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Acute glomerulonephritis การพยาบาล

Glomerulonephritis (GN) is a term used to refer to several kidney diseases (usually affecting both kidneys). Many of the diseases are characterised by inflammation either of the glomeruli or of the small blood vessels in the kidneys, hence the name, but not all diseases necessarily have an inflammatory component.. As it is not strictly a single disease, its presentation depends on the specific. Acute glomerulonephritis (GN) comprises a specific set of renal diseases in which an immunologic mechanism triggers inflammation and proliferation of glomerular tissue that can result in damage to.. Types of glomerulonephritis  Acute glomerulonephritis - begins suddenly. It occurs after 5-21 days of streptococcal Infection.  Chronic glomerulonephritis -develops gradually over several years. It occurs after the acute phase. 10

Acute Glomerulonephritis Deepak Kumar Gupta Institute of Dental Education and Advance Studies, Gwalior 2. Glomerulonephritis • Inflammation of glomeruli • Mainly Immunologically mediated • Classification of GN is based on histopathological appearance. • Early investigation other than histological examination is very difficult 3. Etiology • Infectious diseases - Poststreptococcal. 200 Chapter 9: Infection-related glomerulonephritis 209 Chapter 10: Immunoglobulin A nephropathy 218 Chapter 11: Henoch-Scho¨nlein purpura nephritis 221 Chapter 12: Lupus nephritis 233 Chapter 13: Pauci-immune focal and segmental necrotizing glomerulonephritis 240 Chapter 14: Anti-glomerular basement membrane antibody glomerulonephritis 243 Methods for guideline development 252 Biographic and. Acute proliferative glomerulonephritis (post-streptococcal glomerulonephritis) is caused by an infection with streptococcus bacteria, usually three weeks after infection, usually of the pharynx or the skin, given the time required to raise antibodies and complement proteins

Acute glomerulonephritis is an acute kidney injury (AKI) syndrome characterized by the sudden onset of edema and new-onset or worsening hypertension. Urinalysis demonstrates an active sediment, including abnormal proteinuria (usually >30 mg/dL or 1+ on a semiquantitative scale), hematuria, and red cell casts. Patients with acute glomerulonephritis are often azotemic (i.e., they have elevated. Acute glomerulonephritis (AGN) manifests with abrupt onset of hematuria, facial edema, hypertension and impairment of renal function. The commonest form of AGN in developing countries is that following a beta hemolytic streptococcal infection where the glomerular injury is mediated by deposition of immune complexes Glomerulonephritis is damage to the tiny filters inside your kidneys (the glomeruli). It's often caused by your immune system attacking healthy body tissue. Glomerulonephritis does not usually cause any noticeable symptoms. It's more likely to be diagnosed when blood or urine tests are carried out for another reason

Pediatric acute poststreptococcal glomerulonephritis: A single-center experience Sherif Mohamed El-Desoky 1, Lujain K I. Al-Sulimani 2, Manar T O. Alkhatieb 2, Khalid A Alhasan 3, Amr S Albanna 4, Jameela A Kari 1 1 Pediatric Nephrology Center of Excellence; Department of Pediatrics, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia 2 Department of Pediatrics, Children Hospital. What is glomerulonephritis? Glomerulonephritis (GN) is inflammation of the glomeruli, which are structures in your kidneys that are made up of tiny blood vessels. These knots of vessels help filter.. For acute glomerulonephritis and acute kidney failure, dialysis can help remove excess fluid and control high blood pressure. The only long-term therapies for end-stage kidney disease are kidney dialysis and kidney transplant. When a transplant isn't possible, often because of poor general health, dialysis is the only option. More Information. Kidney transplant; Request an Appointment at Mayo. Acute glomerulonephritis (GN) comprises a specific set of renal diseases in which an immunologic mechanism triggers inflammation and proliferation of glomerular tissue that can result in damage to the basement membrane, mesangium, or capillary endothelium. Acute GN is defined as the sudden onset of hematuria, proteinuria, and red blood cell (RBC) casts in the urine. Acute GN is a condition.

