Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Simmons NURP 503 Exam 1 > 2: Peds Hematuria > Flashcards

2: Peds Hematuria Flashcards

1
Q

How does the hematuria usually present for this condition?

Trauma

A

Persistent macroscopic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

If the urine culture is negative when hematuria is present, what other tests can be done (7)?

A 
Renal or bladder ultrasound to assess for functionality or tumor
Full CBC
Electrolytes/BUN/creatinine
Sickle-cell screen
Complement C3 and C4
ANA
Antistreptolysin O titre (ASO)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How does the hematuria usually present for this condition?

Hemoglobinopathy

A

Persistent macroscopic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Blood in the urine visible only on spun urine or dipstick.

A

Microscopic hematuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

High amounts of visible blood in the urine.

A

Gross hematuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How does the hematuria usually present for this condition?

Benign recurrent hematuria

A

Intermittent/recurrent macroscopic
WITH or WITHOUT
persistent microscopic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Idiopathic hypercalciuria is indicated if urine calcium/creatinine ratio is ____.

A

> 0.18 or 0.21

Encourage fluids while referring to nephrology. Get US if stones suspected. Monitor BP.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the definition of TRUE hematuria?

A

RBCs visible on spun urine, not just dipstick.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Urine that is tea colored indicates what?

A

Blood that is older.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How does the hematuria usually present for this condition?

Renal or lower urinary tract stones

A

Persistent macroscopic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is management for persistent hematuria without casts or protein?

A

Consider renal US or VCUG.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

If protein is present, _____ is likely and rapid evaluation and referral to nephrology are needed.

A

nephritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which conditions usually present with intermittent/recurrent macroscopic hematuria OR intermittent/recurrent macroscopic with persistent microscopic hematuria (3)?

A

Immunoglobulin A nephropathy
Hypercalciuria
Benign recurrent hematuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How does the hematuria usually present for this condition?

Glomerulonephritis

A

Persistent macroscopic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

T/F Transient and benign microscopic hematuria in many patients does not require further workup.

A

False. Transient and benign microscopic hematuria in many patients REQUIRES further workup.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

T/F Exercise can cause hematuria.

A

True. It’s not a common DDx though.

17
Q

Urine that is bright red indicates what?

A

Blood that is newer.

18
Q

Patient has >1+ heme on a dip. What would you do next?

A

Microscopy to evaluate for RBCs vs hemoglobinuria vs myoglobinuria.

19
Q

When can you go back to annual UA screenings after hematuria?

A

Need a full 6 months of regular rescreens that are negative.

20
Q

Which conditions usually present with persistent macroscopic hematuria (5)?

A 
UTI
Glomerulonephritis
Hemoglobinopathy
Trauma
Renal or lower urinary tract stones
21
Q

How does the hematuria usually present for this condition?

Hypercalciuria

A

Intermittent/recurrent macroscopic
WITH or WITHOUT
persistent microscopic

22
Q

To further evaluate hematuria, what can be done (3)?

A

Immune workup
Three first morning urines over 1-2 weeks
Refer to urology or nephrology

23
Q

How does the hematuria usually present for this condition?

Immunoglobulin A nephropathy

A

Intermittent/recurrent macroscopic
WITH or WITHOUT
persistent microscopic

24
Q

What are 2 common causes of false positives for hematuria?

A

Irritation

Menses

25
Q

If there is transient hematuria, what is the plan of care?

A

Repeat UA annually with BP and growth parameters.

26
Q

DDx of hematuria (9).

A 
UTI
Trauma/irritation
Glomerulonephritis
Coagulopathy
Hemoglobinopathy
Stones
Hydronephrosis
Tumor
Epididymitis
27
Q

Odd DDx:

Vulvovaginitis, menstruation, etc.

A

Gynecological irriation

28
Q

What virus may cause hematuria?

A

Adenovirus

29
Q

Odd DDx:

Bleeding disorder outside kidneys that can cause hematuria.

A

Extrarenal hematuria

30
Q

How does the hematuria usually present for this condition?

UTI

A

Persistent macroscopic

31
Q

True blood in the urine.

A

Hematuria

32
Q

Blood in the urine visible to the naked eye.

A

Macroscopic hematuria

Simmons NURP 503 Exam 1 (34 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions