kidneys Flashcards

(28 cards)

1
Q

nephrotic

A

massive protein loss + selective loss of 3.5 g or more every day

Oedema diff between kids and adults
hypoalbuminaemia
hyperlipidaemia
frothy urine

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2
Q

nephritic

A

Mild protein loss non-selective
hematuria- macro or micro - main distinguishing factor from nephrotic
hypertension
oliguria

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3
Q

whats the mechanism of edema in nephrtoic

A

low oncotic pressure

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4
Q

what is the main factor determining non selctive and selctive protein loss in the 2 syndromes

A

the time

in nephritic syndrome : the much larger molecules being filtered out start to clog the tubule downstream, and this obstruction causes a back log of pressure which lead back up to the glomeruli and makes them non functional

nephrotic:
the affected glomeruli are functioning for longer period of time

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5
Q

which kidney sydnrome has hypertensiosn and why

A

nephritic because of the reduced glomerular filtrates and rate (oligouria) due to non functional nephrons

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6
Q

what is the edemia in nephritic due to

A

increased HP

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7
Q

DIURESIS

A

normouria- 500-2000ml
oligo- 100/150-500ml
anuria- less than that

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8
Q

stages of acute renal failure

A
  1. main disease
  2. oligouria
  3. poly
  4. recovery
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9
Q

most characteristic sign of acute renal failure

A

oligouria

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10
Q

types of acute renal failure

A

pre- artheroscleorosis, stonosis, sudden drop in bP
renal
post

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11
Q

main charcteristic feature of acute renal

A

oligouria

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12
Q

can nephrons be recovered from damage

A

no you cant form new nephrons

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13
Q

centralization of shock

A

brain h
heart
kidneys

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14
Q

proteins in urine measurement and values

A
g/24 h
less than 100mg is not proteinuria 
100-500mg/so 0.1-0.5 mild
0.5-3.5 moderate 
above - severe
more than 10g - MASSIVE
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15
Q

qualititve and quanitive indicators of proteinuria

A

quant- grams

qual - is it selective or non selective

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16
Q

which protein is involved in selctive and why?

A

albumin and due to its smaller size ?

17
Q

how would you define acute kidney failure

A

decrease in GFR

18
Q

VASORECTA

A

the extension of the efferent arteriole the remaining blood that has not been filtered so it traveles around the nephron and is involved in reabsorption and secretion

19
Q

whats one of the most common causes for acute glomerulonephritisi

20
Q

2 main causes of a decrease in GFR

A

vasuclar changes

uring backflow due to an obstructure so the pressure eventually equalisies

21
Q

renal syndromes

A
hypocalcemia
electrolyte imbalance - k
increase in toxic subsatnces 
metabolic acidosis 
edema 
hypertension
22
Q

whats more dangerous nephrotic or nephritic

A

nephritc is more dangerous but less common

23
Q

whats asterixis linked to

A

kindey and liver disease

24
Q

visabale signs on someones skin that they they have kidney issues

A

uremic frost
urochrome-yellowish hint
xerosis-dry skin due to atrophy of sweat glands
pale-anemia

25
the role between acute renal failure and ions
hyper everythign!!!!
26
whats the link between nephrotic syndome and coagulation problems
these people pee out antithrombin which STOPS THROMBIN WHICH FORMS CLOTS therfore less antithrombin means more thrombin means more clots
27
Division of glomerular nephritis
non Proliferative no proliferation of cells found in the interstitium typical for nephrotic syndrome and proliferative cells found typical for nephritic -more severe
28
characteristics of chronic kidney
poluria | isothenuria (specific gravity