Mandatory medical device diagnostics. Renal sonography (ultrasonography of the kidneys). Kidney biopsy (tissue sampling from the kidney) – for definitive diagnosis, treatment planning, prognosis assessment.
General measures Nicotine restriction (refraining from tobacco use). Review of permanent medication due topossible effect on the existing disease. Vaccinations The following vaccinations are advised, as infection can often lead to worsening of the present disease: Flu vaccination Hepatitis B vaccination Pneumococcal vaccination Regular checkups Regular medical checkups Nutritional medicine Nutritional counseling based on nutritional … Minimal-change Glomerulonephritis: Therapy
Membranoproliferative glomerulonephritis (MPGN) (synonyms: Glomerulonephritis, membranoproliferative; Membranoproliferative glomerulonephritis; ICD-10-GM N05.5: Unspecified nephritic syndrome: Diffuse mesangiocapillary glomerulonephritis) is a rare disease of the glomeruli (renal corpuscles). The basement membrane is thickened and splintered. In addition, the mesangial cells (mesangium is a specialized tissue structure in the renal corpuscles of the kidney) grow and immune complexes are … Membranoproliferative Glomerulonephritis
Medical history (history of illness) represents an important component in the diagnosis of membranoproliferative glomerulonephritis. Family history Social history Vegetative anamnesis Increase in weight Changes in the body (bloated) Changes in the urine Symptoms such as headaches, which may indicate hypertension (high blood pressure) Self history including medication history. Pre-existing conditions Presence of malignant (malignant) … Membranoproliferative Glomerulonephritis: Medical History
Blood, hematopoietic organs-immune system (D50-D90). Schönlein-Henoch purpura (age <20 years). Genitourinary system (kidneys, urinary tract – reproductive organs) (N00-N99). Other forms of glomerulonephritis Benign familial hematuria (synonym: thin basement membrane nephropathy) – isolated, familial persistent glomerular hematuria (blood in the urine) and minimal proteinuria (excretion of protein in the urine) with normal renal function.
The following are the most important diseases or complications that may be contributed to by membranoproliferative glomerulonephritis: Genitourinary system (kidneys, urinary tract-genital organs) (N00-N99). Renal insufficiency (kidney weakness)/renal failure requiring dialysis or need for kidney transplantation
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes, and sclerae (white part of the eye) [leading symptoms: generalized edema (water retention occurring all over the body); morning swelling of eyelids, face, lower legs] Auscultation … Membranoproliferative Glomerulonephritis: Examination
1st order laboratory parameters – obligatory laboratory tests. Small blood count Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, ketone, urobilinogen, bilirubin, blood), sediment, urine culture if necessary (pathogen detection and resistogram, i.e. testing suitable antibiotics for sensitivity/resistance). Assessment of erythrocyte morphology [dysmorphic erythrocytes (malformed red blood cells): especially acanthocytes (= erythrocytes with … Membranoproliferative Glomerulonephritis: Test and Diagnosis
Therapeutic target Avert deterioration of renal function. Therapy recommendations No effective therapeutic option exists for this form of glomerulonephritis. However, a therapeutic attempt can be made with the platelet aggregation inhibitors acetylsalicylic acid and dipyramidol. The data situation for this is, however, still very little convincing! Immunosuppressants also failed to gain acceptance. A combination of … Membranoproliferative Glomerulonephritis: Drug Therapy
Medical history (history of illness) represents an important component in the diagnosis of urethral syndrome (irritable bladder). Family history Is there a frequent occurrence of urogenital system diseases in your family? Social history Current medical history/systemic history (somatic and psychological complaints). What complaints have you noticed? How long have these changes existed? Do you suffer … Irritable Bladder (Urethral Syndrome): Medical History
Infectious and parasitic diseases (A00-B99). Chlamydia Gonococcus Genital herpes Cardiovascular system (I00-I99) Apoplexy (stroke) Musculoskeletal system and connective tissue (M00-M99). Disc hernia (herniated disc). Neoplasms – tumor diseases (C00-D48) Neoplasms/neoplasms (including carcinoma in situ), urethral papillomas. Psyche – Nervous System (F00-F99; G00-G99). Cauda equina syndrome – this is a cross-sectional syndrome at the level of … Irritable Bladder (Urethral Syndrome): Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by urethral syndrome (irritable bladder): Genitourinary system (kidneys, urinary tract-genital organs) (N00-N99). Functional shrinkage bladder Psyche – nervous system (F00-F99; G00-G99) Sexual disorders Social isolation