Glomerulonephritis - Wikipedi

  1. Acute glomerulonephritis nursing (poststreptococcal) NCLEX review. Poststreptococcal glomerulonephritis is a type of nephritic syndrome which means there is.
  2. The postinfectious form of rapidly progressive glomerulonephritis with crescents is a form of immune complex glomerulonephritis which seem to have a better prognosis. A relatively poorer prognosis for crescentic postinfectious glomerulonephritis in South Africa has been reported
  3. Acute Glomerulonephritis (AGN) is a medical condition which involves the kidney, particularly, the glomeruli.This requires immediate medical and nursing interventions to retard the progress of scarring within the kidney. This scarring is somewhat irreversible which later causes renal failure.. This disease affects 0.02% of the United States' total population
  4. Acute glomerulonephritis is defined as inflammation and subsequent damage of the glomeruli leading to hematuria, proteinuria, and azotemia; it may be caused by primary renal disease or systemic..
  5. Glomerulonephritis is an important cause of renal impairment accounting for 10%-15% of cases of end stage renal failure in the USA, following only diabetes and hypertension in importance. 1 In defining acute glomerulonephritis, we have chosen to discuss those glomerular diseases that may present with a nephritic syndrome—that is with haematuria, proteinuria, and impaired renal function.
  6. Glomerulonephritis is a group of diseases that injure the part of the kidney that filters blood (called glomeruli). Other terms you may hear used are nephritis and nephrotic syndrome. Glomerulonephritis can be acute or chronic. In some instances, you may recover on your own, and in others you need immediate treatment. Find information regarding symptoms, causes, treatment
  7. Acute glomerulonephritis. The acute glomerulonephritis develops suddenly. You may get it after an infection in your throat or on your skin. Sometimes, you may get better on your own. Other times, your kidneys may stop working unless the right treatment is started quickly. The early symptoms of the acute glomerulonephritis are

Acute Glomerulonephritis: Practice Essentials, Background

Glomerulonephritis - SlideShar

Englisch: acute poststreptococcal glomerulonephritis (APSGN), post-streptococcal glomerulonephritis. Inhaltsverzeichnis. 1 Definition; 2 Inzidenz; 3 Ätiologie; 4 Symptome; 5 Diagnose; 6 Therapie; 7 Quellen; 1 Definition. Bei der postinfektiösen Glomerulonephritis handelt es sich um eine Entzündung der Nierenkörperchen , welche durch eine Immunreaktion bei einer Infektion mit nephritogenen. Glomerulus acute glomerulonePhritis streptococcus z/nn endothelium mesangium basement membrane 21. Glomerulus 711 acute glomerulonePhritis llano IgG 1103 mesangium glomerulus fluoresence 2 acute glomerulonePhritis . Created Date: 3/5/2011 1:44:44 PM. Acute Post-Streptococcal Glomerulonephritis in the Northern Territory of Australia: A Review of Data from 2009 to 2016 and Comparison with the Literature. Swasti Chaturvedi, Rowena Boyd, Vicki Krause. Am J Trop Med Hyg. 2018 Dec; 99(6): 1643-1648. Published online 2018 Nov 5. doi: 10.4269/ajtmh.18-0093 . PMCID: PMC6283515. Article PubReader PDF-322K Citation. Select item 5760037 6. The. Acute glomerulonephritis. The acute glomerulonephritis develops suddenly. You may get it after an infection in your throat or on your skin. Sometimes, you may get better on your own. Other times, your kidneys may stop working unless the right treatment is started quickly. The early symptoms of the acute glomerulonephritis are Acute Glomerulonephritis (or Acute GN) is the sudden swelling of small regions in the kidney known as glomeruli, which are responsible for filtering blood. It prevents the body from removing excess fluid and waste products through urine

