Renal I cases

Question 1

What is the Lloyd’s punch?

Answer 1

• Assesses Costovertebral Angle (CVA) tenderness.

- Can be indicative of kidney stone, UTI, pyelonephritis

Question 2

What things in the patient’s history would lead you to think UTI with a CC of pelvic pain

Answer 2

• Dysuria, polyuria, maybe hematuria, cloudy/malodorous urine, back/flank pain, fever
• Cystitis or pyelonephritis

Question 3

What things in a patient’s history could you use to figure out if pelvic pain is due to non-UTI?

Answer 3

STDs are more associated with sexual things, obviously

-GI problems would be associated with diverticulitis or things like that

Question 4

What is correct way to use an ROS?

Answer 4

• Review of SYSTEMS

- Collecting information about any kind of problems within other system (Heart, lungs, HEENT).

Question 5

Hematuria (pink tinge to urine) is sign of?

Answer 5

Possible urinary tract cancer

Question 6

Where are transitional cells found (lining of), areas where urinary tract cancers can occur?

Answer 6

Line urinary tract from renal pelvis to the proximal 2/3 of the urethra

Question 7

Majority of renal cell carcinomas are what type?

Answer 7

Clear cell type

Question 8

What is the genetic association with renal cell carcinoma?

Answer 8

VHL (Von Hippel Lindau) association

Question 9

How might you diagnose a UTI via lab work?

Answer 9

• Look at the CBC and Urinalysis.
• If white count is elevated, suspect infection (UTI).
• If urine has white blood cells, or red blood cells in it, then you can expect UTI