Diseases of genitourinary tract- Acute Glomerlonephritis:

Glomerlonephritis alludes to inflamation of the kidneys caused by an antigen antibody response following an infection in a few some portion of the body. Intense glomerlonephritis is predominately a disease of childhood and is the most widely recognized sort of nephritis in children.

genitourinary tract- Acute Glomerlonephritis tract Etiology:

1. Antigen antibody response optional to an infection somewhere else in the body.

2. Beginning infection of (upper respiratory framework or skin) most as often as possible a beta hemolytic streptococcus and other microscopic organisms’ and infections.

genitourinary tract- Acute Glomerlonephritis Pathophysiology:

1. Antibodies created to battle the attacking life form moreover respond against the glomerular tissue

2. The antigen antibdy mix brings about an inflamatory response I the kidney.

3. General vascular unsettling influences, including loss of narrow trustworthiness and fit of arterioles, are auxiliary to kidney changes and are answerable for a great part of the symptomatolgy of the disease.

genitourinary tract- Acute Glomerlonephritis Clinical Manifestations:

1. Beginning is generally 1-3 weeks after the beginning of the initating infection

2. Sign and symptoms

􀂃 Decreased urine out put

􀂃 Blood or earthy colored shading urine

􀂃 Edema bring about most patients

􀂃 Hypertension present in 50 % of patients ( in 4-5 days of sickness)

􀂃 Variable fever and gentle cerebral pain

􀂃 GI aggravations (anorexia and heaving often with midsection torment).

Diagnostic evaluation:

1. Urinalysis (diminished out put, hematuria, high explicit gravity, protein urea, white cells, throws) might be accounted for

2. Blood urea nitrogen and cretinin often raised
3. Sedimentation rate – raised
4. Chest x-ray may show aspiratory clog and cardiovascular broadening

Complications:

1. Hypertensive-encephalopathy (eagerness, trance, spasms, retching extreme cerebral pain, visual aggravations) happen as often as possible.

2. Congestive cardiovascular breakdown may happen because of constant hypertension, hypervolaemia and perirenal vasoconstriction

3. uremia-showed by sluggishness, trance like state, trance, strong jerking and seizure may happen.

4. Paleness for the most part brought about by hypervolaemia rather than red blood cells in the urine may happen.

Nursing Care:

1. Keep up bed rest during the intense period of the illness
2. Shield the child from infection
3. Give satisfactory eating diet prescribed
4. Keep up a total record of the child’s intake and output
5. weight the child day by day
6. Record B/P at standard interim
7. Watch for indications of difficulty (edema, spewing..)
8. Record appearance of urine