Clinical Presentations in Renal Flashcards Preview

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Flashcards in Clinical Presentations in Renal Deck (28):
1

asymptomatic haematuria/proteinuria

glomerulonephritis

2

Pyelonephritis

rapid, symptoms appearing over 1-2 days
Loin pain, fever, rigors, vomiting

3

simple cysts

most often incidental finding

4

abdo mass, haematuria, CRF, hypertension, usually in adult life

ADPKD

5

abdominal mass in child

nephroblastoma (Wilm's tumour)

6

Abdo mass, haematuria, flank pain, POLYCYTHAEMIA + HYPERCALCAEMIA

renal cell carcinoma

7

haematuria, exposure to dues or rubber

transitional cell carcinoma

8

Long standing cystitis cystica

adenocarcinoma

9

ulcerating tumour of glands/prepuce of penis

SCC

10

Inability to urinate, increasing pain

acute urinary retention

11

sudden severe colicky pain, loin to groin

renal calculus

12

acutely painful scotum, adolescent often woken from sleep
Testin high in scrotum, lies transversely and there is absence of cremasteric reflex

tortion of spermatic cord

13

localised tenderness at upper pole and blue dot sign in testis

torsion of testicular appendages

14

dysuria, pyrexia, history of UTI/urethritis
Cremasteric reflex is present

epididymitis

15

painful swelling of foreskin distal to phimotic ring

paraphymosis

16

starts as cellulitis in male genitals, swollen, tender, erthematous, systemic toxicity, dark purple areas

Fourneir's gangrene

17

fever, vomiting, flank pain, usually in diabetics

emphysematous pyelonephritis

18

flank mass, may be pyrexial, insidious onset

perinephric abscess

19

suprapubic/abdo pain, unable to void, suprapubic tenderness, lower abdominal bruising, diminished bowel sounds

bladder injury

20

often after pelvic fracture

bladder injury

21

blood at meatus, unable to pass urine, butterfly perieal haematoma, palpably full bladder, high riding prostate

urethra injury

22

frequency, urgency, incomplete bladder emptying, need to push or strain, haematuria, p, hesistancy

BPH

23

Majority asymptomatic, piceked up by PSA tests, assymetry, nodular, fixed craggy max

prostate cancer

24

white patches, scarring, bleeding at prepuce/glans of penis

balanitis xerotica obliterans

25

red raised, fungating mass on penis, foul smelling

SCC

26

huge, palpable bladder, chronic retention, insensible incontinence, wet at night, renal impairment

overflow incontinence

27

frequency, small voided volumes, urgency eg caused by running water

urge incontinence

28

Urine leaks during increased intra abdo presure, may have had children

stress incontinence