Renal System Flashcards

1
Q

An infection of any portion of the urinary tract

A

Urinary Tract Infection

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2
Q

Commonly infected in UTI

A

Bladder (Cystitis)
Urethra (Urethritis)

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3
Q

UTI in the kidney

A

Pyelonephritis

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4
Q

Classifications of UTI

A

Complicated
Uncomplicated
Relapsed

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5
Q

Factors that make it difficult to diagnose complicated UTI

A

Stroke
Diabetes
Pregnancy
Abnormalities in the urinary tract

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6
Q

A type of UTI that doesn’t have the factors that make diagnosis difficult?

A

Uncomplicated

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7
Q

A type of UTI that persists with the original organism without completely clearing

A

Relapsed/Recurrent

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8
Q

Where are the bacterial in most UTI acquired from?

A

Large bowel (fecal flora)

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9
Q

Risk factors of UTI

A

Age
Immobility
Obstruction
DM
STD

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10
Q

Most common pathogen of UTI

A

E. Coli

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11
Q

Suprapubic pain related to bladder filling accompanied by other symptoms such as increased daytime and night-time frequency in the absence of proven urinary infection

A

Interstitial Cystitis

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12
Q

Pathogenesis of Interstitial Cystitis

A

Altered permeability of bladder wall
Overactive PFM
Visceromuscular reflex
Hypersensitivity and neurologic irritation

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13
Q

CM of IC

A

Urinary urgency and frequency
Nocturia
Pain

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14
Q

Defined as a complaint involuntary urine loss

A

UI

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15
Q

Innervation of the PFM

A

Pudendal nerves (S2-S4)

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16
Q

Normal voiding interval

A

at least 2 hours

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17
Q

Caused by activities that increase intraabdominal pressure

A

Stress UI

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18
Q

A condition in which the bladder contracts at small volumes

A

Urgency UI

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19
Q

Cause of urgency UI

A

Involuntary bladder

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20
Q

CM of UI

A

Constant dribbling
Nocturia
Prolapsed bladder

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21
Q

A group of diseases that affect the glomeruli but specifically manifest with hematuria

A

Glomerulonephritis

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22
Q

A glomerular syndrome that causes damage to kidney-filtering units

A

Nephrotic

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23
Q

A syndrome correlated with hematuria

24
Q

First mechanism of glomerular dse

A

deposition of a circulating antigen/antibody complex into some portion of the glomerulus

24
Second mechanism of Glomerular dse
An antigen is deposited in the glomerulus with subsequent antibody interaction with the antigen
24
Risk factors of Glomerular dse
Diabetes Age Race Obesity
24
Clinical manifestations of Glomerular dse
Edema Hyperthyroidism Proteinuria Hematuria
24
Incidence of CKD
More prevalent among African American > 65 y/o
25
CKD stage with kidney damage and mild loss of kidney function
Stage 2 CKD
25
Alteration of kidney function or structure for more greater than or equal to 3 mos
Chronic Kidney Dse
25
Final stage of CK
End Stage Renal Disease
25
GFR of Stage 2 CKD
60-80
25
Risk factors of CKD
DM HTN SLE Urinary Tract obstruction
26
CKD stage with a kidney damage but has normal kidney function; Reversible
CKD stage 1
26
GFR for stage 1 CKD
Greater or equal to 90
27
CKD stage with mild to moderate loss of kidney function
CKD stage 3A
27
CKD stage with moderate to severe loss of kidney function
CKD stage 3B
28
GFR for CKD stage 4
15-29
28
GFR of CKD stage 3A
45-59
28
GFR of Stage 3B
30-44
29
CKD stage with severe loss of kidney function
CKD Stage 4
29
CKD stage with kidney failure
Stage 5
30
GFR for Stage 5
< 15
30
Urinary S/Sx of CKD
Decreased urinary output Abnormal blood serum levels
30
Cardiovascular S/Sx of CKD
CAD HTN CHF Pulmonary edema Dyspnea
30
GI S/Sx of CKD
Bleeding Anorexia Nausea Vomiting
30
Nervous S/Sx of CKD
Headache Impaired cognition Sleep disturbances
31
Sites of obstruction in renal calculi
Ureteropelvic junction Ureterovesical junction Where the ureter crosses over the iliac vessel
31
Integumentary S/Sx of CKD
Pruritus Hyperpigmentation Pallor Bruising
31
Urinary stone disease or nephrolithiasis
Renal calculi
32
Types of kidney stones
Calcium Struvite Uric acid Cystine
33
Incidence of Renal Calculi among males
30-60 y/o
34
Incidence of Renal Calculi among females
20-30 y/o
35
Risk factors of Renal Calculi
Overexcretion and supersaturation of calcium and oxalate
36
CM of Renal Calculi
Acute colicky flank pain Severe pain Hematuria Nausea