tx Flashcards
(18 cards)
Acute Proliferative Glomerulonephritis / Post Streptococcal Glomerulonephritis
fluid/electrolyte therapy
T1 RPGN (goodpastures)
plasmaphoresis
T2 RPGN
tx the underlying dis
minimal change dis
corticosteroids
HIV assoc nephropathy
anti-retroviral therapy
acute tubular injury/necrosis
supprotive care
polyomavirus nephropathy
reduce immunosupperssion
Malignant Hypertension Nephrosclerosis
emergency: anti-HTN drugs
typical HUS (thrombotic microangioraphy)
dialysis
TTP (thrombotic thrombocytopenic purpura) (thrombotic microangioraphy)
plasmaphoresis
renal cell carcinoma
Total nephrectomy is usually curative without metastasis, but partial nephrectomy is recommended for T1a tumors (<4 cm)
sclerosing retroperitonesl fibrosis
corticosteroids, needs stents or surgery eventually
extrophy of bladder
surgery
urothelial bladder CA
Noninvasive:
o Transurethral resencion and surveillance
o Intravesical therapy – BCG
Invasive
o Segmental cystectomy
o Radical cystectomy w urinaty diversion
o Immunotherapy and photodynamic therapy
cryptchidism
sx
testicular torsion
orchiopexy (testis attached to scrotum) performed b/l to prevent similar fate in c/l testis.
BPH
- Mild: decreasing fluid intake, esp before bed. Decrease alcohol and caffeine intake. Timed voiding schedules
- More progressed: alpha-blockers, 5‐alpha‐reductase (converts testosterone into DHT) inhibitor or surgery (older tx).
- High-intensity focused US, laser terapy, hyperthermia, transurethralvaporizatino, transurethral needle ablation using radiofrequency
prostatic adenocarcinoma
- Local: radical prostacetomy of external-beam radiation
- Advanced metastatic carcinoma: tx by androgen deprication therapy (orchiectomy, admin of LHRH (suppresses nml LHRH), inhibitors of steroid synthesis, or blockade of androgen receptor
