Post -infectious acute glomerulonephritis A. Introduction 1. Most common medical cause of acute gross hematuria in childhood. B. Epidemiology 1. Gross hematuria, edema and hypertension are the three most common findings, and occur in the vast majority of patients with symptomatic nephritis. Proteinuria is also almost always present, and may reach the nephrotic range.
Renal insufficiency is also fairly common, and is usually mild.
Symptoms of hypertension may be quite severe, including seizures secondary to hypertensive encephalopathy. Usually the history of a preceding streptococcal infection and the development of edema and gross hematuria will make the diagnosis. Urinalysis gross or microscopic hematuria, usually with casts. E. Patient management 1. Intravenous antihypertensives Anticonvulsants Dialysis 4.