Renal buzzwords

Question 1

Which renal Ix for this buzzword:

2/7 dysuria + frequency + offensive urine

Answer 1

MSU for MCS

Question 2

Which renal Ix for this buzzword:

Haematuria dipstick

Answer 2

Non-contrast CT-KUB – most sensitive

Question 3

Which renal Ix for this buzzword:

Severe loin pain, vomiting

Answer 3

Non-contrast CT-KUB – most sensitive

Question 4

Which renal Ix for this buzzword:

Recurrent UTI

Answer 4

USS of renal tract

Question 5

Which renal Ix for this buzzword:

baby FHx of vesico-ureteric reflux

Answer 5

USS of renal tract

Question 6

Which renal Ix for this buzzword:

India + weight loss + night sweats

Answer 6

3 early morning urine samples for Microscopy, culture, ZN staining

Question 7

Which renal Ix for this buzzword:
UD: blood, leukocytes (sterile pyuria)
Urine sample: no growth (-ve culture)

Answer 7

3 early morning urine samples for Microscopy, culture, ZN staining

Question 8

Which renal Ix for this buzzword:
Transplanted kidney worsening renal function over 2/52, pain around area,
Transplant 4/12 ago

Answer 8

Renal biopsy

Question 9

Which buzzwords suggest:

MSU for MCS

Answer 9

2/7 dysuria + frequency + offensive urine

Question 10

Which buzzwords suggest:

Non-contrast CT-KUB –

Answer 10

Severe loin pain, vomiting

Haematuria dipstick

Question 11

Which buzzwords suggest:

USS of renal tract

Answer 11

Recurrent UTI, FTT, baby FHx of vesico-ureteric reflux

Question 12

Which buzzwords suggest:

3 early morning urine samples for Microscopy, culture, ZN staining

Answer 12

India + weight loss + night sweatsUD: blood, leukocytes (sterile pyuria)
Urine sample: no growth (-ve culture)

Question 13

Which buzzwords suggest renal biopsy

Answer 13

Transplanted kidney worsening renal function over 2/52, pain around area,
Transplant 4/12 ago

Question 14

What do these buzzwords suggest:

Muddy brown cast + high creatinine

Answer 14

Acute tubular necrosis**

Question 15

What do these buzzwords suggest:

High urine sodium, low urine osmolality

Answer 15

Acute tubular necrosis**

Question 16

What do these buzzwords suggest:

Low urine:serum urea ratio

Answer 16

Acute tubular necrosis**

Question 17

What do these buzzwords suggest:

Low urine:plasma osmolarity ratio

Answer 17

Acute tubular necrosis**

Question 18

What do these buzzwords suggest:

Unwell after ACEi

Answer 18

Pre-renal acute renal failure 2° renal artery stenosis

Question 19

What do these buzzwords suggest:

Bilateral renal bruits, Hx of IHD

Answer 19

Pre-renal acute renal failure 2° renal artery stenosis

Question 20

What do these buzzwords suggest:

Esoinophilic cast, urine dip: protein+blood

Answer 20

Acute interstitial nephritis**

Question 21

What do these buzzwords suggest:

Old man, CAP, penicillin Tx, dysuria, back pain

Answer 21

Acute interstitial nephritis**

Question 22

What do these buzzwords suggest:

Bladder palpable up to umbilicus + unable to pass urine + man

Answer 22

Post-renal AKI 2° to prostatic hypertrophy

Question 23

What do these buzzwords suggest:
D&V + high urea + creatinine + K+
Normocytic anaemia + fractionate RBC (film)
Escherichia coli O157:H7 stool

Answer 23

Haemolytic uraemic syndrome

Question 24

What do these buzzwords suggest:

HUS + Fever + neurological manifestations

Answer 24

TTP

Question 25

What do these buzzwords suggest: 24 years of rheumatoid + develop peripheral oedema Proteinuria 3+ urine – cause?

Answer 25

Amyloidosis

Question 26

What do these buzzwords suggest: Bone pain, lethargy, poor renal function Monoclonal band on serum electrophoresis Monoclonal globulin protein in urine

Answer 26

MM

Question 27

What do these buzzwords suggest: Crohn’s, poor renal function, proteinuria Stain +ve with congo red – renal Biopsy

Answer 27

Amyloid A amyloidosis

Question 28

What do these buzzwords suggest: | T1DM albuminuria, previous dipstick normal

Answer 28

Diabetic microalbuminuria

Question 29

What do these buzzwords suggest: | Collapse following stroke: High urea + creatinine, K+, High CK, urine dark red

Answer 29

Rhabdomyolysis

Question 30

What do these buzzwords suggest: | 4M, facial swelling, 3+ proteinuria, low albumin

Answer 30

Minimal change glomerulonephritis

Question 31

What do these buzzwords suggest: | 25M, facial swelling, 3+ proteinuria, low albumin

Answer 31

Membranous glomerulonephritis

Question 32

What do these buzzwords suggest: | +ve anti-GBM antibodies

Answer 32

Goodpasture’s syndrome

Question 33

What do these buzzwords suggest: 7M 2/7 after URTI hematuria, flank pain Biopsy: Proliferative glomerulonephritis with antibody deposition

Answer 33

IgA nephropathy (Berger’s disease)

Question 34

What does high titres of anti-streptolysin O antibody suggest

Answer 34

Post-strep glomerulonephritis

Question 35

What do these buzzwords suggest: 15F, 2/52 post-tonsilitis, dark urine, puffy High titres of anti-streptolysin O antibody

Answer 35

Post-strep glomerulonephritis