Rapidly progressive glomerulonephritis (RPGN) is acute nephritic syndrome accompanied by microscopic glomerular crescent formation with progression to renal failure within weeks to months. RPGN is relatively uncommon, affecting 10 to 15% of patients with glomerulonephritis; It primarily occurs in patients aged 20 to 50 years ; Crescentic glomerulonephritis 4 . Anti-glomerular basement membrane. A diagram of the pathology of acute (poststreptoccal) glomerulonephritis that shows the immune complex deposits below the podocyte foot processes. This creates subepithelial humps. Datum: 21. Februar 2010, 19:07 (UTC) Quelle: Renal_corpuscle.svg; Urheber: Renal_corpuscle.svg: M•Komorniczak-talk-(polish Wikipedist) derivative work: Huckfinne (talk) Ich, der Urheber dieses Werkes. Background: Acute post infectious glomerulonephritis (APIGN) describes a wide range of glomerulonephritis characterized by an immunologic response of the kidney to varieties of infectious agent. Acute post streptococcal glomerulonephritis are caused by group A beta haemolytic streptococci and follow upper airway infections such as pharyngitis or tonsillitis, by 14 to 21 days and 3-6 weeks after skin infection especially in warmer climates . In recent decades the number of patients with post streptococcal glomerulonephritis has decreased considerably in the United States and Europe. Incidence of acute post‐streptococcal glomerulonephritis in central Australia. Biochemical abnormalities associated with acute post‐streptococcal glomerulonephritis. Co‐occuring conditions. Results. Sixty‐nine out of the 174 cases reviewed were identified as having either acute post‐streptococcal glomerulonephritis (63) or probable acute post‐streptococcal glomerulonephritis (6.

Clinical examination for acute glomerulonephritis in children . The diagnosis of acute poststreptococcal glomerulonephritis is established on the basis of streptococcal infection in the anamnesis (2-4 weeks after angina or exacerbation of chronic tonsillitis, 3-6 weeks after impetigo), a characteristic clinical picture of the disease with development of nephritic syndrome and reversible. Acute glomerulonephritis 209. www.postgradmedj.com. years) than in type I (24 years ± 16 y ears) disease, with a slight. female preponderance. T ype I MCGN shares some features. with lupus nephr. Acute glomerulonephritis (GN) comprises a specific set of renal diseases in which an immunologic mechanism triggers inflammation and proliferation of glomerular tissue that can result in damage to. Acute glomerulonephritis is an inflammatory process affecting primarily the glomerulus, with infiltration and proliferation of acute inflammatory cells. These are principally mononuclear cells and neutrophils in post infectious glomerulonephritis. The inflammation is immunologically mediated with immune deposits in the glomerulus. Onset of symptoms is usually acute. Symptoms include oliguria.

Acute glomerulonephritis – Dr

Acute glomerulonephritis - SlideShar

Acute glomerulonephritis (AGN) is an immune-mediated inflammation and destruction of the glomeruli and peri-glomerular tissues including the basement membrane, mesangium, and the capillary endothelium. Acute Glomerulonephritis (Acute Glomerulonephritis Syndrome): Read more about Symptoms, Diagnosis, Treatment, Complications, Causes and Prognosis Find doctors who treat Acute Glomerulonephritis near Vista, CA and accept WebMD.PhysicianDirectory.Types.Insuranc Acute glomerulonephritis is characterized by severe inflammation, renal (kidney) insufficiency, swelling, increased blood pressure, and severe back pain. Recovery is usually fairly complete after an episode of acute glomerulonephritis, but minor infections may do further damage to the kidneys and. Acute Glomerulonephritis; glorulo-glomeruli, nephro-kidney, -itis-inflammation; is the sudden onset of inflammation of the glomeruli from infections originating from different parts of the body. The immune response causes inflammation of the glomeruli. Scarring on kidney tissues then occurs, leading to the decrease in ability of the kidney to filter the blood and produce urine. Aside from the. The most common acute glomerulonephritis in children is poststreptococcal glomerulonephritis (PSGN) usually occurring between 3 and 12 years old. Hypertension and gross hematuria are common presenting symptoms. Most PSGN patients do not experience complications, but rapidly progressive glomerulonephritis and hypertensive encephalopathy have been reported

Acute proliferative glomerulonephritis - Wikipedi

Video: Acute Glomerulonephritis - an overview ScienceDirect Topic

Acute glomerulonephritis - PubMe

Acute glomerulonephritis (AGN) is an alteration in renal function caused by glomerular injury, which is characterized by the classic symptoms of gross hematuria, mild proteinuria, edema (usually periorbital), hypertension, and oliguria Acute glomerulonephritis is a rela-tively rare cause of ARF in adults. In the pediatric age group, acute glomerulonephri-tis and a disorder of small renal arteries (hemolytic-uremic syndrome) are relatively common causes. This figure depicts the his-torical, examination, and laboratory find-ings that collectively may support a diagno- sis of acute glomerulonephritis as the cause of ARF [16, 17. Acute glomerulonephritis (AGN) is recognized by the presence of hematuria, edema, hypertension and evidence of renal insufficiency (elevated blood urea, nitrogen and creatinine) Acute glomerulonephritis is a representative disease of acute nephritic syndrome characterized by the sudden appearance of edema, hematuria, proteinuria, and hypertension. The differ-ential diagnosis of this syndrome is listed in Table 1 (1). Over 200 years ago von Plenciz et al (2) reported edema, oliguria, and colored urine appearing after a latent period among patients with scarlet fever. Glomerulonephritis is a disease characterized by inflammation of the renal glomerulus, with proteinuria, erythrocytes, leukocytes in urine and salt retention, water and nitrogen. in varying degrees

