Pathophysiology Flashcards
(44 cards)
Why is a reticulocyte count done during Labor and Delivery?
If Retic Count is high, it shows there was a stress in the womb and the hospital is not liable.
Increase in BUN levels means
Dehydration and Kidney Failure
If a person is experiencing frequent urination, dysuria, urgency, and lower/suprapubic pain, what could this be and where?
Cystitis UTI in the bladder
What are the two most common pathogens that cause UTI?
E. Coli and S. saprophyticus
This is exclusively produced by the renal tubule cells of the distal loop of Henle and is the most abundant urinary protein.
Tamm-Horsfall Protein (THP)
A patient comes in with excruciating pain in the Upper Outer Quadrant of abdomen and around the bladder. What symptoms are associated?
Colic Pain associated with kidney stones, causes coolness, clammy, nausea, vomiting
Patient complains of deep aching pain in their flank or back which becomes more intense when drinking water?
Non-colicky pain due to kidney stones
Treatment for CKF (select all): A. Reversible B. Manage protein intake C. Transplant D. ACE inhibitor E. Increase potassium F. Erythropoietin as needed G. Decrease dyslipidemia
A, B, C, D, F
What contributes to progression of Chronic Kidney Disease (select all): A. Hypotension B. glomerular hypertension C Hematuria D. Hyper filtration E. Tubulointestinal Inflammation F. Fibrosis
C, D, E, F
Normal GFR Rate is:
130-90
How many stages of GFR are there and what’s Kidney Failure?
5 Stages, GFR less than 15
Factors that’s advance kidney disease:
Proteinuria and Angiotensin II (vasoconstrictor)
CKD affects which other organ systems?
Cardiovascular- anemia and hypertension
Pulmonary- dyspnea + Kussmauls Resp
Hematologic Alterations- hyper-coagulability
Patient has clinical manifestations of “Urea frost”, anorexia, lethargy, bone pain, edema, epistaxis, anemia, bruising, infertility… they could have?
Chronic kidney disease
Risk factors for CKD (select all): A. Make B. African American, Native, Asian C. Elderly D. Family history E. Diabetes, hypertension, obesity F. Smoking, alcohol, drugs
A, B, C, D, E, F
A one year old is experiencing diarrhea, infection, poor feeding, what would I most likely check?
Fluids and electrolyte
The patient experiences urine blockage, infection, or urinary stones due to kidneys failing to ascend to abdomen?
Ectopic Kidney
More common in boys, the midline of the kidney fused and is single u-shaped?
Horseshoe kidney
If someone shows Urinary Tract Obstruction, what are the effects?
Stasis of urine- infection and stones, increase bacteria
Progressive dilation of renal collecting ducts and renal tubular structures, causing destruction and atrophy.
An infection in the bladder has symptoms like frequency, urgency, dysuria, what is this called?
Cystitis
UTI in the kidney cause by e.coli and staphylococcus saprophyticus?
Pyelonephritis
UTO cause:
- Congenital anomalies
- Urinary calculi
- Pregnancy
- Benign prostrate hypertrophy
- Scar tissue
- Tumors
- Neurological disorder
- Spinal cord injury
- Complete or partial obstruction
- ** Unilateral
A patient has crystals in their urine output, why?
Many crystals could mean stones- inflammation, infection, or metabolic disorder
A patient has hematuria and pyuria? Define:
Hematuria- large # of RBCs in urine
Pyuria- WBC in urine, indicates infection