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UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema,...

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UROGENITAL SYSTEM LAB -1
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Page 1: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

UROGENITAL SYSTEM

LAB -1

Page 2: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

6 yr old boy, generalized edema, heavy

proteinuria. Diagnosis????

Page 3: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

Minimal change disease

•Prevalence in

children? M/C NS

•LM findings?none

•IF findings? none

•EM findings?

Effaced podocyte

foot processes

Page 4: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

34 yr old female, generalized edema,

protinuria and microscopic hematuria.

Diagnosis ????

Page 5: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

Focal and segmental glomerulosclerosis (FSGS)

•Prevalence in

adults? m/c NS in

adults

•LM findings?

Segmental sclerosis

affecting some of

the glomeruli.

• IF findings?

negative

Page 6: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

56 yr old

man with

medical

history of

colon

cancer.

Recent

onset

Nephrotic

syndrome.

EM picture

of

glomeruli.

Diagnosis

?????

Page 7: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

Membraneous glomerulopathy

•Types? 1ry and

2rdy

•Causes of 2dry?

•Drugs

• heavy metals

•Infections

•malignancy

Page 8: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

Black arrows??????

Page 9: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

Rapidly Progressive (Crescentic)

Glomerulonephritis

Page 10: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

???????

Page 11: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

MPGNWhat type of

special stain is

this?

What is the

characteristic

light microscopic

finding you see

here.

Page 12: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

???????

Page 13: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

•Causes ?

Congenital and

acquired

•Consequences

? Chronic renal

failure if not

treated early

hydronephrosis

Page 14: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

????

•what type of

renal cysts do

you see?

• what is the

clinical

significance?

Page 15: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

?????•what is the

clinical

significance?

• name genetic

abnormalities.

Page 16: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

??????

•what is the

type of this

tumor?

•Name a genetic

predisposing

factor for it?

Page 17: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

•what is this

tumor?

•genetic

mutations?

•age group of

patients?

????

Page 18: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

•Types?

•morphology ?

• name a

paraneoplastic

syndrome

associated with

this tumor.

?????

Page 19: UROGENITAL SYSTEM LAB -1 - JU MedicineUROGENITAL SYSTEM LAB -1. 6 yr old boy, generalized edema, heavy proteinuria. Diagnosis???? Minimal change disease

?????

Type?

Risk factors?


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