47. Renal papillary necrosis Flashcards Preview

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Flashcards in 47. Renal papillary necrosis Deck (6):
1

renal papillary necrois ?

sloughing of necrotic renal failure

2

symptoms/finding s

1. gross hemauria
2. proteinuria
3. flank pain

3

causes of renal paipllary necrosis

1. Sickle cell disease or trait
2. acute pyelonephritis
3. NSAID ( or phenacetin)
4. DM
5. Acute interstitial renal nephritis
May be triggered by recent infenction or immune stimulus

4

Renal papillary necrosis can be triggered by

1. recent infection
2. immune stimulus

5

• What is the clinical presentation of renal papillary necrosis?

Gross hematuria and proteinuria (the result of sloughing of the renal papillae, often after an infection or immune stimulus)

6

• Name at least two conditions associated with renal papillary necrosis.

Sickle cell anemia and trait, Acute pyelonephritis, Analgesics (NSAIDs), Diabetes mellitus (SAAD papa with papillary necrosis

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