~a group of kidney d/o. (+) inflammatory injury in the GLOMERULUS.~proliferative and inflammatory changes within the glomerular structure~destruction, inflammation and sclerosis of the glomeruli of the kidneys occur
~loss of kidney fxn develops.
antecedent B-hemolytic streptococcal infection of the pharynx or skin
hx of pharyngitis or tonsillitis 2-3 weeks before sx
-occurs 2-3 weeks after streptococcal infection.
-may occur after the acute phase or slowly overtime.
AM (more prominent): periorbital edema and facial edema
cloudy, smoky, dark-colored urine (hematuria)
pallor, irritability, lethargy
older child: headache, abdominal or flank pain, dysuria
proteinuria that produces a persistent and excessive foam in the urine
azotemia (high levels of nitrogen-containing compounds (such as urea, creatinine, various body waste compounds, and other nitrogen-rich compounds) in the blood).
increased BUN and crea
increased anti-streptolysin titer (used to dx d/o caused by streptococcal infections)
-VS, I&O, characteristics of urine
-daily weight (same time, same scale and using the same clothes)
-limit activity; safety
-diet: restrict Na; restrict K in periods of oliguria.