Renal Flashcards

1
Q

What treatment for benign prostatic hypertrophy

A

First Line: Alpha blocker (tamsulosin)

Second Line: 5 alpha reductase (finestride)

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2
Q

How to diagnose BPH

A

Transurethral ultrasoundography with biopsy

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3
Q

What do you give for proteinuria and hypertension

A

ACEi

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4
Q

What is the first line investigation for a hydrocele

A

Doppler US with colour

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5
Q

What scrotal swelling is hard and non-transilluminable

A

Tumour or torsion

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6
Q

What scrotal swelling is accompanied by absence of cremasteric reflex

A

Torsion

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7
Q

What scrotal swelling is associated with a blue dot sign

A

Torsion of appendix

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8
Q

What are the stages of CKD

A

Stage 1: GFR>90ml/min with evidence of kidney disease (proteinuria, haematuria or abnormal imaging)
Stage 2: GFR 60-90 with evidence of kidney disease
Stage 3: GFR 30-60 dependent on GFR alone
Stage 4: 15-30
Stage 5: <15 or on renal replacement

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9
Q

What is the most common glomerulonephrits globally

A

IgA nephropathy

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10
Q

What is the most common glomerulonephrits in children

A

Minimal change nephropathy

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11
Q

Diagnosis: Haematuria and volume depletion with mesangial cell proliferation and expansion on light microscopy, IgA depositis in mesangium on immune fluoroscopy, increased IgA serum levels associated with henoch schlein pupura

A

IgA nephropathy

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12
Q

Diagnosis: Foot process fusion on em in a child

A

Minimal change

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13
Q

Diagnosis: Asthma, vasculitis, allergic hypersensitivity

A

Churg strauss

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14
Q

p-ANCA positive vasculitis?

A

Churg strauss

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15
Q

Diagnosis: Vasculitis, rhinitis, epistaxis, saddle nose deformity, conductive hearing loss

A

Wegners

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16
Q

Vasculitis c-ANCA positive

A

Wegners

17
Q

Investigation: Suspected renal colic due to stone/obstruction

A

KUB X-ray, Non contrast CT then MRI

18
Q

Investigation: Pyelonephritis or gynae disease

A

US

19
Q

Investigation: Macroscopic haematuria in over 50

A

CT urography, cystoscopy

20
Q

Investigation: Macroscopic haematuria in under 50

A

US, cystoscopy then CT contrast when these fail.

21
Q

What to use if contrast CT is contraindicated

A

MR urography