U05-16267.

Slides:

Advertisements

Similar presentations

These are actual cases to –Stimulate your reading –Test your knowledge of the material Look for the sound icon (usually in the top right portion of.

Advertisements

Hematuria Katie Townes MD, PGY2. Case 8 year old male with episodic hematuria, initially thought to be due to trauma, but persisted for weeks and recurred.

U # month history of being unwell Vasculitic lesions on lower limbs ANCA positive Likely Wegener’s vs MPA.

U # y.o. male ARF Creat 350 RBC casts + Active urine sediment.

Dr. Paula Blanco & Dr. Peter Magner

Immune Complex Nephritis.

Glomerular Diseases Dr. Atapour Differential diagnosis and evaluation of glomerular disease.

Case D 1 Age 37 M HIV for 17 years 1 week history of diarrhoea and fever Abrupt onset of oedema and oliguria Homosexual Teenage drug abuse.

dcss. cs. amedd. army. mil/field/FLIP%20Disk%2041/FLIP

Nephropathology Slide Seminar: Case 2 European Congress of Pathology Anne Raisanen-Sokolowski, MD, PhD Transplantation Laboratory Helsinki University.

U Clinical History ( ): Generalized decline in health since Feburary 2005 including: Wt loss/recurrent ‘Pneumonia’/ arthralgia and joint.

U Lupus.Nephrotic syndrome now. Normal creat.  C3/C4, ANA +, ? Membranous ?antiphospholipid Ab syndrome.

Acute Glomerulonephritis. Definition and Incidence Acute Glomerulonephritis (acute nephritic syndrome) is the sudden onset of: – Haematuria (macroscopic/microscopic)

U y/o man with recent dx of HI +DM. creatinine increasing rapidly in 6 months. ACR low at 5.3, 2+ hematuria x 2-3 years with negative.

Patient developed acute and chronic renal failure in 1999 associated with a renal stone. History, and a diagnosis of chronic pyelonephritis. She was started.

Glomerulonephritis Dr. Abdelaty Shawky Dr. Gehan mohamed.

U # y old female with PMH of mild RA, increased LFT, asthma, atypical chest pain, depression Presented late 2004 with chronic abdo.

U and U # U y.o. male ? Wegener’s.

U # yr old woman with sinusitis,arthritis pulmonary hemorrhage,microscopic hematuria Proteinuria 2.5g/day (+) pANCA,Cr 127 ANA(+). Anti.

U # y.o. male with increased proteinuria, arthralgia and lower limb petechial rash. Hypertension ? Renal vasculitis ? Henoch-Schönlein.

U # ↑ SG 300. Proteinuria, Vasculitis rash. Native (L) Kidney.

Sulen Sarioglu, Mehtat Unlu, Mustafa Sakar, Taner Camsari, Mehmet Turkmen, Hulya Ellidokuz Departments of Pathology, Biomedical Technology, Nephrology,

U yo African female student (here since 2001) Medical exam for Immigration notable for protein-uria and Hematuria. Serum Creatinine 81umol/L.

U # Severe nephrotic syndrome with rising creatinine.

U # Creat 250 Nephritic urine ? Crescentic GN.

U # y.o. F New diagnosis of lupus Normal creatinine.

U # y.o. female with pneumonia  creatinine proteinuria very low C3, C4.

U DM with microhematuria. U yr married female,mother of two children, referred to the Renal clinic by family physician on january.

66 F PMH: HTN, Gout, DVT (Feb/06 and ? Sep/06) PMH: Heterozygous for Prothrombin mutation. FOCAL PROLIFERATIVE IMMUNE COMPLEX GN (toward chronic GN) 

Laboratory Handling of the Renal Biopsy Dr. Issam Francis Kuwait 4 th SSN Annual International Conference, Riyadh, April 2009.

U # year-old, born in India, has lived in Canada since Initially presented Feb 2003 with a Cr of ~ 300 (212 Sep 2002, 122 Dec.

U #009N Recurrent edema with most recent episode proteinuria with creat > 300.

U y old female with PMH of mild RA, increased LFT, asthma, atypical chest pain, depression Presented late 2004 with chronic abdo pain, had.

U # yo Nigerian Canadian, born in Toronto HPI Presented with a several day history of intractable N&V, bilateral flank pain, fever and.

54 year old man with 7 grams/day proteinuria Microscopic hematuria and serum creatinine nearly 130. He is HCV positive and had received liver transplant.