Glomerulonephritis may be caused by problems with the body's immune system. Often, the exact cause of this condition is unknown. Damage to the glomeruli causes blood and protein to be lost in the urine. The condition may develop quickly, and kidney function is lost within weeks or months. This is called rapidly progressive glomerulonephritis Bilateral renal enlargement can arise from a number of causes which include 1,2: Smooth enlargement diabetic nephropathy (common) acute pyelonephritis renal involvement with lymphoma acute interstitial nephritis acute glomerulonephritis acute urate nephropathy vasculitis/autoimmune HIV. ACUTE GLOMERULONEPHRITIS (GN) answers are found in the Harrison's Manual of Medicine powered by Unbound Medicine. Available for iPhone, iPad, Android, and Web

Acute glomerulonephritis is defined as the sudden onset of hematuria, proteinuria, and RBC casts. 12 Although RBC casts are diagnostic of glomerular bleeding, they may be difficult to find. Visualization of dysmorphic RBC under phase-contrast microscopy by an experienced observer is a useful surrogate. 16 Proteinuria in patients with acute glomerulonephritis typically ranges from 500 mg/d to 3. Glomerulonephritis accounts for about 20% of the chronic kidney disease cases in most countries. Clinical courses are variable, ranging from chance findings in asymptomatic patients (eg, hypertension, proteinuria by dipstick, raised serum creatinine concentrations) to massive weight gain and oedema in nephrotic syndrome to rapidly progressive renal failure with uraemia

Abstract Background: Recently, the prognosis of acute poststreptococcal glomerulonephritis (APSGN) has been reported as improved, compared with the results of previous studies. In an attempt to clarify this, we analyzed the clinical course of patients with APSGN. Methods: A total of 220 children with acute nephritic syndrome were treated in the affiliated hospitals of our department, between. Acute Proliferative Glomerulonephritis. This condition is histologically characterized by the influx of leukocytes along with the proliferation of glomerular cells. These events occur as a response to the immune complexes deposited in the renal parenchyma. The typical presentation of acute proliferative glomerulonephritis is a child complaining of fever, malaise, nausea and smoky urine, few. SerumC3levels in acute glomerulonephritis and postnephritic children MILANAPOPOVIe-ROLOVIe From the Department of Paediatrics, Medical School, University of Belgrade, and Children's University Hospital, Belgrade,Yugoslavia Popovic-Rolovic, M.(1973). ArchivesofDiseaseinChildhood,48, 622. Serum C3levels inacuteglomerulonephritis andpostnephritic children. Measure-mentsof flc-globulin (C3.

Define acute glomerulonephritis. acute glomerulonephritis synonyms, acute glomerulonephritis pronunciation, acute glomerulonephritis translation, English dictionary definition of acute glomerulonephritis. n. A form of nephritis characterized by inflammation of the renal glomeruli. American Heritage® Dictionary of the English Language, Fifth Edition Poststreptococcal acute glomerulonephritis (PSAGN) is a common cause of acute glomerulonephritis in children. It is a self-limited disease typically characterized by gross hematuria with red blood.. Glomerulonephritis (glow-mer-you-low-nef-RYE-tis), sometimes called glomerular disease, is a type of kidney disease in which the glomeruli are damaged and cannot remove waste and fluid like they should. Glomerulonephritis can begin suddenly or slowly, over time. If it begins suddenly, it is called acute glomerulonephritis. If it comes on slowly, it is called chronic glomerulonephritis. One out of every four people with glomerulonephritis has never had kidney disease The American Journal of Kidney Diseases (AJKD), the official journal of the National Kidney Foundation, is recognized worldwide as a leading source of information devoted to clinical nephrology practice and clinical research.Articles selected for publication in AJKD undergo a rigorous consideration process, supporting the journal's goal to communicate important new information in clinical.

