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Flashcards in nephro Deck (44):
1

ATN
drugs vs contrast

-Constras its instant(PRERENAL lab valued on Na and osmolarity with ATN BUN:creatinite relation)
----BUN:Cr(

2

ATN
asossiated drugs


vancomycin
aminoglycosides
cisplatin
acyclovir
cyclosporine
amphotericin

3

hepatorenal labs

prerenal azoemia
-BUN/cre(>20:1)
-FeNA500 mOsm/kg

4

contrast induced Lab values

BUN/Cr

5

AIN drugs

Penicillins
Sulfas
phenytoin
PPI
Rifampin
quinolones
allopurinol

6

fever
hematuria
sudden onset of flank pain
NSAID use antecedent

papillary necrosis

7

TTP association

HIV
cancer
cyclosporine
ticlopidine
clopidogrel

8

TTP treatment

plasmapheresis
if not present give FFP
DO NOT GIVE STEROIDS OR PLATELETS

9

psychogenic polydipsia assiation

bipolar disorder

10

SIADH sx Treatment
asymptomatic
confusion:

normal saline + DIURETIC

11

hyperkalemia . best next step?

do EKG
if EKG changes
give
-Ca gluconate
-Ca chloride
-insuline

12

persistent WBC on UA with negative culture...

can be TB

13

useful to detect eosinophils in urine

Wright and Hansel
-the answer for allergic interstitial nephritis

14

Hematuria DDX

-stones
-hematologic disorders
-infection
-cancer
-treatment(cyclophosphmide)
-trauma
-GLOMERULONEPHRITIS

15

dysmorphic red cells

GLOMERULONEPHRITIS

16

hematuria with out infection or trauma

DO a Cystoscopy ( for cancer exclusion)

17

retroperitonela fibrosis

bleomycin,methylsergide or radiation
POSTRENAL AZOEMIA

18

most common cause of intrinsic renal disease

ATN
-NSAID(MOST COMMON)
-aminoglycoside,amphotericin
-cisplatin, cyclosporine.

19

enlargement of the bladder and massive diuresis after foley

specific for urinary obstruction

20

best imagen test for AKI

Renal sonogram

21

Medication for renal failure prophilaxis PRIOR chemotherapy

-Allopurinol
-Rasburicase
-Hydratation

22

rhabdomyolysis

UA positive for blood cells,no cell will be seen on microscopic examination

23

hepatorenal syndrome treatment

midodrine
octreotide
albumin

24

most accurate test in papillary necrosis(pyelonephritis like but negative culture)

CT scan(abnormal internal structures)

25

most common cause of acute glomerulonephritis in USA

Berger Disease

26

nephrotic syndrome in cancer

membranous

27

nephrotic syndrome in injection and AIDS

focal-segmental

28

best initial test for DI

water deprivation test, the most accurate is ADH ADMINISTRATION TEST

29

hyponatremia(hypervolemia,euvolemia,hypovolemia)
with Hypervolemia

Cirrhosis
nephrosis
CHF

30

hyponaremia with hypovolemia

-pseudohyponatremia(hyperglycemia)
-psychogenic polydipsia(12-24 L/day)
-hypothyroidism
-SIADH

31

for every 100 of glucose above abnormal, there ir a ...... decrease in sodium

1.6

32

mental disease associated with psychogenic polydiosia

bipolar disorder

33

if K does not correct ...

check for hypoMg

34

nephrolithiasis

pass spontaneosly

35

stones7-7mm

nifedipine and tamsolusin

36

stones from 0.5cm to 3

lithotripsy

37

most effective lifestyle modification for hypertension

WEIGHT LOSS

38

best inital therapy for hypertensive crisis

Labetalol or nitroprusside

39

metabolic acidosis with hyperkalemia

RTA 4

40

dysmorphic or RBC cast

glomerular disease

41

alport syndrome most accurate test

SKIN biopsy

42

non anion gap hyperchloremic metabolic acidosis

look for a RTA

43

RTA type 1 cause

-amphotericina B
-analgesic nephropathy
-multiple myeloma
-obstruction of the urinary tract

44

RTA type 2 causes

-fanconi syndrome