Flashcards in Quiz 5 - Urogenital Deck (39)
which enzyme is responsible for regulating blood pressure in the kidney?
which kidney is lower?
which PMHx are common in the renal patient?
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
what does deep breathing suggest
what are red flag symptoms of urinary frequency
lower extremity weakness
what are red flag symptoms of dysuria?
what is involuntary bed wetting after age 5
what are the three types of urinary incontinence
inability to hold urine due to:
what are the red flags of polyuria?
what is oliguria?
decreased urine output
microscopic hematuria should be investigated when
then presence of any RBCs >1
when painless urination is seen - what should be considered?
tumors of bladder, kidney, prostate - until proven otherwise
what are red flags in regards to hematuria?
persistant microscopic in elderly
what is the most common cause of renal colic and what are red flag symptoms?
most often caused by passage of renal calculi
what is commonly used for STI testing
which bacterial UTI is common in kiddos?
what host defenses reside in the uroepithelium and renal tubules?
- IgA local antibodies also exist in the uroepithelium
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
what is a good ddx for recurrent UTI
what is unique to cystitis?
- usually asx in kiddos and elderly
- run a UA
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?
CBC - elevated WBC w left shift
UA - WBCs, pos LE, nitrites
** if protein is present on UA sign of nephron destruction
what are glitter cells and what do they represent?
PMNs with cytoplasmic granules in state of Brownian motion
seen in acute pyelonephritis
what is a common complication of acute pyelonephritis
what is key in regards to chronic pyelonephritis
can take over 20 years to develop
Decreased SG is seen sometimes on UA
Image with KUB (kidney ureter bladder X-ray)
how is a definitive dx for glomerular disorder discovered?
what is the classic presentation of nephritic syndromes?
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