Day One Presenters

Question 1

ESRD with Methicillin-Resistant CoNS Bacteremia:

- Two most common causes of ESRD

Answer 1

1. Diabetic nephropathy

2. Hypertension

Question 2

ESRD with Methicillin-Resistant CoNS Bacteremia:

- 3 possible complications of ESRD

Answer 2

1. Normocytic/Normochromic anemia
2. Bone Disease
3. Hypertension
4. Dialysis related infections

Question 3

ESRD with Methicillin-Resistant CoNS Bacteremia:

- What GFR categorizes a patient in stage 5 of chronic kidney disease?

Question 4

ESRD with Methicillin-Resistant CoNS Bacteremia:

- List treatment options for ESRD and rank them according to most used and best used

Answer 4

Main treatment option: Hemodialysis (65%)
Most effective option: Kidney Transplant (25%)
Last/least frequent: Peritoneal Dialysis (10%)

Question 5

What is the usual patient history, clinical information, and lab results used in the diagnosis of ESRD?

Answer 5

History: diabetic, hypertension, long-term hemodialysis
Lab Results: d eGFR, i BUN, i Creatinine, i/d Electrolytes, i PTH, d RBC count, d hemoglobin, d hematocrit, normal MCV, MCH, MCHC
Clinical info: ?

Question 6

ESRD with Methicillin-Resistant CoNS Bacteremia:
- Compare and contrast ARF with CRF according to a) permanent or not b) symptoms c) typical causes d) principal lab tests

Answer 6

ARF

a) reversible if treated
b) decreased appetite, fatigue, urine output changes, edema, and muscle pain
c) metal/chemical tox, trauma, certain meds
d) principal lab tests: eGFR:

Question 7

Rare Rh Antibody:

- Describe the symptoms and typical laboratory values for a child with Hemolytic Disease of the Fetus and Newborn

Answer 7

high bilirubin
low hemoglobin 
low hematocrit 
positive DAT 
(you don't need symptoms)

Question 8

Rare Rh Antibody:

- List the antigens present in the – D – phenotype

Answer 8

D + C - E - c - e-

Question 9

Rare Rh Antibody:

- List the antigens that anti-Rh 17 react with

Answer 9

E/e/C/c

NOT D…watch out for that

Question 10

Rare Rh Antibody:

- State the incidence of the Rh17 Antigen in the general population

Answer 10

> 99%

Question 11

Rare Rh Antibody:

- State an alternate name for anti-RH 17

Answer 11

anti Hr0

Question 12

Rare Rh Antibody:

- Given a mother and father’s phenotype, predict which mother will develop the RH-17 antibody

Answer 12

Mother has to be -D- and Rh17 -

Father can be anything (not -D-) and must be Rh17+