Urinary Tract Infection / Interstitial Disease Flashcards

1
Q

When looking at a slide of the cortex, the proximal tubules can distinguished from the distal tubules by __________.

A

the fact that the proximal tubules have more cytoplasm

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2
Q

What are lower GU tract infections called?

A

Cystitis

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3
Q

The most common type of UTI is __________.

A

lower GU tract infections

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4
Q

What three bacterial features make a species more pathogenic?

A
Bacterial adhesion (usually through pili)
O antigens
Endotoxins that limit peristalsis
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5
Q

Why do women get more UTIs?

A

Shorter urethras
Lack of antibacterial secretions (from the prostate)
Urethral trauma (“honeymoon” cystitis)
Pregnancy

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6
Q

Pyelonephritis is possible because _____________.

A

there is no valve at the ureterovesicular junction

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7
Q

We can test for vesicoureteral reflux by _________.

A

injecting dye into a catheter–if dye extends to the kidneys, then VUR is likely

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8
Q

What are the two most common types of kidney stones?

A

Calcium oxalate and phosphate (70%)

Magnesium ammonium phosphate (20%)

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9
Q

Kidney stones are more common in ______.

A

males, those age 20 - 30

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10
Q

Urinary tract obstruction can lead to these things: __________.

A
Hydronephrosis 
Hydroureter
Infection
Renal failure
Hypertension
Chronic obstructive pyelonephritis
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11
Q

____________ can lead to microabscess formation on the kidneys.

A

Acute pyelonephritis

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12
Q

On histologic examination, necrotic papillitis will reveal _________.

A

areas of necrosis–that is, anucleate cells

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13
Q

What is indicated by glomerular atrophy and fibrosis around Bowman’s capsule?

A

Chronic pyelonephritis

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14
Q

What is it called when you use sound to break up stones?

A

Lithotripsy

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15
Q

What are typical settings in which hematogenous spread leads to UTI?

A

Immunosuppression

Ureteral obstruction

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16
Q

Polar scarring of the kidney is indicative of ____________.

A

chronic pyelonephritis secondary to vesicoureteral reflux

17
Q

What causes papillary necrosis?

A

Diabetes
Analgesic nephropathy
Obstruction
Sickel cell