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cce_paediatrics_acute nephritis post-streptococcus AGN (investigations…
cce_paediatrics_acute nephritis post-streptococcus AGN
acute glomerulonephritis
acute rheumatic fever
investigations
blood
CBC, LFTRFT
urine
urinalysis (proteinuria, hematuria), microscopy (red cell casts)
throat swab, skin swab (Gram stain, culture)
ASOT anti-streptolysin O titer
anti-DNAase B titer
complement low C3, normal C4
physical examination
growth, development
ENT (rule out URTI), respiratory (rule out LRTI) abdominal (liver, renal), external genitalia (edema)
PACME
general
(resuscitation) vitals (GCS)
follow-up
first 6 months: every 4-6 weeks
BP, urinalysis, growth
chronic renal disease?
oliguria, azotemia
protein restriction
monitor
fluid/electrolyte, input/output, renal function
Streptococcus
oral penicillin (10 days)
renal failure
dialysis
edema, hypertension
IV furosemide, nifedipine, salt/fluid restriction
otoscope
pharynx
tonsillar exudates
rapid antigen testing