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Pediatrics Urinary Tract 46a4cce4

Post streptococcal glomerulonephritis causes -

A
Nephritic syndrome
B
Primary Nephrotic syndrome
C
Secondary Nephrotic syndrome
D
Chronic renal failure
High-Yield Explanation
Ans. is 'a' i.e., Nephritic syndrome Causes of acute nephritic syndrome in children are :1) Primary glomerulonephritis : Acute glumerulonephritis (post-streptococcal), RPGN, MPGN, focal GN and IgA nephropathy2) Systemic diseases : SLE, PAN Wegner's granulomatosis, HSP, cryoglobulinemia.Post streptococcal glomerulonephritiso PSGN appears 1 to 4 weeks after a streptococcal infection of pharynx or skin (impetigo). It is caused by certain nephritogenic serotypes of group A -hemolytic streptococcus (not by all serotypes)o The lesions are caused by immune complex deposition and activation of complement complement level decreaseso It occurs most frequently in children 6 to 10 years of ago Clinically child presents with acute nephritic syndrome :i) Hematuriaii) Oliguric acute renal failureiii) Azotemiaiv) Proteinuriav) Hypertensionvi) Edemao PSGN causes acute renal failure, but not chronic renal failure more than 95% of affected children eventually recover totally with conservative therapy.

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