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Clinical Diagnosis of Acute Nephritis

Provided by Expert Zhang Youkang on 2012-09-19 14:57

Clinical Diagnosis of Acute NephritisAcute Nephritis, or Acute Glomerulonephritis, describes the active inflammation in the glomeruli. It develops suddenly. People may get this disease after an infection (in the throat or on the skin) or injury (e.g. burn, trauma). If not treated effectively in the early stage, patients will develop Chronic Nephritis or even Kidney Failure. Here, we would talk about the clinical diagnosis of Acute Nephritis, which is useful to detect the disorder as early as possible.

Infections such as acute tonsillitis, skin impetigo, etc often occur 1~4 weeks before the onset of Acute Nephritis. Initially, symptoms like low-grade fever, cough, dizziness, nausea, vomiting, decreased appetite, and exhaustion may appear.

Hematuria and swelling are the characterized symptoms of this disease. In general, the swelling or edema firstly occur on the eyelids, and then may involve the whole body. Due to swelling, the urine output will reduce obviously, or anuria may be caused. Within 1~2 weeks, the urine volume may gradually increase and edema may disappear. For most children affected by Acute Nephritis, they often present gross hematuria. In rare cases, there is microscopic hematuria. Bright red or tea-colored urine can be seen. The gross hematuria often disappear within 1~2 weeks.

Besides, kids with hypertension may experience nausea, vomiting, dizziness, etc. With rapidly increased blood pressure, severe complications can be caused.

Children with early stage of Acute Nephritis will suffer from obviously decreased urine output, serious edema, short of breath, accelerated heart rate, and dysphoria. Then the illness may deteriorate rapidly, leading to problems such as difficulty breath, pale face, cold limbs, frequent cough, etc.

Children who have pink foam in the phlegm may suffer from heart failure. Hypertensive encephalopathy may be caused if patients feel severe dizzy, nausea, vomiting, transient blindness, or sudden convulsion, and coma. In severe cases, patients with Acute Nephritis will suffer from acute kidney disease, which may result in severe consequence if untreated well.

If the child has medical history of tonsillitis or skin pyogenic infection and present oliguria as well as edema, they should be taken to see the doctor for comprehensive diagnosis and treatment.

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