Acute Poststreptococcal Glomerulonephritis (PSGN) - Stepwards

Acute glomerulonephritis (proteinuria and haematuria) NB: Please call your local nephrologist if any doubt of urgency of acute referral as direct ward admission may be considered. Previously diagnosed chronic glomerulonephritis patient requiring ongoing specialist follow up No Category 3 criteri Pathogenesis In acute diffuse glomerulonephritis, aggravated. chronic glomerulonephritis, nephropathy of pregnancy: Increased intracranial pressure Cerebral tissue edema Cerebral angiospasm. Eclampsia in pronounced edema & increased. BP Preeclampsia Clinical picture Rapid BP rise (preeclampsia-related. hypertension: 4- or 6-h period measurements BP > 140/85 mm Hg) Unusual somnolence. S CHATURVEDI 1, R BOYD 2, P MORRIS 1, V KRAUSE 2. 1 Department of Paediatrics, Royal Darwin Hospital, Darwin, Northern Territory; 2 Centre for Disease Control, Department of Health, Darwin, Northern Territory. Aim: We discuss a typical case presentation of Acute Post-Streptococcal Glomerulonephritis (APSGN) and highlight the heavy burden of APSGN in the Northern Territory (NT) over 26 years

Glomerulonephritis - NH

  1. Postinfectious acute glomerulonephritis (PIGN) may occur after various bacterial and viral infections. Hepatitis B virus (HBV) infection is a cause of chronic glomerulonephritis. We report here 10 cases (ages 7-20 years-old) of chronic HBV carriers with acute glomerulonephritis, with positive glomerular staining of hepatitis B surface antigen, and detectable presence of HBV DNA in the glomeruli
  2. Acute glomerulonephritis affects males more than females with a male-to-female ratio of 2 to 1. IgA nephropathy is the commonest cause of glomerulonephritis worldwide. Pathophysiology. The underlying pathogenetic mechanism common to all of these different varieties of glomerulonephritis (GN) is immune-mediated, in which both humoral as well as cell-mediated pathways are active. The consequent.
  3. The epidemiology of infection-related glomerulonephritis (IRGN) has changed over the last two decades. Until recently, IRGN mainly comprised poststreptococcal acute post-infectious glomerulonephritis (APIGN) in children [1, 2].Recent reports indicate that poststreptococcal APIGN still exists in developing countries and in Northern Australia [3, 4]
  4. Kidney nontumor - Acute postinfectious glomerulonephritis (PIGN) Post-streptococcal disease is decreasing in US (eMedicine - Poststreptococcal Glomerulonephritis) 95% recover with conservative therapy; 1% develop rapidly progressive glomerulonephritis, 1 - 2% develop chronic glomerulonephritis
  5. Search the Healthwise Knowledgebase . Help: Healthwise Index: Topic Contents. Topic Overview; Related Information; Credits; This information does not replace the advice of a doct
  6. Glomerulonephritis, which involves damage to the filters in the kidney, is the most common. When the glomerulus gets inflamed, there's glomerulonephritis, explains Dr. Anupam Agarwal, a.

Recurrence of acute poststreptococcal glomerulonephritis (APSGN) is a rare phenomenon. We present an 8-year-old boy with a second episode of APSGN 12 months following a complete clinical recovery. Post-streptococcal glomerulonephritis is a disease of the kidneys which occurs after infection with a bacteria called Streptococcus. Streptococcal bacteria most commonly cause infections of the tonsils and skin Acute glomerulonephritis is an inflammatory process affecting primarily the glomerulus, with infiltration and proliferation of acute inflammatory cells. These are principally mononuclear cells and neutrophils in post infectious glomerulonephritis. The inflammation is immunologically mediated with immune deposits in the glomerulus. Onset of symptoms is usually acute. Symptoms include oliguria.

