Pathophy

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Post – Streptococcal

infection
(Group A, beta hemolytic)

Release of material from the


organism, into the
circulation (antigen)

Formation of antibodies

Immune complex reaction


in the glomerular capillary

Inflammatory response

Proliferation of epithelial
cells lining glomerolus &
cells between endothelium
& epithelium of capillary
membrane

Anemia Swelling capillary


RBC membrane & infiltration
Hematuria with leukocytes

BUN &
Cola / tea colored urine Creatinine
↑ Permeability of base
+
Urea, N , waste membrane

Protein
Azotemia
Proteinuria Occlusion of the capillaries
of the glomeruli vasospasm
of afferent ventrioles
Osmotic pressure

Anasarca
↓ Ability to form filtrate
from glomeruli plasma flow GFR

Circulating
blood volume Oliguria / Anoria

Retention of H2O & Na;


Blood flow to the circulatory congestion
kidney

RAAS (Renin Angiotensin


aldosterone System)
activation

HPN Facial Edema Dyspnea (+) JVD Pulmonary


Edema

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