deck 8

Question 1

how to diagnose chronic tubulointerstitial disease?

Answer 1

renal biopsy

Question 2

what were the causes for obstructive uropathy?

Answer 2

prostate, bilateral ureteral calculi, carcinoma, retroperitoneal tumors or fibrosis

Question 3

what are the essentials of diagnosis for chronic tubulointerstitial disease?

Answer 3

small kidney, decreased concentrating ability, hyperchloremic metabolic acidosis, decreased GFR

Question 4

what is seen on labs for analgesic nephropathy?

Answer 4

sloughed papillae, anemia, hyperkalemai, bilateral small kidneys w/ bumpy or irregular contours and papillary calcifications

Question 5

what are the 4 main causes of tubulointerstitial disease?

Answer 5

OVAH obstruction vesicoureteral reflux analgesics heavy metals

Question 6

what is the treatment for vesicoureteral reflux?

Answer 6

abx, urology for referral

Question 7

what happens in analgesic nephropathy?

Answer 7

NSAIDs inhibit renal prostaglandin synthesis and block their vasodilatory effects. These leads to ischemia.

Question 8

young males with recurrent UTIs need what test to diagnose what disorder?

Answer 8

need VCUG: voiding cystourethrogram to diagnose Vesicoureteral reflux

Question 9

what is the MC cause of chronic tubulointerstitial disease?

Answer 9

obstructive uropathy

Question 10

what heavy metals can lead to tubulointerstitial disease?

Answer 10

lead, cadmium, mercury, bismuth