Pediatric acute poststreptococcal glomerulonephritis: A

Considerable knowledge has been accumulated regarding the characteristics of acute post-streptococcal glomerulonephritis (APSGN), and many attempts have been made to identify a streptococcal factor or factors responsible for triggering this disease. However, the pathogenic mechanism behind APSGN remains largely unknown. As glomerular deposition of C3 is generally demonstrated before that of. 糸球体腎炎(しきゅうたいじんえん、英語: Glomerulonephritis )は、腎疾患の一つで腎臓の炎症の一つ。. 腎臓の炎症である腎炎は病理組織学的に炎症の首座がどこにあるかによって、糸球体腎炎、間質性腎炎、および腎盂腎炎に分類される。 主に糸球体に炎症反応がみとめられるものを糸球体腎炎. Mortality during the acute phase of glomerulonephritis has been estimated at around 2 and 12 percent. It has been assumed that the renal changes found in the majority of patients who survived the initial acute attack would be qualitatively similar to those noted in the fatal cases, although little direct evidence existed to support this vie Acute kidney injury. Chronic kidney disease. Hypertension. Renal pain and dysuria. Glomerulonephritis can present with different clinical syndromes. These include nephrotic and nephritic syndrome. Glomerulonephritis is discussed in more detail in the separate Glomerulonephritis article. Interstitial nephritis can be acute or chronic

Glomerulonephritis: Causes, Symptoms, and Treatmen

  1. Looking for the abbreviation of Acute glomerulonephritis? Find out what is the most common shorthand of Acute glomerulonephritis on Abbreviations.com! The Web's largest and most authoritative acronyms and abbreviations resource
  2. Post-streptococcal acute glomerulonephritis remains an important non-suppurative complication of group A strep-tococcal infection worldwide. The estimated worldwide yearly burden of PSAGN is 472,000 cases; approximately 404,000 of those cases occur in children [14]. By far, most of the burden of PSAGN is borne by developing countries [14]. Pyoderma-associated PSAGN continues to prevail in.
  3. Glomerulonephritis definition is - acute or chronic nephritis that involves inflammation of the capillaries of the renal glomeruli, has various causes (such as streptococcal infection, lupus, or vasculitis) or may be of unknown cause, and is marked especially by blood or protein in the urine and by edema, and if untreated may lead to kidney failure
  4. Despite the high incidence of posttransplant infections, postinfectious acute glomerulonephritis (PIAGN) in renal allograft is a rare entity, without effective treatment and a bad prognosis. We describe two cases of PIAGN: the first one was developed 2 years after kidney transplantation, secondary to Staphylococcus aureus bacteremia with presence of extracapillary proliferation in biopsy
  5. acute glomerulonephritis and this is best reflected by measuring C3 levels.6 A depressed C3 has been considered the most pathognornic feature of acute poststreptoccocal nephritis.7 The C3 usually returns to normal by six to eight weeks, although some may take as long as twelve weeks.1l Table 5 shows the results of ASOT, anti-DNase Band C3 levels in our patients. Table 5 Immunological.
  6. Acute glomerulonephritis is an acute inflammation of the glomeruli, which occurs after group A beta-hemolytic streptococcal infection due to an infection of the skin or after a sore throat, which can completely recover after 4-6 weeks of treatment. . Chronic glomerulonephritis is a chronic inflammation in the glomeruli, progressing over months and years, leading to fibrosis atrophy of both.
  7. The differential diagnosis of PSGN includes other infectious and non-infectious causes of acute glomerulonephritis. Clinical history and findings with evidence of a preceding group A strep infection should inform a PSGN diagnosis. Evidence of preceding group A strep infection can include 1. Isolation of group A strep from the throat ; Isolation of group A strep from skin lesions; Elevated.
Pediatric Glomerulonephritis – Pediatrics | Lecturio - YouTubeNephrotic Syndrome & Acute Glomerulonephritis at Gandhi

Glomerulonephritis - Diagnosis and treatment - Mayo Clini

Pediatric Acute Glomerulonephritis Share: Facebook Twitter Linked In Print Email. Email. What is glomerulonephritis? The kidneys contain many coils of tiny blood vessels. Each of these is called a glomerulus. Glomeruli filter substances from the blood into the urine. Glomerulonephritis is a type of kidney disease where these coils become inflamed. This makes it hard for the kidneys to filter. AGN - acute glomerulonephritis. Looking for abbreviations of AGN? It is acute glomerulonephritis. acute glomerulonephritis listed as AGN Looking for abbreviations of AGN? It is acute glomerulonephritis. acute glomerulonephritis listed as AG

Pathology Outlines - Acute postinfectious

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