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All Puffed Up, Proteinuria, include, include, reveal, reveal, managed by,…

- - - - because of the liver
  - - - Outer layer
      - Medullary rays
    - - Renal pyramids
        
        Renal columns
        
        Renal papilla
        
        Minor calyx
        
        Major calyx
        
        Ureter
      - Inner layer
  - - - Segmental a.
        
        Interlobar a.
        
        Arcuate a.
        
        Interlobular a.
        
        Afferent a.
        
        Efferent artery
        
        1 more item...
- - - - proalbumin by the signal peptidase
        
        the golgi derived vesicles
        
        furin
        
        albumin
  - - - hormones
    - - poor protein diet
      - inflammation
  - - - late endosome
        
        FcRN on membrane
        
        pH 5-6
  - - - ischaemia modified albumin
- - - - spironolactone
        
        hyperkalemia
    - - trismtere, amiloride
- - - - 24-hour urine analysis
      - Urine dipstick analysis
    - - Hypoalbuminemia < 30g/L
      - Hyperlipidemia
  - - - Treating the underlying cause
    - - Corticosteroids
      - Control of symptoms
  - - - minimal change disease
        
        damaged podocytes
        
        effacement
        
        selective proteinuria
      - focal segmental glomelurosclerosis
        
        damaged podocytes
        
        hylanosis
        
        sclerosis
      - membraneous nephropathy
        
        sub epithelial deposits of immune complexes
        
        spike and dome appearance
- - - - Vasoconstriction
        
        GFR decrease
      - catecholamines
    - - Myogenic
        
        increase of GFR
        
        increase pressure against wall
        
        vasoconstriction is initiated
      - Tubuloglomerular feedback
        
        increase in both RBF and GFR
        
        increase delivery of ions
        
        release of vasoactive substance
        
        increase in resistance
  - - - hydrostatic pressure of the capillary
        
        toward bowman space
      - hydrostatic pressure of bowman capsule
        
        toward capillary
      - oncotic pressure of the glomerulus
        
        toward capillary
- - - - Subendothelial immune-complex deposition
      - HBV and HCV
    - - Intramembranous deposits
      - C3 nephritic factor