mash
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Which is a common finding in acute glomerulonephritis?
A. Pulmonary congestion due to volume expansion
B. Hypovolemia due to tubular dysfunction
C. Uniformly progresses to chronic renal failure if untreated
D. Urine showing leukocytes and eosinophils
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| mdwannabe
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Urine will show casts with Leucs and Eoisins, so not D
Hypertension, so not B
Some patients recover with out intervention, so not C
Hence A is the correct answer, :-) although I have not heard of such presentation.
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| Sakaki-
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I think that D is the answer. White blood cells should be seen in the urine. Pulmonary congestion just sounds a bit "out of the park" for me.
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| asmi
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:oops: oops , thanks mash and mdwannabe for correcting me.
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| mjl1717
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except for post streptococcal GN at least 40-50% progess to chronic renal failure without treatment
[nice loaded q.]
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| mdwannabe
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anything above ureters...gotta show casts!
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| mash
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Pulmonary congestion due to fluid overload is a common finding in acute glomerulonephritis, which can resolve spontaneously as in postinfectious GN or lead to chronic renal failure as in lupus nephritis.
Urinary findings consists of hematuria, red cell casts, and proteinuria. Leukocytes and eosinophils are seen in tubulointerstitial nephritis.
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| mdwannabe
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let us recap again...
Free cells should have appeared and GN, because they should be in casts
Hyptension (hypovolemia) won't happened because Hypertension is the key finding defferentiation nephrosis from nephritis
GN does not UNIFORMLY progress to CRF, big chunk of pts will recover on their own
Pulm Hyper may occur as a result of HTN and flud overload.
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| rida
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So whats the answer mash? is it D??
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| mash
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its A) pulmonary congestion due to fluid overload
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| mjl1717
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That word "Uniformly" got me ,if the q had said may progress or could progress to chronic renal failure it would be different. [MY mistake the word uniformly is an absolute term] Also as stated above I automatically think of RBC casts and possibly HTN when I here the word glomerulonephritis.
Also the word cast can mean RBC cast or WBC cast
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| mdwannabe
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Please read questions as well as possible... thats the key!
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