÓN ,[object Object],[object Object],[object Object]

GN. Aguda ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GLOMERULONEFRITIS AGUDA POSTESTREPTOCOCCICA ,[object Object],[object Object],[object Object]

GLOMERULONEFRITIS AGUDA POSTESTREPTOCOCCICA ,[object Object],[object Object],[object Object],[object Object]

GNPE. ,[object Object],[object Object],[object Object],[object Object],[object Object]

ANTIGENOS ESTREPTOCOCO BETA HEMOLITICO DEL GRUPO A TIPOS M NEFRITOGENICOS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

INFECCIONES VIRALES QUE PRECEDEN GNA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

INFECCIONES PARASITARIAS QUE PRECEDEN GNA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GLOMERULONEFRITIS AGUDA POR SHUNT ,[object Object],[object Object],[object Object],[object Object]

PATOGENIA INMUNOLOGICA GNA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EDEMA EN GNA FISIOPATOGENIA ,[object Object],[object Object],[object Object],[object Object],[object Object]

Fisiopatología del edema nefrítico Daño glomerular inmunológico (Activación del complemento, exudación de leucocitos, proliferación celular) ,[object Object],[object Object],Reabsorción distal de Na Retención de agua y Na  Volumen del LEC (congestión vascular) Hematuria Proteinuria Edema HTA Ingesta de sal

Glomerulonefritis aguda (GNAPE) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MANIFESTACIONES CLÍNICAS GLOMERULONERITIS AGUDA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MANIFESTACIONES CLÍNICAS GLOMERULONEFRITIS AGUDA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Glomerulonefritis aguda (GNAPE) DIAGNOSTICO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

LABORATORIO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

LABORATORIO ,[object Object],[object Object],[object Object],[object Object]

ANTIESTREPTOLISINAS EN GLOMERULONEFRITIS AGUDA ,[object Object],[object Object],[object Object],[object Object]

GNAPE - Diagnóstico diferencial ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GLOMERULONERITIS POSTESTREPTOCOCCICA DIAGNOSTICO DIFERENCIAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GNAPE - Tratamiento Hospitalización Gravedad variable Edema significativo, HTA, oliguria Medidas generales Reposo (HTA, edema moderado/grave) Edema Líquidos v.o. = 40-50 ml/100 kcal Dieta hiposódica Diurético = furosemida 0,5-2,0 mg/kg/día HTA moderada / grave Nifedipino, amlodipino /  -bloqueante Nitroprusiato Antibiótico Penicilina v.o. (10 días) Oliguria grave / Anuria Diálisis peritoneal / hemodiálisis

TRATAMIENTO GLOMERULONEFRITIS AGUDA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TRATAMIENTO GLOMERULONEFRTIS AGUDA ,[object Object],[object Object],[object Object],[object Object],[object Object]

GNAPE - Curso evolutivo Pronóstico favorable, curación completa (> 90 %) 4 semanas 2 meses 6 meses 1 año 2 años

GLOMERULONEFRITIS AGUDA COMPLICACIONES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GLOMERULONEFRITIS AGUDA INDICACIONES DE BIOPSIA RENAL ,[object Object],[object Object],[object Object],[object Object]

GLOMERULONEFRITIS AGUDA PRONOSTICO ,[object Object],[object Object]

Glomerulonefritis

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Glomerulonefritis