Accepted at 5:16 p.m. Mar, 06, 2024 by Cameron
Author: DillingerMed
Co-authors: Cameron
Related Note: 1475376396532
Rationale for change

Restarting the conversation that was marked as closed in https://app.ankihub.net/decks/e77aedfe-a636-40e2-8169-2fce2673187e/suggestions/?search=state:rejected,id:271731&tab=change_note_suggestions

I agree with user max023 that periorbital edema is not classic for nephritic syndrome. I can only find it related to PSGN specifically (nid:1475376433919). Based on my reading of AMBOSS and such, I'd expect more mild peripheral edema rather than periorbital edema with nephritic syndromes.

AMBOSS says that nephrotic syndrome "typically starts with periorbital edema" (https://next.amboss.com/us/article/Mg0MD2#lH0vqh).

AMBOSS says that periorbital edema is commonly associated with nephrotic syndrome (https://next.amboss.com/us/article/SM0yLg#Ze7dd006a2764711a849fc741c56b2acf).

Under FA23 p. 727 in the Rapid Review section, "periorbital and/or peripheral edema, proteinuria (> 3.5 g/day), hypoalbuminemia, hypercholesterolemia" is diagnosed with nephrotic syndrome (I understand that this may better reflect the proteinuria values, but still.)

Harrison's 21e Ch. 308 lists periorbital edema as typically nephrotic. nid:1475363769043 in the Extra shows periorbital edema being caused by nephrotic syndrome.

What do the UW Qs say? I don't have access to those Qs yet. I also see Step 1 qid:1577 under another card, but I don't have that question yet either.

UPDATE 2/27/24: Step 1 qid #567 asks about PSGN and presents with peripheral edema, periorbital edema, and HTN. Added tag.

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