Block 65, 66: Renal Flashcards Preview

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Flashcards in Block 65, 66: Renal Deck (63)
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1

bladder pain that is worsened by filing and relieved by voiding, diagnosis? other symptoms?

interstitial cystitis
- urgency, frequency, and chronic pelvic pain

2

cystocele

bladder prolapse into anterior vaginal wall

3

what sodium level do patients have severe SIADH and how do you treat? how do you treat mild SIADH

less than 120
hypertonic (3percent) saline

normal fluids

4

Diagnosis of SIADH

- hyponatremia
- serum osmo less than 275
- urine osm less than 100
euvolemic patient

5

initial corner stone therapy for renal stone diasese

Hydration

6

left lower abdominal pain radiating to the groin, vomiting, and unremarkable findings on abdominal exam has

obstructive ureterolithiasis

7

perferred modality for diagnosing ureteral stone are

ultrasonography or noncontrast spiral CT of abdomen

8

what does tuberculosis causing chronic primary adrenal insufficiency cause in the body

Addisions: Aldosterone deficiency
- non-anion gap
- hyperkalemic and hyponatremic metabolic acidosis

9

Aminioglycosides coveres what

serious gram-negative infections

10

toxicity of aminoglycosides

nephrotoxic

11

amikacin is what type of drug

aminoglycoside abs

12

type of drug: Levofloxacin

fluoroquinolone

13

Asymptomatic hypercalcemia
elevated or inappropriately normal PTH
low urinary calcium excretion

Familial hypocalciuric hypercaclemia

14

how is primary hyperparathyroidism different from familial hypocalciuric hypercalcemia

primary hypeparathyroidism has increase urinary calcium excretion ( urine calcium/creatinine clearance ratio)

15

treatment for hyperkalemia with significant ECG changes

calcium gluconate

16

how do beta adrenergic impact potassium

shifts potassium intracellular
- watch out in COPD patients

17

acidosis impact on potassium

hyperkalemia

18

3 ways K enters a cell

- insulin, beta-adrenergic, hematopoiesis
- GI loss
- hyperaldosteronism, diuretics

19

what 2 values are needed for best picture of acid-base status

pH
CO2

20

contrast-induced nephropathy

- transient spike in creatinine within 24 hours of contrast
- return to normal within 5-7 days

21

what can be given to minimize the risk of contrast-induced nephropathy

- IV hydration with isotonic bicarbonate or normal saline
- acetylcysteine

22

what should you suspect with large amounts of blood on urinalysis with relative absence of RBCs on urine microscopy

Myoglobinuria caused by rhabdomyolysis

23

when is anion gap calculated

metabolic acidosis

24

what is normal anion gap

6-12

25

when is osmolar gap calculated

ethanol, methanol or ethylene glycol toxicity

26

risk of correcting hyponatremia too quickly

CNS osmotic demyelination syndrome

27

triad for renal cell carcinoma

flank pain
hematuria
palpable abdominal renal mass

28

Unilateral varicoceles that fail to empty when a patient is recumbent raise suspicion for?

underlying mass pathology, such as renal cell carcinoma

29

characterize diabetic nephropathy

proteinuria
progressive decline in GFR

30

pathologic hallmark of diabetic nephropathy

nodular glomerulosclerosis
- diffuse glomerulosclerosis is more common