CHRONIC GLOMERULONEPHRITIS
End-stage renal disease is the final stage of many
forms of glomerular disease. It is characterized by progressive
renal failure, uremia, and ultimately death.
Clinical features include
anemia, anorexia, malaise, proteinuria, hypertension, and azotemia. Urinalysis
shows broad, waxy casts. On pathologic examination, the kidneys are grossly
small and shrunken; microscopic exam shows hyalinization of glomeruli,
interstitial fibrosis, atrophy of tubules, and a lymphocytic infiltrate.
Treatment is dialysis and
renal transplantation.
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