Scribd Logo
Încărcați

Bine ați venit la Scribd!

  • Edema and Proteinuria in Children

    Încărcat de

    Kesava Dass
    139 vizualizări16 pagini
    Edema refers to swelling caused by excess fluid in the interstitial tissue spaces and can be generalized, affecting multiple body parts, or localized to a specific area. Generalized edema may be caused by conditions like nephrotic syndrome, liver failure, or heart failure, while localized edema can result from infection, allergies, or lymphatic obstruction. Proteinuria is excess protein in the urine and hematuria is the presence of red blood cells in urine, both of which can indicate underlying kidney problems.

    Descriere originală:

    edema

    Titlu original

    Edema in Child

    Drepturi de autor

    © © All Rights Reserved

    Formate disponibile

    PPTX, PDF, TXT sau citiți online pe Scribd

    Vi se pare util acest document?

    Este necorespunzător acest conținut?

    Raportați acest document
    Edema refers to swelling caused by excess fluid in the interstitial tissue spaces and can be generalized, affecting multiple body parts, or localized to a specific area. Generalized edema may be caused by conditions like nephrotic syndrome, liver failure, or heart failure, while localized edema can result from infection, allergies, or lymphatic obstruction. Proteinuria is excess protein in the urine and hematuria is the presence of red blood cells in urine, both of which can indicate underlying kidney problems.

    Drepturi de autor:

    © All Rights Reserved
    Descărcați ca PPTX, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    139 vizualizări16 pagini

    Edema and Proteinuria in Children

    Încărcat de

    Kesava Dass
    Edema refers to swelling caused by excess fluid in the interstitial tissue spaces and can be generalized, affecting multiple body parts, or localized to a specific area. Generalized edema may be caused by conditions like nephrotic syndrome, liver failure, or heart failure, while localized edema can result from infection, allergies, or lymphatic obstruction. Proteinuria is excess protein in the urine and hematuria is the presence of red blood cells in urine, both of which can indicate underlying kidney problems.

    Drepturi de autor:

    © All Rights Reserved
    Descărcați ca PPTX, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    din 16

    Edema in Child

    Edema : Increased fluid in the interstitial


    tissue spaces
    Generalized edema : a condition where there
    is swelling, puffiness and water retention in
    various parts of the body (abdomen, arms,
    legs, feet)

    Localized edema : confined to a particular part


    of the body
    Causes of Generalized and Localized
    Edema
    Generalized Localized

    Nephrotic Allergic
    Syndrome Infection
    Liver failure Lymphatic
    Congestive obstruction
    heart failure (Filariasis)
    A. Periorbital edema in Nephrotic syndrome (Puffiness in morning)
    B. Ascites in Liver cirrhosis
    C. Pitting pedal edema in Congestive heart failure
    D. Unilateral edema of lymphedema
    How to differentiate generalized
    edema and localized edema?
    Generalized edema
    Pitting
    Onset : gradually
    Need longer time to subside

    Localized edema
    Non-pitting
    Onset : sudden
    Less time to subside
    Proteinuria
    Definition:

    In children is defined as protein greater


    than 40mg/m/hour
    Causes of proteinuria

    Orthostatic proteinuria
    Glomerular abnormalities
    (glomerulonephritis, min. change
    disease)
    Increased glomerular filtration
    pressure
    Hypertension
    Tubular proteinuria
    Types of proteinuria

    Transient

    Postural (orthostatic)

    Glomerular

    Tubular
    Transient proteinuria
    During febrile illness/after exercise and does
    not require investigation
    Proteinuria usually mild U Pr/Cr <1, resolves
    within few days
    Not indicate renal disease
    Postural (orthostatic) proteinuria
    Normal excretion while recumbent
    Common in adolescent, tall, thin individual
    Diagnosed by measuring the urine protein/
    creatinine ratio in a series of early morning
    urine specimen
    Tubular proteinuria
    Low-molecular-weight protein in the urine
    and is suspected with acute tubular necrosis,
    pyelonephritis, structural renal disorder,
    polycystic kidney disease and tubular toxins
    (antibiotic and chemotherapeutic agents)
    Increased filtration, impaired reabsorption or
    secretion of proteins
    Glomerular proteinuria
    Combination of large/small-molecular-weight protein
    in the urine, and often evidence of glomerular disease

    Causes of glomerular proteinuria include:

    glomerular capillary disruption (crescentic


    glomerulonephritis)
    glomerular capillary immune complex deposition (post
    streptococcal glomerulonephritis)
    altered glomerular capillary permeability (min. change
    nephrotic syndrome)
    Hematuria
    Microscopic hematuria defined as more than
    10 red blood cells in the urine
    Gross hematuria is when blood in the urine is
    visible to the naked eyes
    Causes of hematuria
    Non-glomerular Glomerular

    Infection (bacterial, Acute


    viral, TB) glomerulonephritis
    Trauma to genitalia, (with proteinuria)
    urinary tract, kidney Chronic
    Stones glomerulonephritis
    Sickle cell disease (with proteinuria)
    Bleeding disorder IgA nephropathy
    Hypercalciuria Familial nephritis
    (Alport Syndrome)
    Thin basement
    membrane disease

    S-ar putea să vă placă și