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CPR II Exam 3 > Approach to Oliguria/Proteinuria (Selby) > Flashcards

Approach to Oliguria/Proteinuria (Selby) Flashcards

1
Q

Anuria

A

UOP < 50-100mL

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2
Q

Oliguria

A

UOP <400-500mL

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3
Q

Polyuria

A

UOP >3000mL

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4
Q

Azotemia

A

elevated blood urea nitrogen (BUN) without symptoms

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5
Q

Uremia

A

elevated BUN with symptoms

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6
Q

DDx for oliguria/proteinuria in cardiorenal syndrome

A

systolic Heart failure (decreased EF)

diastolic heart failure (preserved EF)

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7
Q

DDx for oliguria/proteinuria in cor pulmonale

A

pulmonary HTN causing RHF

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8
Q

DDx for oliguria/proteinuria in valvular abnormalities

A 
aortic regurgitation
aortic stenosis
mitral regurgitation 
tricuspid regurgitation
tricuspid stenosis
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9
Q

DDx for oliguria/proteinuria in pericarditis

A

both pericarditis and tamponade (effusion)

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10
Q

DDx for oliguria/proteinuria in hepatorenal syndrome

A

cirrhosis

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11
Q

DDx for oliguria/proteinuria in prerenal azotemia

A

hypovolemic shock (dehydration/GI based)
cardiogenic shock
neurogenic shock
septic shock

….look… it’s shock okay?

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12
Q

DDx for oliguria/proteinuria in AKI

A

prerenal azotemia
intrinsic dysfunction
postrenal azotemia

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13
Q

DDx for oliguria/proteinuria in intrinsic dysfunction (AKI)

A

ATN
interstitial nephritis
glomerulonephritis (nephrotic and nephritic)

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14
Q

DDx for oliguria/proteinuria in CKD

A

HTN
Diabetes
AKI etc

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15
Q

Important exam findings in volume status

A 
JVD
oral mucosa
Cap Refill
Skin tenting (use forehead for old people)
crackles (non-specific)
ascites
LE pitting edema
sacral edema (non-mobile and elderly)
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16
Q

Important exam findings in HEENT

A

retinopathy (diabetic? HTN?)
nasal ulcer or crusting (ANCA?)
tonsilar exudate (PIGN)
oral ulcers (autoimmune and SLE)

17
Q

Important exam findings in cardiac

A

S3

Heart Rythm

18
Q

Important exam findings in lungs

A

crackles

pleural effusions

19
Q

Important exam findings in abdominal exam

A 
abdominal bruits (RAS, AAA, iliac)
palpable kidney (ADPKD or transplant usually RLQ)
Tense abdomen
ascites
20
Q

Important exam findings in skin exam

A 
malar rash
palpable purpura (vasculitis)
non-blanching purpura (thrombocytopenia)
buttock and leg purpura (HSP)
livedo reticularis
emboli
drug rash
21
Q

Important exam findings in MSK

A

synovitis
myalgia
CVA tenderness

CPR II Exam 3 (13 decks)

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