congenital, UTI, PCKD, stones Flashcards
MC bacteria that causes UTI
E. coli
UTI MC in women due to what two etiologies
shorter urethra and pregnancy
foci of pus and focal abscesses
acute pyelonephritis
recurrent infections superimposed on obstructive lesions
recurrent bouts of inflammation and scarring
chronic pyelonephritis
yellow, raised, abscesses present on renal surface
acute pyelonephritis
scarring involving pelvis or calyces or both
chronic pyelonephritis
interstitial fibrosis of mononuclear cell infiltration
chronic pyelonephritis
dilated tubules containing pink, glassy coloid casts that look like thyroid tissue
thyroidization (chronic pyelonephritis)
complication of acute pyelonephritis
renal papillary necrosis seen in DM
S&S of acute pyelonephritis
sudden, sharp pain in CVA
chills
fever
malaise
what do you see on urinalysis of acute pyelonephritis
pyuria
bacteriuria
leukocytosis
do not develop in normal size
usually affects one kidney
renal hypoplasia
MC abnormal renal strutures + unilateral cyst formation
renal cystic dysplasia
causes Potter’s syndrome
renal cystic dysplasia
rudimentary tubules and islands of cartilage
renal cystic dysplasia
more chance of UTI due to obstruction
horseshoe kidney
autosomal recessive
childhood PCKD
autosomal dominant
adult PCKD
resemble sponges, enlarged bilateral kidneys
childhood PCKD
multiple, expanding serious or purulent-filled cysts of both kidneys
adult PCKD
HTN occurs in 75% of these pts with what
adult PCKD
dull, aching pain abdominal or back
adult PCKD
composed solely of mass of cysts of varying sizes
cysts appear to arise from any part of nephron
adult PCKD
small cysts in cortex and medulla
cysts arise from epithelium of collecting duct
childhood PCKD
saccular berry aneurysms
adult PCKD
renal stone symptoms typically
hematuria
urinary colic (spasmotic pain)
painful
lower back pain radiating towards groin
MC stone
calcium
names for struvite
triple ammonia
staghorn calculi
most stones found where
renal pelvis
urinary bladder
which stones are radiolucent
uric acid
what bacteria associated with struvite
proteus gram neg enteric rod
which stone associated with UTI
struvite