Kidney Disorders

Question 1

Most common cause of chronic interstial nephropathy

Seen with long term NSAID, ASA, tylenol use

Most common in women 60-70; **flank pain and gross hematuria **

Tx: Supportive. D/C offending agent

Answer 1

Analgesic Nephropathy

Question 2

75% associated with drug hypersensitivty, but can be seen post-infection

Rash, fever, arthralgias

WBC casts in urine; sterile pyuria

Inflammation of tubules and interstitium

Tx: Supportive/steroids/dialysis

Answer 2

Interstial nephritis

Question 3

Commonly seen in 30-40s

Abd/flank pain; hematuria; HTN; hepatomegaly

Hereditary cyst develompent

US/CT

Therapy to slow rate of pregossion of renal disease

Answer 3

Polycytic kidney Disease

Question 4

Most common acute kidney injury

due to 1) Ischemia 2) toxins

N/V; HTN; malaise; arrhythmias; rales

Granular, muddy brown casts; BUN:Cr ~10:1

Tx underlying cause

Answer 4

Acute Tubular Necrosis