deck 9

Question 1

what were the renal vascular diseases

Answer 1

renal artery stenosis, nephrosclerosis, renal vein thrombosis, renal infarction

Question 2

what is the treatment for renal infarction?

Answer 2

anticoagulation w/ thrombolytics and IV heparin

Question 3

patients w/ nephrogenic systemic fibrosis need to avoid what?

Answer 3

Gadolinium from MR angiography, if eGFR <30mL/min

Question 4

is renal vein thrombosis associated w/ nephrotic or nephritic?

Answer 4

nephrotic

Question 5

what is described as an INSIDIOUS onset of flank pain?

Answer 5

renal vein thrombosis

Question 6

what is nephrosclerosis?

Answer 6

kidney hardening due to overgrowth and contraction of interstitial tissue. Commonly a result of DM and HTN

Question 7

what imaging is used for renal vein thrombosis?

Answer 7

renal venogram

Question 8

what test gives the definitive diagnosis for renal artery stenosis, but is impractical?

Answer 8

renal angiography/arteriography

Question 9

what appears w/ acute flank pain, n/fever, HTN or renal insufficiency, and a LDH (4X)?

Answer 9

renal infarction

Question 10

what are the clues to diagnosing renal artery stenosis?

Answer 10

1. 3+ antihypertensives
2. HTN onset <20 or >50
3. PE shows ubrupt BP surges
4. Abrupt inc. serum creatinine after starting ACEI
5. epigastric or renal artery bruits
6. symptomatic lower limb atherosclerotic disease

Question 11

what is the MC cause of renal artery stenosis?

Answer 11

atherosclerosis

Question 12

what is associated w/ an extremely elevated LDH?

Answer 12

renal infarction

Question 13

what drug is CI in renal artery stenosis?

Answer 13

ACEI

Question 14

what is the treatment for renal artery stenosis?

Answer 14

TOBACCO CESSATION, BP and lipid management, angioplasty

Question 15

what was associated w/ subacute infective endocarditis?

Answer 15

renal infarction