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Nephrotic vs Nephritic Syndrome
Pathology
What’s Happening ?
Nephrotic
• Changes to glomerulus
leaking of massive proteins
Nephritic
• Inflammation of glomerulus
= leaking of RBCs and
Protein (mild)
Main Cause
Nephrotic
• Unknown = Change to
glomeruli.
• Minimal change disease.
• Other diseases: Lupus,
diabetes, HF etc.
Nephritic
• Post streptococcal infection
• 14 days after infection of
throat and skin.
• Immune system create
antigen-antibody complex
that inflame glomerulus.
Nephrotic Nephritic
Clinical manifestations of Nephrotic Syndrome
Triad
Hypoalbuminia
Massive
proteinuria
Generalized
edema
Clinical manifestations of Nephritic Syndrome
Triad
Hematuria
Generalized
edema
Hypertension
Disorders manifested by nephrotic syndrome
Disorders manifested by nephritic syndrome
Lets Assay
• Which of the following conditions most commonly
causes acute glomerulonephritis ?
a) A congenital condition leading to renal dysfunction.
b) Prior infection with group A Streptococcus within
the past 10-14 days.
c) Viral infection of the glomeruli.
d) Nephrotic syndrome.
• Which of the following characteristics is used to
define a nephritic syndrome?
a) Red Blood Cell casts in urine with a decreased BUN
and creatinine
b) Polyuria and hypotension
c) Fatty casts in urine
d) Protein in the urine (under 3.5 grams per day)
The End

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Nephrotic vs nephritic.pptx

  • 1. Nephrotic vs Nephritic Syndrome Pathology
  • 2. What’s Happening ? Nephrotic • Changes to glomerulus leaking of massive proteins Nephritic • Inflammation of glomerulus = leaking of RBCs and Protein (mild)
  • 3. Main Cause Nephrotic • Unknown = Change to glomeruli. • Minimal change disease. • Other diseases: Lupus, diabetes, HF etc. Nephritic • Post streptococcal infection • 14 days after infection of throat and skin. • Immune system create antigen-antibody complex that inflame glomerulus.
  • 5. Clinical manifestations of Nephrotic Syndrome Triad Hypoalbuminia Massive proteinuria Generalized edema
  • 6. Clinical manifestations of Nephritic Syndrome Triad Hematuria Generalized edema Hypertension
  • 7. Disorders manifested by nephrotic syndrome
  • 8. Disorders manifested by nephritic syndrome
  • 9.
  • 11. • Which of the following conditions most commonly causes acute glomerulonephritis ? a) A congenital condition leading to renal dysfunction. b) Prior infection with group A Streptococcus within the past 10-14 days. c) Viral infection of the glomeruli. d) Nephrotic syndrome.
  • 12. • Which of the following characteristics is used to define a nephritic syndrome? a) Red Blood Cell casts in urine with a decreased BUN and creatinine b) Polyuria and hypotension c) Fatty casts in urine d) Protein in the urine (under 3.5 grams per day)