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General Surgery > ER EOR nephro > Flashcards

ER EOR nephro Flashcards

1
Q

What is another word for kidney failure

A

AKI

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2
Q

what are the three types of AKI

A
  • Pre renal
  • intrarenal
  • post renal
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3
Q

what is the MCC of prerenal

A

hypovolemia

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4
Q

what is the MC type of AKI

A

prerenal

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5
Q

what is the MCC of post renal AKI

A

obstruction, BPH

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6
Q

what is the hallmark of intrensic AKA

A

casts

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7
Q

what is the MCC of intrinsic AKI

A

ATN

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8
Q

what are the MC drugs to cause ATN

A

aminoglycosides

contrast dye

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9
Q

how to you manage ATN

A

fluids

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10
Q

what is the MCC of cystitis

A

Ecoli

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11
Q

what is the MCC of cystitis is sexulay active woemn

A

staph saphyohyticius

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12
Q

does acute pyelo have dysuria

A

no, but it can

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13
Q

what do you think if someone has cystits and you see WBC casts

A

Peylo

because the WBC has to sit in the kidney’s

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14
Q

what is pyuria

A

WBC in the urine

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15
Q

how do you tx UTI in prego

A
  • amoxacillin

- macrovid

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16
Q

what are the three meds for uncomplicated cystitis

A
  • macrovid
  • bactrium
  • cipro
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17
Q

how do you tx pyelo

A

cipro

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18
Q

what is para phymosis

A

skin of the penis behind gland

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19
Q

inflammaton of the prostate gland, ascending infection

A

prostatitis

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20
Q

what organism is responsible for prostititis

A
  • < 35: chlamydia , gonorrhea

- >35: e coli

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21
Q

what is the difference in chronic prosititsis

A

non tender

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22
Q

what should you avoid in acute prostitis

A
  • prostatic masage
23
Q

how do you tx prostititis

A

> 35: cipro, bactrium

< 35: Ceftriaxone + doxcy

24
Q

how do you tx chronic prosititis

A

TURP

25
Q

what is the MCC of non gonoccal urethritis

A
  • chlamydia
26
Q

how do you dx urethritis

A

nucleic acid amplification

27
Q

what is the difference in organisms with epididymytis or orchitis

A
  • epididymitis: bacterial

- orchitis: viral

28
Q

MCC of epididymytis

A
  • < 35: chlamydia , gonorrhea

- >35: e coli

29
Q

MCC acute orchitis

A

Mumps

30
Q

what is the PE for epididymytis

A

+ phren sign

normal creammamter reflex

31
Q

what will you see on a ultrasound with epididymytis

A

increased blood flow

32
Q

how do you tx gonorrhea

A

Ceftriaxone + doxcy

33
Q

bell clapper
blue dot sign
what pathology

A

testicular tortion

34
Q

what is the creammaster reflex with testiculat tortion

A

absent

35
Q

how do you tx testicular tortion

A

derotation 6 hours

36
Q

what is the outcome of testicular US for testicular tortion

A

Dec blood flow

37
Q

what is the MCC of hematuria
< 40: 1
> 40: 2

A

< 40: nephrolithiasis

> 40: cancer, prostate

38
Q

dx of hematuria

A

UA

cystoscopy

39
Q

what is the pain pattern with nephrolithiasis

A

flank that radiates the groin

40
Q

what pathlogies have CVA tenderness

A
  • acute pyelo

- nephrolethiasis

41
Q

what might you see on UA with nephrolethiasis

A

hematuria

42
Q

what is a PH > 7.2 of the urine associated with with respect to kidney stone

A

struvite stone

43
Q

How do dx a kidney stone

A
  • non contrast NT
44
Q

what type of kideny stone can you NOT see on KUD X ray

A

struvite

45
Q

what is the brand name for tamsulosin

A

flow max

46
Q

The ureterovesical junction is located where the ureter (the tube that drains urine from the kidney) meets the

A

bladder

47
Q

where is teh mC location for a kidney stone to get stuck

A

ureterovesical junction

48
Q

what size stone will pass on their own

A

< 5 mm

49
Q

do people with a nephrolithiasis have increased Frequency and urgency

A

yes

50
Q

do kids have a fever with OM

A

yes

51
Q

what type of CT for with acute pylo

A

w/ contrast

52
Q

what type of CT for appy

A

w/ contrast

53
Q

what type of CT for stone

A

w/o contrast

General Surgery (30 decks)

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