Quiz 5 - Urogenital Flashcards Preview

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Flashcards in Quiz 5 - Urogenital Deck (39)
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1

which enzyme is responsible for regulating blood pressure in the kidney?

renin

2

which kidney is lower?

right

3

which PMHx are common in the renal patient?

lupus
DM
hypertension

4

what are associated ROS for renal dz?

general: fever, wt loss, fatigue
CV - dypnes, chest pain, edema
GI - anorexia, NV cramps
GU - polyuria, dysuria, hematuria
Skin - rash, puritis

5

what does deep breathing suggest

metabolic acidosis

6

what are red flag symptoms of urinary frequency

fever
back pain
lower extremity weakness

7

what are red flag symptoms of dysuria?

fever
flank pain
recent instrumentation
immunocompromised
recurrence

8

what is involuntary bed wetting after age 5

nocturnal enuresis

9

what are the three types of urinary incontinence

inability to hold urine due to:

overflow
stress
urge

10

what are the red flags of polyuria?

abrupt onset
night sweats
cough
weight loss
psychiatric disorder

11

what is oliguria?

decreased urine output

12

anuria is?

urine output

13

microscopic hematuria should be investigated when

then presence of any RBCs >1

14

when painless urination is seen - what should be considered?

tumors of bladder, kidney, prostate - until proven otherwise

15

what are red flags in regards to hematuria?

gross hematuria
persistant microscopic in elderly
hypertension
edema

16

what is the most common cause of renal colic and what are red flag symptoms?

most often caused by passage of renal calculi

red flags:
fever
oliguria
anuria

17

what is commonly used for STI testing

NAAT PCR

18

which bacterial UTI is common in kiddos?

kelbsiella enterobacter

19

what host defenses reside in the uroepithelium and renal tubules?

tamm-horsfall glycoproteins

- IgA local antibodies also exist in the uroepithelium

20

in regards to urethritis, which organisms are responsible?

Gonococcal urethritis - 50% cases, yellow green d/c

NGU - non gonococcal urethritis - most are Chlamydia, whitish-mucoid d/c

- urgency, frequency, tingling with urination

21

what is a good ddx for recurrent UTI

bladder cancer
DM
prostate obstruction

22

what is unique to cystitis?

NO FEVER

- usually asx in kiddos and elderly
- run a UA

23

patient ptc with history of LUT infection, quickly have acquired chills, fever and tachycardia.. what condition is this and what is expected on lab work?

Acute Pyelonephritis

CBC - elevated WBC w left shift

UA - WBCs, pos LE, nitrites

** if protein is present on UA sign of nephron destruction

24

what are glitter cells and what do they represent?

PMNs with cytoplasmic granules in state of Brownian motion

seen in acute pyelonephritis

25

what is a common complication of acute pyelonephritis

renal abscess

26

what is key in regards to chronic pyelonephritis

can take over 20 years to develop
usually asymptomatic

Decreased SG is seen sometimes on UA

Image with KUB (kidney ureter bladder X-ray)

27

how is a definitive dx for glomerular disorder discovered?

renal biopsy

28

what is the classic presentation of nephritic syndromes?

PHAROH
proteinuria
hematuria
azotemia
RBC casts
oliguria
HTN

29

what is the most common cause of post-infectious glomerulonephritis?

group A beta hemolytic strep

- coca cola colored urine.

if untreated could lead to nephrotic syndrome, acute kidney injury, htn encephalopathy

30

what are the 3 rapidly progressive glomerulonephritis conditions and what concomitant symptoms distinguish them?

goodpasture's syndrome - pulmonary hemorrhage

henoch-schonlein purpura - skin lesions

wegener's granulomatosis (ANCA -assocaited)