disorders of the kidney (obj 17--7questions)

Question 1

general nephritic:

Answer 1

• glomerular hematuria

- subnephrotic proteinuria (<3g/d)

Question 2

general nephrotic:

Answer 2

• nephrotic range proteinuria (>3g/d)
• HYPOalbuminuria
• HYPERlipidemia
• oval fat bodies

Question 3

minimal change dz: nephrotic or nephritic?

Answer 3

nephrotic

Question 4

minimal change dz?

Answer 4

more in children (following URI)

Adults: NSAIDS lithium, lymphoma

Question 5

minimal change dz s/s & tx

Answer 5

PROTEINURIA
full blown nephrotic syndrome
tx: prednisone

Question 6

IGA nephropathy: nephrotic or nephritic?

Answer 6

nephritic

Question 7

IGE nephropathy? aka?

Answer 7

common in asians, likely hereditary

Berger dz

Question 8

IGE nephropathy s/s

Answer 8

gross hematuria (urine red or COCA COLA colored)

no latent period 1-2 DAYS post viral infection

Question 9

post inf. glomerulonephritis: nephrotic or nephritic?

Answer 9

nephritic

Question 10

post inf glom?

Answer 10

due to inf w/ GAS
appears after PHARYNGITIS OR IMPETIGO
1-3 WEEKS after infection
but lots of other causes

Question 11

post inf glom s/s?

Answer 11

can vary!

• asymp glom hematuria
• nephritic syndrome (htn, oliguria, edema, coca cola urine)

Question 12

good pasture syndrome: nephrotic or nephritic?

Answer 12

nephritic

Question 13

good pasture syndrome?

Answer 13

20-30’s male, 60-70’s no gender prev.

• combo glomerulonephritis and PULMONARY HEMORRHAGE
• tobacco use predisposes

Question 14

good pasture s/s?

Answer 14

• may be preceded by URI

- hemoptysis, dyspnea, resp failure

Question 15

good pasture diagnostic data?

Answer 15

• circulating anti GM antibodies

- iron deficiency anemia

Question 16

polycystic kidney dz: nephritic or nephrotic?

Answer 16

NEITHER! SUCKER

Question 17

polycystic kidney dz

Answer 17

• hereditary

- 50% will have ESRD by 60y/o

Question 18

true or false: nephrotic and nephritic syndromes are both affecting the glomerulus?

Answer 18

TRUE

Question 19

polycystic kidney dz s/s and tx?

Answer 19

s/s

• abd/back/flank pain
• HTN
• family hx

tx

• dont drink caffeine
• treat HTN AGGRESSIVELY to slow progression

Question 20

diagnostic data polycystic kidney dz

Answer 20

ultrasound:

• 2+ cysts in each kidney if 30-59y/o
• 4+ cysts if >60y/o

Question 21

analgesic nephropathy seen in who?

Answer 21

pts who ingest COMBINATIONS OF:
phenacetin, paracetamol, aspirin, NSAIDS

often women >45 w/ chronic pain, headaches, arthritis

1g/day for 3+ years

Question 22

analgesic nephropathy aka?

Answer 22

chronic interstitial nephritis

Question 23

s/s analgesic nephropathy?

Answer 23

hx of long term consumption of analgesics
no s/s of urinary tract issues
HTN common