Ch 42 Peds Renal / Urinary Flashcards
Glomerulonephritis
group of kidney disorders characerized by inflammatory injury in the glomerulus, most caused by immunological rxn
results in proliferative and inflammatory changes w/in the glomerular structure
destruction, inflam, sclerosis of glomeruli of kidneys
glomerulonephritis s/sx
facial edema (more prominent in morning) decreased urine cloudy, smoky, brown urine w exc foam HA, abdominal pain incr BUN and crea inc antistreptolysin O titer (dx disorders caused by strep infections)
nephrotic syndrome
kidney disorder w massive proteinuria, hypoalbuminemia (hypoproteinemia), and edema
nephrotic syndrome management
reduce excretion of urinary protein maintain protein free urine redue edema prevent infection minimize omplications
hemolytic uremic syndrome
asso. w bacterial toxins, chemicals, and viruses
occurs mostly in 6mo - 5 yr
hemolytic uremic syndrome s/sx
acquired hemolytic anemia thrombocytopenia renal injury CNS symptoms hemorrhagic manifestations
adverse ex of corticosteroid therapy
impaired wound healing hyperglycemia skin fragility abnormal fat deposition emotional lability hirsutism moon facies osteoporosis
enuresis
child is unable to control bladder fxn
cryptorchidism
one or both testes fail to descend through the inguinal canal into the scrotal sac
epispadias and hypospadias
congenital defects involving abnormal placement f the urethral orifice of the penis
surgery done before age of toilet training (usually bet. 16-18mo age)
epispadias
urethral orifice is located on the dorsal surface of the penis
often occurs with exstrophy of the bladder
hypospadias
urethral orifice is located below the glans penis along the ventral surface
bladder exstrophy
congenital anomaly w extrusion of hte urinary bladder to the outside of the body through a defect int he lower abdominal wall
bladder exstrophy tx
surgery in first few dys of life
subsequent surgeries = reconstructive
