Flashcards in Renal Deck (46)
Milk-alkali Syndrome can lead to?
Acute Renal Failure
When should you measure PTH levels in Milk Alkali Syndrome?
In milk-alkali syndrome, vigorous treatment of hypERcalcemia with saline diuresis and loop diuretics may lead to hypOcalcemia. With the hypocalcemia, PTH will rise and may reach levels above reference range. Therefore:
PTH levels should be determined BEFORE or AT THE INITIATION of tx.
Gitelman Syn (Bartter Syn if
AR disorder of Na-Cl cotransporter at distal tubule in early adulthood
HyPOKalemia and AlkaLOsis
Inc. Renin, Aldosterone, and HCO3
Weakness, fatigue, spasm
CHF can lead to ischemia which can then lead to what in the kidneys?
What would you see on microscopic urine analysis?
Acute Tubular Necrosis
Muddy brown granular casts
Pts. with ATN will typically have a FeUrea of what?
How does it cause problems?
Defective transport of cystine out of lysosomes that manifests as:
polyuria, polydipsia, dehydration,
non-anion gap met acidosis, rickets, FTT
Stroke fam hx
Hepatic cysts on CT, One parent has renal cysts too
What is the leading cause of death in ADPKD?
What is the 1st line tx for VUR?
Daily Amoxicillin, TMP-SMX, or Nitrofurantoin
Medullary Cystic Disease
inc. uric acid --> gout in the young teen
eventual renal failure
What has been shown to prevent Contrast-Induced Nephropathy?
Tx. Fibromuscular Dysplasia
Angioplasty + Renal A. Stent placement
What diabetic drug can't you give to someone with renal failure/impairment? Why?
Metformin --> Lactic Acidosis
Car crash pt. --> brown urine is likely?
Appropriate dx. to confirm?
elevated Creatinine Kinase
Bladder pressure is used to dx. what?
Abdominal compartment syndrome
Suprapubic abd pain + fever + dysuria + pneumaturia + urine per rectum would be indicative of?
What is the most common cause of colovesical fistula?
adenoma of glomerulosa of adrenal gland
Presents prior to 2 y.o.
High Urine Ca2+
What is Winter's Formula?
When is it used?
Expected pCO2 = [1.5 * HCO3-] + 8 +/- 2
During metabolic acidosis
Tx. asymptomatic renal cyst
Triad of Renal Cell Carcinoma
Increased risk with?
To where does it usually metastasize?
Possible flank mass
Inc. risk with obesity and smoking
Drug given in Microalbuminuria
Most CKD pts. on dialysis die from?
AD mutation of ENaC channel in distal tubule
HypOkalemia and alkaLOsis
What common medication should you remember can cause bladder distension via its anticholinergic side effects?
What is a common consequence of PSGN?
Type 3 H.S. rxn
periorbital edema, coca-cola urine, HTN
CBC, complement levels (remember IgG, IgM, and C3 deposit on basement membrane), strep Ag assays, antiDnase B Abs
"Lumpy bumpy" on immunofluorescence
Gentamicin is associated with what condition?
Renal Tubular Acidosis Type I --> Hypokalemia --> Flat T waves