NEPHROTIC SYNDROME

NEPHROTIC SYNDROME

1. MR.SACHIN T.GADADE
M.SC(N) PEDIATRICS

5. INTRODUCTION
Nephrotic syndrome is most common
presentation of glomerular injury in
children

6. DEFINITION
“ Nephrotic syndrome is a clinically defined state
characterised by
-proteinuria
-hypoalbumenimia
-hyperlipidemia
- & edema.
sometimes accompanied by haematuria,hypertention
& reduced GFR.”

7. INCIDENCE
2 CHILDREN PER 100000
AGE 2-7 YRS
MALE > FEMALE

8. CLASSIFICATION
1 Primary nephrotic syndrome. ( minimal change
nephrotic syndrome)
75 – 80 %
2 secondary nephrotic syndrome

9. causes
Glomerular diseases
Maleria
Hepatitis b
Streptococcal infection
Measles
Drugs : mercury salt
Leukemia
Dm
Syphilis
Congenital nephrosis & systemic causes

10. PATHOPHYSIOLOGY

13. CLINICAL MANIFESTATIONS
Generlised edema.
Anasrca

14. Weight gain

15. Pitting edema

16. Ascites

17. Pleural effusion

18. Hydrocele

19. Anemia

20. Urine vol. depletion
Frothy appereance of urine
Anorexia
Child looks pale]
Vomitting
Htn

21. Fever
Prone for infection
Breathing difficulty

23. Rahes on body

25. TREATMENT
 DIET
DRUGS
ASSESSMENT
MAINTAIN FLUID BALANCE

26. NURSING MANAGEMENT

27. PARENTAL EDUCATION

28. THANK YUOOOOOOO