renal pathology

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Renal pathology Renal pathology

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Page 1: Renal pathology

Renal pathologyRenal pathology

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Nephrotic SyndromeNephrotic Syndrome

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Primary glomerular diseasesPrimary glomerular diseases

1.1. Minimal change disease / Lipoid nephrosisMinimal change disease / Lipoid nephrosis

2.2. Focal Segmental GlomerulosclerosisFocal Segmental Glomerulosclerosis

3.3. Membranous Nephropathy /MGNMembranous Nephropathy /MGN

4.4. MPGNMPGN

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Minimal change disease / Lipoid Minimal change disease / Lipoid nephrosisnephrosis

Normal in light microscopyNormal in light microscopy Electron Electron diffuse effacement of podocyte diffuse effacement of podocyte

foot processesfoot processes

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Membranous GlomerulonephritisMembranous Glomerulonephritis

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MPGNMPGN

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Nephritic SyndromeNephritic Syndrome

1.1. Acute Post infectious GNAcute Post infectious GN

2.2. IgA NephropathyIgA Nephropathy

3.3. Heriditary nephritisHeriditary nephritis

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Post streptococcal GNPost streptococcal GN

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Ig A NephropathyIg A Nephropathy

Usually affects children and young adultsUsually affects children and young adults 1 or 2 days after a non specific upper 1 or 2 days after a non specific upper

respiratory tract infectionrespiratory tract infection

Deposition of Ig A in the mesangium is the Deposition of Ig A in the mesangium is the hallmark of the diseasehallmark of the disease

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Histo Histo

Variable Variable FPFP MPMP Crescentic GnCrescentic Gn

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RPGN/ CrescenticRPGN/ Crescentic

Clinical syndromeClinical syndrome Not a specific etiological form of GNNot a specific etiological form of GN

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Types Types

Type 1 Type 1 Anti GBM antibodyAnti GBM antibody Good Good Pasture SyndromePasture Syndrome

Type 2 Type 2 Immune complex Immune complex Post Post infectious , SLE , IgA nephropathyinfectious , SLE , IgA nephropathy

Type 3 Type 3 Pauci immune – ANCA Pauci immune – ANCA associated-----Wegener’s Granulomatosis , associated-----Wegener’s Granulomatosis , Microscopic angitisMicroscopic angitis

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Type 1 Type 1

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Type 2 Type 2

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Renal Cell CarcinomaRenal Cell Carcinoma

1.1. Clear cell carcinomaClear cell carcinoma

2.2. Papillary carcinomaPapillary carcinoma

3.3. Chromophobe carcinomaChromophobe carcinoma

4.4. Collecting Duct carcinomaCollecting Duct carcinoma

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