Diagnosis of Acute Glomerulonephritis

Acute glomerulonephritis in the pioneer history of infection, edema, hematuria is accompanied by hypertension and proteinuria, the diagnosis is not difficult. The acute period of increased anti-streptolysin O titer, decreased the concentration of serum complement, urine FDP levels increased more helpful in the diagnosis. Individual patients with acute congestive heart failure or hypertensive encephalopathy, the symptoms at first, or early disease, only edema and high blood pressure and only slight or no urine routine change, should be asked in detail about the history of the atypical cases, system checkup and laboratory integrated analysis in order to avoid misdiagnosis, the difficulties of clinical diagnosis, if necessary, a renal biopsy before being diagnosed. do you want to know the complications and symptoms of this disease,if so please click this link Severe Complications of Acute Glomerulonephritis in Children The typical acute nephritis is not difficult to diagnose. Asymptomatic interval of 1 to 3 weeks after the streptococcal infection, edema, hypertension, hematuria, acute glomerulonephritis (with varying degrees of proteinuria), coupled with blood complement C3 dynamic changes to a clear diagnosis. 1 to 4 over a week before the onset of upper respiratory tract infections such as tonsillitis, pharyngitis, lymphadenitis, scarlet fever or skin infections, including impetigo, boils, swollen, a history of streptococcal infection. (2) edema. Oliguria and hematuria. (4) high blood pressure. Severe cases, the following complications: the ① circulatory congestion and heart failure; the ② hypertension encephalopathy; ③ acute renal failure. 6. Laboratory tests ① urine red blood cells, mainly mild or moderate protein or granular casts. ② a transient increase in blood urea nitrogen in the oliguric phase. The ③ ESR is increased in the acute phase. The anti-"O" titer increased, the majority of more than 1:400. ④ serum complement (C3) determined the onset of two weeks significantly decreased and returned to normal in 1 to 2 months. Diagnostic criteria 1, kidney enlargement, kidney size are increased especially thick diameter is obvious, so that the protuberance of the kidney shape, full spherical development of acute glomerulonephritis. The kidney capsule of unclear outline the boundaries are not clear, blurred edges. 3, thickening of the renal parenchyma, the echo diffuse enhanced fuzzy points of light, like cloud cover, without distinction of the renal cortex and renal medulla, renal sinus echo is relatively dilute, or even the whole section content seamless, no way of a normal kidney structure. Four different pathological changes of acute glomerulonephritis, although the mutual differences in the performance of the sonographic differences, such as the shape of the state of the degree of envelope and blur the clarity of the degree of renal corticomedullary distinction, renal sinus echo state the extent of mutual differences. But the overall characteristics of the inflammatory lesions.