Clinical questions Flashcards
What drug would you use in rhabdomyolysis?
An osmotic diuretic such as mannitol.
What is the treatment for a UTI is a women who is 3months pregnant?
Nitrofurantin
What is the treatment for a UTI is a women who is nine months pregnant?
Trimethoprin
What is the hospital treatment for a complicated UTI?
IV amoxicillin + IV gentamicin (co-trimoxazole + gentamicin if penicillin allergic)
What is the treatment for pyelonephritis in the community?
Co - amoxiclav
A patient presents with haematuria. They also have red cell casts, dysmorphic red blood cells and proteinuria
Nephritic syndrome
What is the triad of nephrotic syndrome?
Proteinuria (more than 3g per day)
Hypoalbuminamia
Oedema
A patient, who is in hospital being treated for infection, has muddy brown casts in his urin
Acute tubular necrosis due to nephrotoxic drugs
What disease need to treated before a renal transplant can be considered?
CMV Hep B and C HIV EBV Varicella Zoster
What are two absolute contraindications to renal transplant?
Cancer
Active infection
From which bacteria do you get haemolytic uraemic syndrome?
E Coli 0157
Are the kidneys small or large in amyloidosis?
Large