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renal > AKI > Flashcards

AKI Flashcards

1
Q

AKI Def

A

sudden drop in GFR (increase plasma creatinine), decreased urine output

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2
Q

general AKI treatment

A

address underlying, stop offending, dose for GFR 0, manage electrolytes, diuress

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3
Q

three classifications of AKI

A

pre renal, intra renal, post relay

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4
Q

pre renal (perfusion) clin

A

low FeNa, low urine sodium .

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5
Q

pre renal path

A

decrease PGC: afferent resistance, efferent resistance, drop in systemic PB

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6
Q

intrinsic clin

A

urine abnormalities (protein, RBC, casts, WBC, sodium

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7
Q

ATN, AIN, RPGN urine

A

ATN: muddy
AIN: WBC
RPGN: RBC/erythroctes

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8
Q

intrinsic path

A

tubular interstitial or glomerular. less nephrons/tubular feedback

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9
Q

obstructive path

A

increase PBS, increase pressure in collecting system… BPH/prostatitis

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10
Q

risk factors for AKi

A

CID, advanced age, DM, underlying heart or liver disease (decreased perfusion)

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11
Q

AKI basic clinical

A

impaired clearance, fluid overload, hyperkalemia, metabolic acidosis

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12
Q

intrinsic physical exam

A

look for perfusion issues plus fever/rash (AIN)

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13
Q

obstructive physical exam

A

suprapubic fullness, CVA tenderness

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14
Q

crystals in urine sed is suggestive of what

A

obstructive (may also have RBC)

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15
Q

which AKI have minimal protinuria

A

perffusion and obstructive

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16
Q

which has moderate proteinuria

A

acute GN

17
Q

what is typically seen in urine with RBC casts

A

proteinuria

18
Q

when would you see WBC casts

A

AIN, pyelonephritis (with bacteria)

19
Q

waxy casts are seen with

A

advanced CKD

20
Q

fatty casts are seen with

A

nephrotic syndrome

21
Q

worst case AKI

A

UREMIA and AEIOU

22
Q

what are the muddy brown casts

A

dead/shed tubular epithelium

23
Q

what nerve is at risk to cut in C section

A

iliohypogastric

renal (13 decks)

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