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By: Hamza AlGhamdi
NORMAL KIDNEY’S PHYSIOLOGY AND HISTOLOGY
Capillary Space Endothelium Urinary Space GBM Podocyte
NORMAL KIDNEY HISTOLOGY
Parietal Epithelium Visceral Epithelium Capillary Lumen Mesangial Cell Basement Membrane (GBM) Urinary Space RBC Endothelial Cell
NEPHROTIC SYNDROME IS NOT A DISEASE
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Periorbital edema Pitting edema of lower limbs
INVESTIGATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
 
 
[object Object],[object Object],[object Object],[object Object]
 
Membranous GN Sub-epithelial immune  Complex deposits Thickened GBM
Membranous GN  H&E
Membranous GN  IF
Capillary Lumen GBM GBM Membranous GN  EM
MINIMAL CHANGE DISEASE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
MINIMAL CHANGE DISEASE Foot Process Fusion
 
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FSGS  H&E
MEMBRANOPROLIFERATIVE  GLOMERULONEPHRITIS ,[object Object],[object Object],[object Object]
MEMBRANOPROLIFERATIVE  GLOMERULONEPHRITIS ,[object Object],[object Object],[object Object],[object Object]
Figure 8.  Pathology of membranoproliferative glomerulonephritis type I.  (a) Light microscopy shows a hypercellular glomerulus with accentuated lobular architecture and a small cellular crescent (methenamine silver).
IGA NEPHROPATHY (BERGER DISEASE) ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
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Nephrotic syndrome