14 Renal GU

Question 1

nephrotic syndrome

think what triad, what else to remebmer

Answer 1

puffy pt, proteinuria, hypoalbuminemia

remember increase in clots!

Question 2

acute interstitial nephritis

• what 3 drug classes to know
• whats important about dx

Answer 2

pcns, nsaids, diuretics

know eosinophils in urine

Question 3

Coca cola urine: think what

Answer 3

think 2 things

1. rhabdo
2. hemolysis, from something like MAHA or other hemolytic anemia

Question 4

Sterile pyuria, think what

3 things

Answer 4

think:

TB, chlamydia, inflammation (eg appendicitis)

Question 5

Male GU–uncommon STIs to know

3

Answer 5

1. lymphogranuloma venereum–inguinal LAD, painless lesion looks like herpes
   doxy
2. chancroid (ducryi)
   - usu large painful ulcer. use azithro or cipro or ceftx
3. granuloma inguinale
   - chronic painless progressive ulcers, vascular appearing
   doxy

Question 6

prostatitis

-how long to do abx

Answer 6

4-6 weeks

Question 7

balanitis vs balanoposthitis

Answer 7

glans, glans + foreskin

check for diabetes, immunosuppres

Question 8

treatment of priapism

Answer 8

1. check if ischemia or not (ABG on the penile blood)
2. penile block, anesthetic
3. 19G needle 3 and 9 o clock. Aspirate
4. If does not work, inject phenyephrine
5. talk to urologist