Pediatics Flashcards

1
Q

What is agenesis

A

Absent kidney development

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2
Q

Renal hypoplasia

A

Small dysplastic kidney with fewer than normal number of calyces and nephrons

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3
Q

Renal dysgenesis

A

Maldevelopment of the kidney that affects its side and shape and structure and reduced no of nephrons

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4
Q

2 Development abnormalities

A

Horseshoe and ectopic kidney

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5
Q

What is ectopic kidney

A

Kidney located in other part of the body 50% are partially blocked

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6
Q

Symptoms of an ectopic kidney

A

Uti
Abdominal pain
Lump in the abdomen

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7
Q

Do males or females have more uTIS after birth in the first year

A

Males

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8
Q

Utis below the 12 months of age are common in

A

Male

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9
Q

UTIS after 1 year of age is common in

A

Females

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10
Q

What is alport syndrome

A

Can’t see can’t pee can’t hear a bee
85% cases linked to boys x linked

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11
Q

What is the most common hereditary auto inflammatory disease in the world

A

Fmf familial Mediterranean fever

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12
Q

What are the changes in the urine

A

Anuria no urine output
Oliguria low urine output <300
Polyuria high urine output >2000 mg
Dysuria painful urinating

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13
Q

What are the most common bacteria infection in children

A

Pylelonephritis renal pelvis infection
Cystitis bladder wall infection

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14
Q

Are uncircumcised males at higher risk for utis then circumcised true or false

A

True

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15
Q

What is proteinuria

A

Proteins in urine
100-1000 mg = post streptococcus glomerulononephritis ig A nephropathy alport disease
>1000 mg = minimal change disease

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16
Q

What is renal Ed ema

A

Always bilateral

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17
Q

Hematuria

A

> 5 RBCS in urine microscopic
Blood in urine macroscopic

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18
Q

Herdiatery disease causing heamturia is

A

Alport disease

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19
Q

Recurrent macroscopic hematuria in schildren is

A

IgA nephropathy

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20
Q

The most common cause of microscopic hematuria

A

Acute bacterial urinary tract infections

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21
Q

The most common cause of recurrent gross hematuria

A

Berger disease iga nephropathy

22
Q

What is brick red diaper syndrome

A

Benign
Self limited
Increase in Uric acid crystals in urine
Subtle dehydration

23
Q

Brown cola tea colored
RBC casts
Moderate proteinuria
In the urine what’s is it related to

A

Upper urinary tract sources of hematuria
In the nephron
It’s in the glomerulus tubular system or interstiium

24
Q

Bright red pink boos in urine
Normal RBC
NO proteinuria on dipstick

A

Lower urinary tract hematuria
Originate in the pelvocaliceal system
Ureter
Bladder
Urethra

25
Q

Recent upper respiratory infection

A

Postinfectious glomerulonephritis
HSP henioch schonlen purpura

26
Q

Frequent dysuria and fever

A

Uti

27
Q

Git infection

A
28
Q

Git inf

A

Hemolytic uremic syndrome

29
Q

Rash and joint complaints

A

HSP
SLE SYSTEMIC LUPUS ERYTHEMATOSUS NEPHRITIS

30
Q

What’ are symptoms for glomerulonephritis

A

Colored urine tea or cola
Oliguria
Perorbital body edema
Hypertension

31
Q

Alport syndrome

A

Ant lenticonus
Peeing of blood
Ototoxicity
Renal failure
Thickining of GBM

32
Q

APSGN Acute post streptococcal glomerulonephritis 

A

Type 3 hypersensitivity reaction
Infiltration of the leukocytes
Proliferation of mesegial cells in GFR
Renal failure
Acid base imbalance
Electrolyte abnormal
Edema
HPT

33
Q

Is A beta hemolytic streptococcal inf common before the age of 3 years

A

No

34
Q

How to confirm its APSGN

A

HPT
EDEMA
Increase urea and creatinine
C3 serum reduced

35
Q

Types of proteinuria

A

1)transient= fever exercise dehydration
2) orthostatic= persistent proteinuria in school age
3) pathological proteinuria

36
Q

What are pathological proteinuria

A

Glomerular defects in permeability of glo filteration
Tubular incomplete tubular reabsoprtion pf proteins

37
Q

Is major protein albumin detected on glomerular or tubular

A

Glomerular

38
Q

Glomerular proteinuria triad Nepthrotic syndrome

A

Nephrotic syndrome
1= hypoalbuminemia <2.5. Normal 3.5-5.5
2=edema
3= hyperlipidemia >200 mg

39
Q

Which protein causes congenital nepthrotic syndrome of the Finnish type CNF

A

NPHS1 NEPHRIN

40
Q

Which gene causes isolated DMS DENys- drash syndrome

A

WT1

41
Q

How to confirm a nephrotic syndrome

A

Urine protein level > 3.5
Low serum albumin <2.5
High cholesterol

42
Q

85% of cases of nephrotic syndrome in children is

A

Minimal change NS

43
Q

WHAT ABOUT MCNS IS TRUE
Common in males then females
Appears at the age 2-6 years

A

Both true

44
Q

MCNS FACTORS

A

Hyperlipidemia
Increase susceptibility to infection
Hypercoagulability

45
Q

What causesINS

A

80% MCNS
Secondary
Hepatitis B. C

46
Q

Causes of congenital NS

A

FINISH TYPE NEPHRIN
DENY DRASH WT1

47
Q

What is AKI

A

Sudden loss of renal function with a rise in creatinine and BUN
Decreased renal perfusion

48
Q

Critical importance of aki

A

Volume status
Blood electrolyte status blood ph analysis

49
Q

Urinary indices in prerenal aki

A

Urine osmality >400
Urine Na <20
Urine gravity >1020

50
Q

Renal aki indices

A

Mosom <350
Urine Na >30
Urine gravity <1010

51
Q

A diagnose of aki is based on

A

Increase in creatinine and decrease in urine output