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Flashcards in Gu Deck (25):
1

three major categoires of ARF

prerenal
intrinsic renal
postrenal

2

diagnosis of ARF often made by what 2 labs

BUN and creatinine

3

what is nephrotic range proteinuria

more than 3 grams per 24 hours

4

what does nephrotic range proteinuria indicate

glomerular lesion

5

when do signs and symptoms of ARF appear

renal function falls to 10%

6

syndrome resulting from failure of kidneys to perform their normal excretory, metabolic and endocrine functions.

Uremia

7

2 major type of stones

Calcium and uric acid

8

Stones with magnesium ammonium oxalate crystals associated with proteus bacteria

Struvite

9

Confirmatory study for nephrolithoasis

Helical computed tomography

10

Tx for nephrolothiasis

Hydration, pain relief, Extracorpeal shock wave lithotripsy

11

Only type of stone that is radiolucent

Uric acid

12

What type stones often grow very large

Struvite

13

Tx for uric acid stones

Alkalization of urine to ph >6 with potassium citrate
Avoid meat and fish
Allopurinol

14

Most common type of kidney stone

Calcium oxalate

15

what are the 2 min clinical manifestatiosn of nephrotic syndrome

proteinuria nd edema

16

what is the principal urinary protein

albumin

17

what is usually required to establish the diagnosis for why a person has nephrotic syndrome

renal biopsy

18

Tx for nephrotic syndrome

ACEI or ARB, sodium restriction, loop diuretics

19

what other anobrmalities are seen w/ nephrotic syndrome

lipid abnormalities
disporition to accelerated atherosclerosis and arterial thromboses

20

patient with idiopathic nephrotic syndrome often recieve what?

immunosupressive therapy

21

male presents w/ increased frequency of urination, nocturia, hesitancy, urgency and weak urinary stream.

BPH

22

labs to get with BPH

UA, serum creatinine, PSA

23

behavioral tx with BPH

avoid fluids before bed or lreaving the house, reduce consumption of alcohol and caffeine, double voiding to empty the bladder more completely

24

initial treatment for BPH

alpha-adrenergic antagonist

25

for men with severe BPH how can you tx

alpha-adrenergic antagonist and 5-alpha reductase inhibitor