Characteristic feature of nephritic syndrome in children (AIIMS May 2014)
|A||Lipid casts in urine|
|B||WBC casts in urine|
|C||RBC casts in urine|
|D||Albumin in urine|
RBC casts in urine
Acute nephritic syndrome
o Nephritic syndrome is a collection of signs associated with disorden affecting the kidneys, more specifically glomerular disorders and is characterized by haematuria, protenurio, hJrpertension, dems and oliguria.
i. The haematuria is slight giving the urine smok appearance.
ii. Erythrocytes are detectable by microscopy or by chemical testing for hemoglobin.
iii. Presence of RBC casts in urine is clsssical features of nephritic syndrome.
i. Proteinuria is mild (< 3 gm/day) also called nephritic range proteinuda or subnephrotic range proteinuria.
ii. Protei riaii nonselective.
c. Edema - Usually mild and results from sodium and water retention.
d. Hypertension - Is variable depending upon the severity of glomerular disease.
e. Oliguria - Reflects the severity of glomerular involvement.
Edema and proteinuria are not as severe as in nephrotic syndrome.