Membranous nephropathy Secondary causes: Epithelial malignancies, SLE, drugs (penicillamine), infections (Hep B, syphilis, malaria), metabolic (diabetes,

U # ATN 1 year ago with recovery but now proteinuria with DM ?other diagnoses.

U # Proteinuria. 52 year old female followed for dextrocardia and Tetralogy of Fallot complicated by pulmonary hypertension and right.

U # Healthy young male 28 Y came in with bilateral flank pain Creat 155 went up to 286 Received solumedrol 1 gm last night Today’s creat.

U # Cad Tx 15 years ago Recent  creatinine with mild proteinuria No RAS.

U # IgG- strong coarsely granular capillary loop staining,mild to moderate granular peritubular staining IgA- moderate mesangial staining.

U Chronic renal failure secondary to ? Hepatitis C.

U # Kidney-pancreas transplant several years ago. Recent increase in creatinine with some proteinuria. Pancreas working well.

65 year old female with a h/o familial Mediterranean fever, diabetes, proteinuria (2.7 g), hematuria (20-30rbc’s) – no rbc casts on urinanalysis. Labs.

U #EGH No clinical information. 68 YOM Was sent from Norwood for evaluation of Acute Renal Failure and worsening extremities edema. His.

U Clinical History A 53 year old man who had very little or no medical care in the past, presents to ER with the only complaint of insomnia.

U # Chronic renal failure – secondary to IgA nephropathy. Deceased donor kidney transplant – August Complicated by delayed graft.

Quick Insights on Some Viral Issues Dr. Haya Al-Tawalah Clinical Virologist.

AOA NEPHROLOGY REVIEW March 18, A 29 year old woman is being evaluated to find the cause of her urine turning a dark brown color after a recent.

목차 Vasculitis syndrome – 개념 – 언제 의심하는가 ? P-ANCA associated vasculitis –MPA Renal involvement ANCA associated GN with IgA deposit Hypothyroid myopathy.

U History is that of a 12 y/o male presenting with a few day history of vomiting, facial swelling, fatigue and oliguria. Hypertensive only at.

U Clinical History ID - 94 yo M PMHx – remote IHD with CABG in HTN. Active and living independently prior to presentation Sept 22/05 at.

U # LRD kid tx March/99 Original Dis IgA.

Nephrology Pathology Rounds Oct 21/05

53 yo female referred for elevated SCr (178 mmol/l, 28 ml/min) and change in symptoms….? connective tissue disease Dx of hypocomplementemic urticarial.

U # y.o. male Hemoptysis, pulmonary haemorrhage

NEFROLOGISK KLINIK P, RIGSHOSPITALET

U # /121 Cad Tx 14/05/2004 Creatinine early December US normal.

U # year old female Artheritis with increased creatinine, proteinuria, hematuria. ? Lupus.

Glomerular pathology in systemic disease

Hatem Elabd, Rushi Nayak, Tarek Rashid, M. Barry Stokes

ایستگاه 2 برای بیماری با سابقه یبوست مزمن رادیوگرافی در روز پنجم بعد از خوردن Marker گرفته شده است لطفا“ آن را تفسیر کنید.

Primary biliary cirrhosis, AMA negative

IgA Nephropathy Southwest Nephrology Symposium February 24th 2018.

Nephrology cases Dr . Hayam Hebah.

Nephritic syndrome.

Volume 88, Issue 4, Pages (October 2015)

Quiz page: February 2002 American Journal of Kidney Diseases

56-Year-Old Man With Rash, Abdominal Pain, and Arthralgias

Presentation transcript:

U05-16267

Clinical History Mr. N S-T 18 year old male presented with one to two month history of general malaise and a more recent onset of nasal congestion, red eyes joint and muscle pain. Seen by GP; Creatinine = 380 .... Urgent referral.

Clinical History ARF Creat = 350 Active urine sediment with red cell casts Episclerittis/uveitis Joint pains ?RPGN ?SLE – serology pending

BIOPSY

Immunofluorescence IgG – Negative IgA – Negative IgM – Negative C3 – Mild mesangial C1q – Negative Kappa – Negative Lambda – Negative Fibrinogen – Negative Albumin – Mild hyaline droplet change in tubular cytoplasm

C3

Albumin

EM

Diagnosis: Concentric and Necrotizing Glomerulonephritis of pauci-immune character