Chronic renal conditions Flashcards

1
Q

Ix CKD

A

estimated GFR
proteinuria : ACR
haematuria
> urine dipstick
> microscopy

renal USS

BP
HBA1C
lipid profile

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2
Q

g score based?

A

eGFR

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3
Q

G5 ; CKD

A

<15

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4
Q

G4?

A

15-29

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5
Q

g3?

A

45-59

30-44

30-60

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6
Q

G1?

A

> 90

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7
Q

G2?

A

60-89

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8
Q

Accelerated progression is a sustained decline in the eGFR

A

in 1 year

25%

15mL /min/1.73 m^2

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9
Q

BP target for CKD?

A

<130/80

ACR >70

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10
Q

what medication can help w disease progression of CKD?

A

ACEi
SGLT-2 inhibitors

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11
Q

primary prevention of CVD statin dose?

A

atorvastatin 20mg

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12
Q

renal bone disease

A

vitamin D
low phosphate diet
phosphate binders

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13
Q

renal bone disease

A

High serum phosphate
Low vitamin D activity
Low serum calcium

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14
Q

Osteomalacia

A

increased turnover of bones without adequate calcium supply

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15
Q

Osteosclerosis

A

inadequate mineralisation of new bone due to low calcium

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16
Q

Rugger jersey spine

A

spinal x-ray

sclerosis of both ends

vertebral body and osteomalacia

17
Q

PCKD

A

autosomal dominant

PKd1 gene
pkd2

18
Q

ADPKD
extrarenal manifestations

A

anuerysms
Hepatic, splenic, pancreatic, ovarian and prostatic cysts
mitral valve prolapse > MR

colonic diverticula

19
Q

oligohydramnios

A

reduced amniotic fluid volume due to reduced urine output)

an early signs of autosomal recessive pkd

20
Q

Tolvaptan role in AD PKD

A

vasopressin receptor antagonist

used in slowing development of cysts and progression to renal failure

21
Q
A