ER EOR nephro Flashcards
What is another word for kidney failure
AKI
what are the three types of AKI
- Pre renal
- intrarenal
- post renal
what is the MCC of prerenal
hypovolemia
what is the MC type of AKI
prerenal
what is the MCC of post renal AKI
obstruction, BPH
what is the hallmark of intrensic AKA
casts
what is the MCC of intrinsic AKI
ATN
what are the MC drugs to cause ATN
aminoglycosides
contrast dye
how to you manage ATN
fluids
what is the MCC of cystitis
Ecoli
what is the MCC of cystitis is sexulay active woemn
staph saphyohyticius
does acute pyelo have dysuria
no, but it can
what do you think if someone has cystits and you see WBC casts
Peylo
because the WBC has to sit in the kidney’s
what is pyuria
WBC in the urine
how do you tx UTI in prego
- amoxacillin
- macrovid
what are the three meds for uncomplicated cystitis
- macrovid
- bactrium
- cipro
how do you tx pyelo
cipro
what is para phymosis
skin of the penis behind gland
inflammaton of the prostate gland, ascending infection
prostatitis
what organism is responsible for prostititis
- < 35: chlamydia , gonorrhea
- >35: e coli
what is the difference in chronic prosititsis
non tender
what should you avoid in acute prostitis
- prostatic masage
how do you tx prostititis
> 35: cipro, bactrium
< 35: Ceftriaxone + doxcy
how do you tx chronic prosititis
TURP
what is the MCC of non gonoccal urethritis
- chlamydia
how do you dx urethritis
nucleic acid amplification
what is the difference in organisms with epididymytis or orchitis
- epididymitis: bacterial
- orchitis: viral
MCC of epididymytis
- < 35: chlamydia , gonorrhea
- >35: e coli
MCC acute orchitis
Mumps
what is the PE for epididymytis
+ phren sign
normal creammamter reflex
what will you see on a ultrasound with epididymytis
increased blood flow
how do you tx gonorrhea
Ceftriaxone + doxcy
bell clapper
blue dot sign
what pathology
testicular tortion
what is the creammaster reflex with testiculat tortion
absent
how do you tx testicular tortion
derotation 6 hours
what is the outcome of testicular US for testicular tortion
Dec blood flow
what is the MCC of hematuria
< 40: 1
> 40: 2
< 40: nephrolithiasis
> 40: cancer, prostate
dx of hematuria
UA
cystoscopy
what is the pain pattern with nephrolithiasis
flank that radiates the groin
what pathlogies have CVA tenderness
- acute pyelo
- nephrolethiasis
what might you see on UA with nephrolethiasis
hematuria
what is a PH > 7.2 of the urine associated with with respect to kidney stone
struvite stone
How do dx a kidney stone
- non contrast NT
what type of kideny stone can you NOT see on KUD X ray
struvite
what is the brand name for tamsulosin
flow max
The ureterovesical junction is located where the ureter (the tube that drains urine from the kidney) meets the
bladder
where is teh mC location for a kidney stone to get stuck
ureterovesical junction
what size stone will pass on their own
< 5 mm
do people with a nephrolithiasis have increased Frequency and urgency
yes
do kids have a fever with OM
yes
what type of CT for with acute pylo
w/ contrast
what type of CT for appy
w/ contrast
what type of CT for stone
w/o contrast
