Week 06.Genitouriary Flashcards
(15 cards)
In a woman with depression and orgasmic dysfunction, what can be considered?
SSRIs can decrease sexual function
Bupropion can be added or used alternatively
Sildenafil (as an addition to an already-prescribed SSRI) can be helpful
What medication can be trialed in post-menopausal patients with genital pelvic pain? What is its class? What is the risk?
ospemifene (Osphena)
SERM
RISK: thromboembolism
Define CKD
Either:
> 3 months of GFR < 60mL/min (functional impairment)
OR
Structural damage (typically albuminuria >= 30mg/1g creatinine)
define UREMIA
AZOTEMIA plus clinical signs
Raised serum level of urea and nitrogen compounds, which are normally excreted by the kidneys
Clinical signs: metabolic, GI, muscular (leg cramps), pruritis, cardiac (pericarditis)
Name a condition associated with hospitalized that increases the risk of CKD
AKI
Glomerular disease is often associated with what lab finding?
Proteinuria
Symptoms of nephrotic syndrome
Hypertension
Edema
Complications of nephrotic syndrome
Hyperlipidemia —> accelerated atherosclerosis
DVT, PE
Infections
define AZOTEMIA
Elevated serum levels of nitrogen compounds
Elevated BUN and Creatinine
What effect can kidney disease have on heart failure?
It can exacerbate fluid and salt retention
Name some causes of salt and water retention
Glomerulonephritis
Name some causes fluid retention
Lupus nephritis
Poststreptococcal glomerulonephritis
IgA nephropathy
What drugs, often used in diabetes treatment, can cause hyperkalemia?
ACE-Is
ARBs
CKD can lead to uncontrolled phosphate levels. To what can this lead?
Early valvular calcification (aortic and mitral disease)
Vascular artery disease
CLD can lead to secondary hyerparathyroidism, which can cause what?
Osteoporosis (osteitis fibrosa cystica)
