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WorksheetsHouseman teaching (nephrotic/nephritic)
Total questions: 16
Worksheet time: 8mins
criteria to diagnose nephrotic syndrome includes :-
Hypercholesterolaemia
Proteinuria 40mg/m2/hour (>1g/m2/day)
Hypertension
oedema
Hypoalbuminaemia <25g/L
Complications of nephrotic syndrome are:-
Thrombosis
Hypovolaemia
Spontaneous bacterial peritonitis
hypertensive crisis
Which of the following are TRUE DEFINITION :- (can tick more than 1)
Relapses: urine albumin excretion >40mg/m2/hour or urine dipstix of >=2+ for 3 consecutive days
Remission: urine protein less than 1+ /trace
Frequent relapse : more than 4 relapses in 6months
Steroid response : achieve remission within initial 4weeks of steroid
Steroid resistant : failure to achieve remission after 4weeks of steroid
Which are the following are TRUE regarding treatment of FIRST episode of nephrotic syndrome?
(can tick more than 1)
Restrict fluid 400ml/m2/day
Start prednisolone 60mg/m2/day until remission,then 40mg/m2/EOD for 4weeks,then stop
Cyclophosphamide 2-3mg/kg/day
Penicillin V (dose according to age)
No added salt in diet
scenario: Amir is 9 years old boy,who is a known case of nephrotic syndrome since January 2018. He had 6 relapse in 2018 since diagnosis. each time he had relapse,he was reinduced with prednisolone and achieve remission in 1 week.What is the CORRECT DIAGNOSIS for Amir?
steroid dependant nephrotic syndrome
frequent relapse nephrotic syndrome
Steroid responsive nephrotic syndrome.
None of the above
Below are the side effects of steroids:- (can tick more than 1)
Excessive cough
Cataract
Growth retardation
Cushing syndrome
Scenario 2:- Dina is a 10years old girl, who is a frequent relapse nephrotic syndrome. she has been on steroid since she was 6years old. She had 12 relapses so far.During the 12th relapse,she complained of blurring of vision,and was diagnosed as cataract.
what is the appropriate management for her?
reduce steroid to lose dose
Stop steroid, and trial of cyclophosphamide.
Stop everything
Do Renal biopsy
Which of the following are criteria to diagnose nepritic syndrome?
(can be tick more than 1)
Hypertension
Haematuria
Proteinuria
Oedema
Hypercholesterolemia
The most common cause of acute nephritis is (choose 1)
SLE nephritis
IgA nephropathy
Post streptococcus acute glomerulonephritis
HSP nephritis
below are the investigations for diagnosis of NEPHRITIC SYNDROME:- (can tick more than 1)
Urine protein creatinine ratio
C3,C4
ASOT
UFEME to look for red cell cast and haematuria
Low albumin
below are the complications of nephritic syndrome/acute nephritis:-(can tick more than 1)
Hypertensive seizure
Acute renal failure
thrombosis
Acute pulmonary oedema
Hypovolaemia
below are the management of nepritic syndrome:-
Start antihypertensive agent if hypertension
Fluid restriction 400ml/m2/day
Salt restriction
Frusemide in pulmonary oedema
Prednisolone
below are indication for renal biopsy: (can tick more than 1)
Steroid sensitive nephrotic syndrome
Steroid resistant nephrotic syndrome
Nephritic syndrome patients who has haematuria more than 3weeks & persistent proteinuria for 6months
Nephritic syndrome patient who has severe acute kidney failure
Persistent hypertension
Importance of differentiate nephrotic and nephritic syndrome?
(can be tick more than 1)
Treatment are different
Complications are different
Management are the same
Whats your name and which poster are u?
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