ChemPath - Diabetes CPC

Question 1

What are the causes of metabolic alkalosis

Answer 1

H+ loss (i.e. vomiting)
Hypokalaemia (and alkalosis)
Ingestion of bicarbonate (i.e. lots of rennie)

Question 2

What is the difference in management for AKI and CKD

Answer 2

If ATN, dialyse for 3 weeks and they will recover
If diabetic glomerular kidney disease (i.e. end-stage renal failure), they need lifelong dialysis

Question 3

What histology on biopsy suggests acute tubular necrosis

Answer 3

Shows very dehydrated tubules
Tubules are necrosed but glomeruli intact

Question 4

What is the management for MI

Answer 4

Aspirin
Beta blocker
Thrombolysis/primary angioplasty
GTN sublingual
Pain relief

Question 5

What signs would you expect to see with an upper motor neuron lesion

Answer 5

Brisk reflexes
Hypertonia
Weakness

CONTRALATERAL side to the lesion