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FSM Renal 2019-2020 > Week 4 > Flashcards

Flashcards in Week 4 Deck (4)
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1
Q

Why is serum creatinine not an ideal test for monitoring rejection after a kidney transplant?

A

Serum creatinine is insensitive for rejection and when changes in it are caused by rejection, it is often a late indicator. Other causes of changes in serum creatinine include dehydration, medication, infection, allergic reaction, etc.

Lecture: 210 Kidney Transplantation

Objective: 4. Explain the limitations of serum creatinine as a monitoring tool for kidney transplant recipients.

2
Q

The permanent kidney is formed from what 2 metanephric structures?

A

The ureteric bud and metanephrogenic mesenchyme

Lecture: 218 Pediatric Nephrology

Objective: 1. Describe key points in fetal kidney development and how disturbances in these processes can lead to common causes of chronic kidney disease (CKD) in children.

3
Q

What are the 4 most common congenital abnormalities of the kidney and urinary tract?

A

1) Hydronephrosis
2) Renal Cysts
3) Renal Dysplasia
4) Renal Agenesis

Lecture: 218 Pediatric Nephrology

Objective: 1. Describe key points in fetal kidney development and how disturbances in these processes can lead to common causes of chronic kidney disease (CKD) in children.

4
Q

A 2 year-old is brought to your pediatric clinic by his patients after they noticed swelling in his legs. Urinalysis reveals a protein:creatinine ratio of 3.5 and blood chemistries reveal hyperlipidemia and a serum albumin of 2.2 mg/dL. What is the most likely diagnosis?

A

This is a textbook case of Nephrotic Syndrome. 80% of nephrotic syndrome in patients under the age of 6 is due to Minimal Change Disease.

Lecture: 218 Pediatric Nephrology

Objective: 4. Form a differential/be able to perform initial investigation of common kidney-related pediatric complaints (hematuria, proteinuria, UTI).