What is the schedule for follow-up monitoring of acute poststreptococcal glomerulonephritis (APSGN)?

Updated: Dec 05, 2018
  • Author: Rajendra Bhimma, MBChB, MD, PhD, DCH (SA), FCP(Paeds)(SA), MMed(Natal); Chief Editor: Craig B Langman, MD  more...
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Answer

Follow up at 0-6 weeks as frequently as necessary to determine the following:

  • Hypertension has been controlled.

  • Edema has started to resolve.

  • Gross hematuria has resolved.

  • Azotemia has resolved.

Follow up at 8-10 weeks after onset to assess the following:

  • Azotemia has subsided.

  • Anemia has been corrected.

  • Hypertension has resolved.

  • C3 and C4 concentrations have returned to normal.

Follow up at 3, 6, and 9 months after onset to check the following:

  • Hematuria and proteinuria are subsiding gradually.

  • Blood pressure is normal.

Follow up at 12 months after onset to evaluate that proteinuria and microscopic hematuria have disappeared.

Follow up at 2, 5, and 10 years after onset to check the patient's urine, blood pressure, and serum creatinine level are normal.


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