Post-streptococcal glomerulonephritis

postinfectious glomerulonephritis,

the acute form of glomerulonephritis, which may follow 1 to 6 weeks after a streptococcal infection, most often in childhood. Characteristics of the disease are hematuria, oliguria, edema, and proteinuria, especially in the form of granular casts. There may be slight impairment of renal function in adults, but most patients recover fully in 1 to 3 months. There is no specific treatment for this form of glomerulonephritis. Restriction of dietary protein and the prescription of diuretics may be necessary until kidney function returns to normal. Also called acute glomerulonephritis. See also chronic glomerulonephritis, subacute glomerulonephritis.

observations Onset of symptoms occurs 1 to 6 weeks after a streptococcal infection. Symptoms include hypertension, headache, edema, oliguria, dark urine, reduced urine output, flank pain, weight gain, fever, chills, nausea, and vomiting; about half of cases are asymptomatic. Diagnosis is made through a series of lab tests. Hematuria (microscopic or gross), proteinuria, sediment, and RBC casts are seen on urinalysis. Blood chemistries reveal increased blood urea nitrogen, increased serum creatinine, increased serum lipids, and decreased serum albumin. ASO titers are positive. Complications include congestive heart failure, acute or chronic renal failure, and end-stage renal disease.

interventions Treatment focuses on treating symptoms and preventing complications. Antihypertensives are administered for hypertension, diuretics are given for edema, and antiinfective drugs are administered if an infection is still present. Electrolytes are monitored and abnormalities corrected. Diet therapy focuses on restricted sodium, restricted potassium, and low protein to combat electrolyte abnormalities and uremia. Hemodialysis or peritoneal dialysis may be used to treat renal failure.

nursing considerations Nursing management in acute care focuses on supportive measures. Bed rest, fluid, and electrolyte restrictions and dietary reduction of protein are necessary until signs of inflammation (e.g., proteinuria and hematuria) subside. Instruction centers on restrictions and proper administration of a full course of antibiotics. Prevention is also key and involves encouraging individuals to seek early diagnosis and treatment of sore throats and skin lesions, particularly in children.

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acute glomerulonephritis acute poststreptococcal glomerulonephritis chronic glomerulonephritis subacute glomerulonephritis	Hence the disease may be labelled as post-streptococcal glomerulonephritis (PSGN). What Is Glomerulonephritis (GN)? by Arjun Singhe / Health care industry community An epidemic of acute post-streptococcal glomerulonephritis among Aboriginal children. Epidemiology of Streptococcus dysgalactiae subsp, equisimilis in ... by McDonald, Malcolm; Towers, Rebecca J.; Andrews, Ross M.; Carapetis, Jonathan R.; Currie, Bart J. / Emerging Infectious Diseases In addition to being a prevalent pathogen in sore throats, GAS is also responsible for sequelae such as rheumatic fever and post-streptococcal glomerulonephritis. Group A Streptococcus: another resistant pathogen by Rye, Anna Kathryn / Southern Medical Journal	post cibum post exposure prophylaxis post mortem post oak post partum Post traumatic stress disorder post- post-absorptive state post-anesthetic post-antibiotic effect (PAE) Post-Code Lottery Post-Concussion Syndrome post-dipping lameness Post-Electrocution Syndrome Post-herpetic neuralgia Post-Hypnotic Suggestion post-milking teat disinfection post-mortem post-op Post-Orgasm Blackout Post-Partum Depression Post-Partum Psychosis post-polio syndrome post-procedure recovery post-renal transplant osteopenia Post-streptococcal glomerulonephritis post-surgery starvation post-term infant post-transcriptional RNA processing post-trauma syndrome post-traumatic post-traumatic sarcoma Post-traumatic stress disorder Post-Vention post-weaning Post-Weekend Fatigue Syndrome post–antibiotic era postadrenalectomy syndrome Postage Stamp Test Postal Worker Syndrome postalbumin postanal postanesthesia care postanesthesia care unit postanginal sepsis postantibiotic effect postauricular postaxial postaxial acrofacial dysostosis postbrachial postcapillary	post-Revolutionary Post-rock post-rotational nystagmus Post-script Post-script Post-script Post-scriptum Post-scriptum Post-scriptum Post-secondary Post-secondary Post-Secondary Application Service of British Columbia Post-secondary education Post-secondary education Post-secondary education Post-Secondary Education Assistance Program Post-Secondary Education Reimbursement Post-Secondary Education System Post-Secondary Educational Participant system Post-Secondary Enrollment Options Post-Secondary Student Support Program Post-Secondary Support Staff Conference Post-Setup Security Updates Post-Sexual-Exposure Prophylaxis Post-Shock Repolarization Time Post-Soviet Armies Newsletter Post-Soviet states Post-Spaceflight Orthostatic Intolerance Post-Static Firing Checkout Post-Stimulus Time Histogram Post-streptococcal glomerulonephritis Post-Streptococcal Neurological Disorders Post-stressed concrete Post-stressed concrete post-stripping peritonitis post-stripping peritonitis post-stripping peritonitis Post-Stroke Depression Post-Stroke Depression Rating Scale Post-Stroke Rehabilitation Outcomes Project Post-Stroke Upper Limb Spasticity Post-structuralism Post-structuralism post-surgery starvation Post-surgical Post-Surgical T3 Post-Synaptic Density Post-synaptic potentials Post-Take Ward Round Post-temporal Post-tensioned concrete Post-tensioned concrete Post-Tensioning Institute Post-Tenure Review post-term infant post-term newborn post-term newborn post-term newborn post-term newborn Post-Terran Mining Company Post-Terran Mining Corporation

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References in periodicals archive

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acute glomerulonephritis
acute poststreptococcal glomerulonephritis
chronic glomerulonephritis
subacute glomerulonephritis

Hence the disease may be labelled as post-streptococcal glomerulonephritis (PSGN).

What Is Glomerulonephritis (GN)? by Arjun Singhe / Health care industry community

An epidemic of acute post-streptococcal glomerulonephritis among Aboriginal children.

Epidemiology of Streptococcus dysgalactiae subsp, equisimilis in ... by McDonald, Malcolm; Towers, Rebecca J.; Andrews, Ross M.; Carapetis, Jonathan R.; Currie, Bart J. / Emerging Infectious Diseases

In addition to being a prevalent pathogen in sore throats, GAS is also responsible for sequelae such as rheumatic fever and post-streptococcal glomerulonephritis.

Group A Streptococcus: another resistant pathogen by Rye, Anna Kathryn / Southern Medical Journal

post cibum

post exposure prophylaxis

post mortem

post oak

post partum

Post traumatic stress disorder

post-

post-absorptive state

post-anesthetic

post-antibiotic effect (PAE)

Post-Code Lottery