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Flashcards in Nephrology and Urology Deck (14):
1

What Causes non-anion gap acidosis

Loss of HCO3 from the GI tract or kidney

2

What causes Anion gap acidosis

Ketoacidosis
Lactic Acid

3

What size stone can be passed from kidney?

5-6mm stone (otherwise, intervention is needed)

4

Renal Cell Carcinoma

M > F
RF: smoking
Hematuria = most common presentation

5

FeNa <1%

Pre-renal cause
ie: volume depletion

6

FeNa >2%

ATN (85%) ***muddy brown casts***
Interstitial Neprhitis (10-15%)

7

What causes Acute tubular necrosis

Ischemia/Shock
Toxin Exposure
-contrast, ACEI, NSAIDs, aminoglycosides (-mycins), amphotericin-B, cyclosporine

8

What causes Interstitial Nephtitis

Rx in >70%
-NSAID, PCN, sulfa drug, cephalosporin, phenytoin, allopurinol

9

Contraindications to PD5 inhibitors

-nitrate use
-alpha blocker for BPH

10

SE of PD5 inhibitors

Hypotension
Temporary color blindness
mild HA
flushing
priapism

11

Testicular torsion PE

-loss of cremasteric reflex (doesn't elevate w/ stroke of inner thigh)
- NEGATIVE phren sign (pain does not decrease w/ lifting)

12

What dz processes have + phren sign

Epididymitis, orchitis

13

Who gets a urine culture?

-recurrent infections
-pregnant women
-children
-men
-diabetics

14

Bacterial cause of prostatitis

Depends on age of pt.
< 40 = gonorrhea or chlamydia
>40 = e. coli, pseudomonas >> enterococci