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Flashcards in Nephro Deck (39):
1

False positive hematuria occurs in what urine pH?

Alkaline

2

What type of crystals can form in an acidic urine?

Uric acid

3

What type of crystals can form in an alkaline urine?

Phosphate

4

Nephrotic syndrome

PALE

Proteinuria
Albumin low
Lipids high
Edema

5

Most common cause of gross hematuria in the pediatric population

UTI

6

Documentation of prior streptococcal infection in the throat

ASO titer

7

Documentation of prior streptococcal infection in the skin

Antideoxyribonuclease B

8

Levels of what complement will decrease in PSGN

C3

9

C3 levels in PSGN will normalize after how many weeks

6-8 weeks

10

Phases of APSGN

Oliguric
Diuretic
Convalescent

11

What major noxious products of complement activation are produced after C3 activation

Anaphylatoxin
C5a

12

Best single antibody titer to document skin infection

DNAse B antigen

13

Causes of renal insufficiency that cause decreased C3

Pag wala na C3 sa jollibee, maglalakad ka na nag li-LIMPS

PSGN
MPGN
Lupus Nephritis
Infective endocarditis
Shunt nephritis

14

Patient presents with hematuria, HTN, and signs of renal insufficiency:

History of hemoptysis and severe respiratory distress

Goodpasture

15

Patient presents with hematuria, HTN, and signs of renal insufficiency:

3 weeks ago with SVI
Purpuric rash most prominent at the buttocks
Pain in joints

Henoch Schonlein

16

Patient presents with hematuria, HTN, and signs of renal insufficiency:

History of vomiting and bloody diarrhea and fever and eating hamburger
Hepatosplenomegaly

HUS

17

Sudden onset of gross hematuria

Febrile with URTI or GIT infection
Normal C3

IgA nephropathy ( Berger)

18

Asymptomatic microscopic hematuria during yearly check up

Wears thick glasses and hearing aid
Has uncles with same condition

Alport syndrome

19

Pathognomonic in Alport syndrome

Anterior lenticonus

20

Also called benign familial hematuria

Thin basement membrane disease

21

Treatment for minimal change disease

Corticosteroid therapy

22

Major complication of nephrotic syndrome

Infection

23

Most frequent type of infection in nephrotic syndrome

Bacterial peritonitis

24

Most common organism causing peritonitis

Pneumococcus

25

Site of pathology in MPGN

Subendothelial

26

Diffuse thickening of glomerular capillary walls
Granular IgG and C3
Subepithelial deposits of electron dense material
Spike and dome appearance

Membranous GN

27

Diffuse effacement of epithelial foot processes, no deposits

Minimal change

28

Large hypercellular glomeruli
Increased mesangial matrix
Double contour or tram track appearance

Membranoproliferative GN

29

Focal segmental sclerosis and hyalinosis
Loss of foot processes, epithelial denudation

FSGS

30

Most common causes of UTI in children

E coli
Klebsiella
Proteus

31

Most common serious bacterial infection in younger than 24 months

Pyelonephritis

32

Most specific test for UTI

Nitrite test 98%

33

Most sensitive test for UTI

Leukocyte esterase, nitrite or microscopy positive

34

Acute cystitis treatment

TMP SMX

35

Treatment for pyelonephritis

Ceftriaxone
Cefotaxime
Ampi genta

36

One of the most common cause of renal failure in young children

HUS

37

Symptoms of HUS

RAT

Renal failure
Anemia
Thrombocytopenia

38

Seen in PBS of patients with HUS

Schistocytes
Helmet cells
Burr cells

39

Treatment for HUS

Supportive