deck 6

Question 1

PP ON THIS: DDX for hematuria

Answer 1

period, prostate, papillary necrosis, obstructive, nephritic, trauma, tumor, TB, thrombosis, hematologic, infection, stones

Question 2

ATN, toxic injury, drug-induced interstitial nephritis, and hereditary metabolic disorders (wilson and fanconi) are what type of proteinuria?

Answer 2

tubular: faulty reabsorption of normally filtered proteins

Question 3

an old person w/ hx of smoking presenting with painless hematuria has what until proven otherwise?

Answer 3

bladder cancer

Question 4

what is the goal of treatment for proteinuria?

Answer 4

lower

Question 5

imaging for hematuria?

Answer 5

CT urogram, cystoscopy- urology referral

Question 6

diabetic nephropathy is caused by what kind of proteinuria?

Answer 6

glomerular proteinuria: thinning of the cell foot processes and altered glomerular permeability

Question 7

what is considered microalbuminuria?

Answer 7

30-300 mg/day

Question 8

what is the hallmark of diabetic neuropathy and indicates worsening renal function?

Answer 8

microabluminuria

Question 9

what can you not do before a proteinura test?

Answer 9

exercise

Question 10

acute illness, exercise, and orthostatic proteinuria are what type of proteinuria?

Answer 10

functional

Question 11

if there is a calculi (stone), ureteral, cystic, or urethral origin who do you refer to?

Answer 11

urology

Question 12

gross hematuria in adults is a warning sign of what in adults?

Answer 12

gross hematuria

Question 13

causes of false positive hematuria on dipstick, but negative microscopy

Answer 13

hemoglobinuria (black, hemolysis), myoglobinuria (coke, rhabdo), drug: pyridium, bacteria, beets, rhubarb, concentrated urine, menses

Question 14

if you have initial hematuria where is the source?

Answer 14

anterior (penile) urethral source

Question 15

what to do if persistent unexplained hematuria?

Answer 15

urine cytology to rule out cancer

Question 16

proteinuria is defined as what?

Answer 16

150 mg/24 hrs

Question 17

when will protein be measured by dipstick?

Answer 17

> 300mg per day

Question 18

what are the types of proteinuria?

Answer 18

glomerular
tubular
overload
functional

Question 19

if you have terminal hematuria where is the source?

Answer 19

prostatic urethral or bladder neck

Question 20

if you have total hematuria where is the source?

Answer 20

bladder, upper tract

Question 21

if there is persistent hematuria who do you refer to?

Answer 21

nephrology because most likely renal parenchyma

Question 22

what sample is recommended for proteinuria in diabetics?

Answer 22

random albumin: creatinine ratio

Question 23

multiple myeloma, rhabdomyolysis, hemolysis are what kinds of proteinuria?

Answer 23

overload: over production of circulating filterable proteins (bence jones, hemoglobin)

Question 24

what test is good for monitoring established proteinuria?

Answer 24

protein:creatinine ratio

Question 25

what is the level for nephrotic proteinuria?

Answer 25

> 3.5 g/day