Wednesday, August 6, 2008

Glomerulonephritis slow trigger hypertension DR features

Chronic glomerulonephritis without renal failure, the general hypertension and renal damage occurred was directly proportional to the degree of relationship. Glomerular lesions in the case of a lesser extent, hypertension, a rare occurrence, even though there are also more mild hypertension. Glomerular lesions in the development of renal injury increased, the incidence of high blood pressure and levels of increases. As patients with chronic glomerulonephritis in more intake of sodium and water, the impact on the body also significantly higher than normal, the incidence of hypertension is likely to speculate with abnormal regulation of body fluids. But with renal insufficiency, Shuinazhuliu caused by high blood volume status, hypertension is often a major factor. In addition, plasma renin activity increased total peripheral resistance increased, the formation of hypertension is also another important reason. Clinical diagnosis based on the following points: (1) patients with acute glomerulonephritis past history. (2) recurring swelling, proteinuria, and frequently have anemia, hypoproteinemia and azotemia. (3) retinopathy is not obvious. (4) appear albuminuria and microscopic hematuria in hypertension, proteinuria continued presence of high blood pressure is not significant. (5) IVP show contrast excretion delays and narrow the bilateral kidneys, which contribute to symptoms of chronic glomerulonephritis in the diagnosis of hypertension. Chronic glomerulonephritis caused by the symptoms of high blood pressure, although there are more features, but it is sometimes difficult identification of disease and hypertension. In blood pressure or significantly increased in renal failure, hypertension is not easy with three of hypertension and radical identification. They may appear in the protein in the urine, and the red blood cell type, there azotemia atherosclerosis and retinal bleeding, depending on the nipple edema and other diseases. In clinical performance of hypertension with kidney damage, should pay attention to distinguish, for the corresponding treatment, the disease and improved the prognosis is very important.

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