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SMLE | Nephrology šŸ§» > CKD > Flashcards

CKD Flashcards

1
Q

Patient with stage 2 CKD presented with fatigue and pallor
His labs was:
Hgb šŸ”»
MCV šŸ”»
What is the most appropriate test to order?

A. Iron study
B. Erythropoietin level
C. Hgb electrophoresis

A

Iron study
CKD patients are prone to get IDA

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2
Q

Granular cast

A

ATN
Acute Tubular Necrosis

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3
Q

WBC casts

A

Acute interstitial nephritis

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4
Q

RBC cast

A

Glomerulonephtitis

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5
Q

What are the stages of ATN?

A
  1. Inciting event (trigger)
    šŸ”¹ Toxins, Allergy, Pigments, Proteins, Crystals, Ca
  2. Maintenance phase (oliguric)
    šŸ”¹ watch for hyperK, met acid, uremia
  3. Recovery phase (polyuric)
    šŸ”¹ watch for hypoK
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6
Q

Acute interstitial nephritis
Presentation

A

Pyuria & Azotemia
Triad: (Fever + Rash + eosinophilia)
Hematuria
Costovertebral angel tenderness

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7
Q

Acute interstitial nephritis
Unique finding on urinalysis is [ā€¦]

A

Eosinophiluria šŸ˜Ž

ā˜‘ļø AIN
ā˜‘ļø Cholesterol emboli

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8
Q

The drugs associated with Interstitial nephritis

A

5Pā€™S
Pee (Diuretics)
Pain free (NSAIDs)
Penicillin, Cephalosporin
PPI
RifamPin
Sulfa drugs

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9
Q

Indications of Dialysis

A

Acidosis
Electrolyte
Intoxication
Overload
Uremia (pericarditis, Encephalopathy)

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10
Q

CKD + Acidosis Ā» Tx:[ā€¦]

A

Sodium bicarb

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11
Q

CKD + Overload Ā» Tx:[ā€¦]

A

Diuretics

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12
Q

CKD + HyperK Ā» Tx:[ā€¦]

A

Calcium gluconate
Bicarb
Insulin + Glc

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13
Q

CKD + Uremia Ā» Tx:[ā€¦]

A

Dialysis

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14
Q

In CKD Anemia of chronic disease treated with EPO the target Hb is [ā€¦]

A

10

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15
Q

How does contrast cause nephrotoxicity?

A
  1. ATN (renal)
  2. Severe AFF constriction (prerenal)
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16
Q

A 33 years old man brought after he was on the street. Urine is dark but no RBC on the urine analysis.
What is the most likely cause of his renal injury?

A

Rhabdomyolysis
Myoglobinuria

Hematuria but no RBC
= Pigments

SMLE | Nephrology šŸ§» (6 decks)

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