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Diagnosis of diseases of an urinary system at children

DISEASES OF THE URINARY SYSTEM

Disease

Symptom complex

185 Amyloidosis of kidneys

Edematous syndrome
Hypertensia
Proteinuria
Increase of level of residual nitrogen, urea, blood creatinine
Detection of amyloid in a bioptata of renal fabric

186 Fabri's illness

Purple dot angiokeratomas on trunk skin
Extremity pains
Periodic temperature increase
Amblyopia
Proteinuria, hamaturia
Increase of arterial pressure
Decrease of the activity of a galactosidase in leukocytes, culture of skin fibroblasts

187 Intersticial nephrite

 

1 The most frequent beginning of a disease in 3 — 4-year age

Intoksikatsionny syndrome
Abdominal and poyasnichy pains
Hamaturia, proteinuria, abacterial (at the expense of eosinophils and (or) lymphocytes) a leukocyturia, a hyposthenuria, decrease in secretory and excretory function of tubules
Radiological — anomaly of development of bodies of uric system
Identification of considerable frequency of diseases of kidneys in the analysis of a family tree of the child

188 Nefronoftiz Fankoni (medullary cystic disease)

Lag in growth
Polyuria
Polydipsia
Pigmental degeneration of a retina
Anemia
Forming of a chronic renal failure at the normal ABP
The biopsy of kidneys — is thinned cortical substance, multiple cysts in a medulla and a kortiko-medullary zone

189 Nephrotic syndrome

Pallor
The expressed edematous syndrome
Hyper proteinuria
Hypoproteinemia, giperlip demiya

190 An acute glomerulonephritis with a nephritic syndrome

 

Developing of a disease 2 — 3 weeks later after the postponed streptococcal or viral infection
Headaches
Pastosity
Permanent increase of arterial pressure
Spasm of arteries of an eyeground

Resistant hamaturia at the expense of lixivious erythrocytes, a moderate proteinuria

191 Pyelonephritis

Intoxication phenomena (temperature increase, vomiting)
Abdominal pains
Dysuric frustration (a pollakiuria, morbidity during urinations)
Neutrophylic leukocyturia in combination with a bacteriuria
Detection in urine of active leukocytes in number of more than 20% of total quantity
Growth more than 100000 colonies at crops of 1 milliliter of urine

Segmented
hypoplasia of kidneys (Ask-Upmark's kidney)

Headaches
Spasms
The expressed arterial hypertension
Ultrasonography — uneven contours of kidneys, segmented thinning of a bast layer, deformation of collective systems of kidneys

193 Alport's syndrome

Emergence of clinical symptomatology in preschool and early school the periods
Combination of stigmata of a dizembriogenez (hypertelorism, anomalies of a bite, abnormal shape of auricles, little finger curvature etc.)
Uniformity of stigmata of a dizembriogenez in one family
Decrease in hearing
The arterial hypotonia which is replaced in process of progressing of an illness arterial hypertension
Change of an organ of sight (anomaly of a crystalline lens, degenerative changes in area of a yellow body)

194 Syndrome of Lourensa-Muna-Barde-Bidlya


Focal neurologic symptomatology
Uric syndrome (hamaturia, leukocyturia, proteinuria)
Obesity
Moronity
Polydactylia
Pigmental retinitis
Hypogonadism
Doubling of kidneys and ureters, cysts in cortical and a medulla of kidneys

According to Ostropolets S. S., V. N. Beet, Diagnostic syndromes of diseases of children's age.

 
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