Clinical Diagnosis in Renal Flashcards Preview

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Flashcards in Clinical Diagnosis in Renal Deck (21):
1

Glomerulonephritis?

histology would show glomerular tufts with secondary tubulointerstitial changes
Usually diffuse
Urine dipstick
Urine protein quantification (measure by 24 hr urine sample or by protein creatinine ratio)

2

Pyelonephritis?

Urinalysis (urine often cloudly with offensive smell)
Urine dipstick - send for culture
Microscopy of urine will show pyuria
Inflammatory markers raised

3

Pyelonephritis?

Urinalysis (urine often cloudy with offensive smell)
Urine dipstick - send for culture
Microscopy of urine will show pyuria
Inflammatory markers raised

4

Simple cysts?

US and contrast CT

5

Adiogmyolipoma?

CT

6

RCC?

Bloods (polycythemia) urinarlysis, ultrasound, then CT/MRI, IVU, CXR for cannonball mets, biopsy

7

oncocytoma?

central scar on CT

8

Renal stones?

BP low
Urinalysis
Non contrast CT

9

Torsion of spermatic cord?

Doppler US

10

Epididymitis?

dopper
Send urine for culture + chlamydia PCR

11

Fournier's

plain X ray or US to confirm gas in tissues

12

Emphysematous pyelonephritis?

X ray to show gas
CT to define extent

13

Perinephric abscess?

High WCC, high serum creatinine, pyuria
Do CT

14

Kidney trauma

Do CT with contrast if drank haematuria, shock, penatrating injury

15

Bladder injury?

CT cystoscopy
Flame shaped collection of contrast in pelvis

16

Urethal injury

retrograde urethrogram

17

Testicular injury?

US

18

BPH?

PSA (although may be raised by PR)

19

Prostate cancer?

PSA, trans rectal US guided prostate biopsu
Bone scan, MRI/CT for staging

20

incontinence?

urodynamics

21

SCC of penis?

histology
ultrasound if invasion suspected
Regionally do dynamic sentinel node biopsy