Edema

Nephritic syndrome
Nephrotic syndrome
Renal failure
  • Describe the fluid composition of the body, the body water compartments and the normal movement of fluids and electrolytes between compartments
  • Describe the anatomy and physiology of the renal system
  • Describe non-renal causes of edema
  • List the cardinal features of glomerulonephritis and the most common causes in the pediatric population
  • Describe the pathophysiology of glomerular disease
  • Interpret results of a urinalysis and other tests of kidney function
  • Distinguish between pre-renal, renal and post-renal causes of acute kidney injury
  • Distinguish between transient, benign, and pathologic proteinuria

Overview & Foundational Knowledge

Hisano S et al. Edema in childhood. Kidney Int 1997; 59: S100-104.

https://pubmed.ncbi.nlm.nih.gov/9185114/

An old review but covers the basics well: localised and general edema, causes and management.

Gordillo R & Spitzer A. The nephrotic syndrome. Pediatrics in Review 2009; 30: 94-105.

https://papers.ucalgary.ca/paediatrics/assets/nephrotic-syndrome–pir.pdf

Review of the mechanism of proteinuria, treatment and outcomes.

Andreoli S. Acute kidney injury in children. Pediatric Nephrology 2009; 24(2): 253-263.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2756346/pdf/467_2008_Article_1074.pdf

Causes of childhood acute and kidney failure, treatment and complications.

Clinical Resources

Lombel et al. Treatment of steroid-sensitive nephrotic syndrome: new guidelines from KDIGO. Pediatric Nephrology 2013; 28: 415-26.

https://kdigo.org/wp-content/uploads/2018/08/Steroid-sensitive-NS-evidence-summary_final_v2.pdf

Latest guidelines for the treatment of idiopathic childhood nephrotic syndrome.

Cards

Edema

Edema

Canuc-Paeds physician authored, replayable cases