Renal Flashcards
(22 cards)
What are the 5 defences in a UTI?
Local immune response Mucin layer ( secretion of lining bladder wall for protection) Washout Prostatic fluid Peri urethral flora
2 majors risks in causing a UTI?
Catheterization ( iatrogenic)
Obstruction-> urine stasis-> reflux
Treatment for UTI?
Abx
What is inflamed in pyelonephritis?
Renal pelvis and parenchyma
What is the ET of pyelonephritis?
Various bacteria.. Usually e. Coli
What are the 4 major risks in pyelonephritis?
Suppressed immunity
Catheterization
Urinary reflux
Diabetes
What is the patho of pyelonephritis?
Urethral-> bladder-> ureter -> kidney
= fibrosis and scar tissue, Dec. renal fx
What involves the chronic form of pyelonephritis?
Recurrent inflammation = obstr. Or reflux
Renal damage to possible renal failure
What is a main MNFT of pyelonephritis?
Serve HTN
What is urinary incontinence?
Involuntary voiding
What is the 3 urinary incontinence?
Stress incontinence
Overflow incontinence
Overactive incontinence
What is the patho in stress incontinence ?
Weak sphincter
Inc. abdominal pressure from coughing and sneezing
Change in urethro vesicular angle
What is the patho of overflow incontinence?
Intravascular pressure is greater then urethral pressure
Retention and bladder distension
What is the hyperactive muscle in overactive bladder?
Detrusor muscle
What are the 5 categories in glomerular disease?
1) nephrotic syndrome
2) nephritic syndrome
3) sediment disorders
4) rapidly progressive glomerulonephritis
5) chronic glomerulonephritis
Inc. glomerular perm. Causing fluid and protein loss is what category in glomerular disease?
Nephrotic syndrome
Dec. glomerular perm. With fluid and protein retention is what glomerular disease category?
Nephritic syndrome
What is glomerulonephritis?
Inflammation of glomerular
Acute post infectious GN is preceded by what?
B hemolytic strep. Infection
What does type three hypersensitivity do in acute post infectious GN?
Immune complex traps in glomerulus and GF impeded
What cells are involved in hypercellularity in acute post infectious GN?
Leukocytes, mesangial, endothelial
What is a UTI?
Variety of bacteria (esp. E.coli) that enter the urethra and ascending infection
