Renal Review Flashcards Preview

Multisystem 2 > Renal Review > Flashcards

Flashcards in Renal Review Deck (19)
Loading flashcards...
1
Q

male stillborn, born premature

oligohydramnios, absence of a urethral opening

dx is \_\_\_\_\_
complications
P\_\_\_
Twisted \_\_/\_\_\_
E
R
A

potter sequence

pulm hypoplasia
skin/face
extremity defects
renal failure

2
Q

young boy, recurrent UTI

creatinine is elevated indicating renal failure

dx is \_\_\_\_\_
labs
Calcium \_\_
Phos \_\_\_\_
1, 25 OH VD3 \_\_\_
A

secondary hyperPTH

dec
inc
dec

3
Q

AD PCKD

cysts in __/___
kidneys are ___

Sx: F/H/H

mutation in __/___ on chromosome ___/___

assc w B/M

tx w ___/___

A

renal cortex/medulla
enlarged

flank pain, hematuria, HTN

PKD1/PKD2, 16/4

berry aneurysm, MVP

acei/arb

4
Q

MA man, dx w nephrolithiasis

calcium is primary component, inc Ca excretion

pharm therapy w ___
inhibit ___/__ symporter

A

Thiazide diuretic

Na/Cl

5
Q

elderly woman ,dx of lung cancer

seizure
labs show low serum Na
high urine Na
high urine osmolarity

dx is ____

A

SIADH

6
Q

pt w head trauma, excreting large amounts of urine

serum Na is very high, urine osmolality is extremely low

dx is ____
dec production of ____, which acts on ___

ADH acts on ___ for serum osmolarity and __ for BP

aids insertion of aquaporins in ___ of collecting duct

A

Diabetes Insipidus
ADH, collecting duct

V2 receptor, v1 receptor

principal cells

7
Q

MA woman, urinary freq and burning sensation w urination

normal temp/BP/HR

urinalysis shows + nitrites/LE

causal organism is ___

A

e coli

8
Q

elderly man, hx of hypertension

HBP, inc K, low HCO3
creatinine is elevated

dx is ___

A

hyperaldosteronism

9
Q

MA man, history of bipolar disorder

history of polyruia
labs normal
urinalysis has very low specific gravity

dx is _____
dec responsiveness to ___

A

nephrogenic diabetes insipidus

ADH/vasopressin

10
Q

elderly man, no urine in 10hrs

BP inc, HR inc
suprapubic fullness/tenderness

prostate is normal
BUN is very high, creatinine is high

next step in management

A

bladder catheter

11
Q

MA woman, hx of T1DM and diabetic nephropathy, CKD

labs show high creatinine, low Hb and normal MCV

needs tx w ____

A

EPO

12
Q

MA man, hx of T1DM

fundoscopic exam shows microaneurysm/hemorrhage, diabetic nephropathy

Protein/creatinine is high

tx w ___ to slow renal disease
mechanism is to constrict ___

A

ACEI

efferent arteriole

13
Q

MA woman, worsening cough/hemoptysis

rhonchi
inc creatinine, urine protein/blood/RBC

dx is ___
test w ____

A

goodpastures dz

anti-GBM antibody

14
Q

MA woman, inc BP

high renin and aldosterone

most likely cause of findings is __

A

obstruction of renal arteriole flow

15
Q

elderly man, dx of COPD

serum bicarb is high, pH is normalized, high pCO2

dx is ___ via COPD
kidney is responding by reabsorbing ___ in ___

A

CO2 retenion

Bicarb, proximal tubule

16
Q

teenager, gross hematuria

post URI, high blood/RBC in urine

dx is ____
mechanism: __ deposition in ___

A

IgA nephropathy

IgA, mesangium

17
Q

ma woman, history of nausea/fatigue

previous cellulitis, prescribed an antibiotic

creatine is inc, WBC high, few RBC

dx is ___

A

acute interstitial nephritis

18
Q

MA man, gross hematuria

long hx of smoking
thick walled, hyperechoic cyst in kidney

dx is ___
pathology will show ____

A

RCC

clear cell carcinoma

19
Q

Elderly woman, worsening leakage of urine

needs to urinate, does so before she can find a bathroom

previous hx of vaginal delivery

dx is ____
etioogy: _____

A

urge incontinence

involuntary detrusor muscle contraction