Final: Renal Patient Flashcards
How do you treat nephrolithiasis conservatively?
Hydration and Dietary modification
-surgery if severe
What are 4 ways to prevent nephrolithiasis?
Drink More fluids
Avoid Strictly vegetarian diet
Eat more phytate rich foods (bran, legumes)
Avoid excessive animal fats and salts
Which nerve refers pain from ureter to groin?
Genitofemoral N (L1-L2)
What muscle do most people with renal issues have hypertonicity in?
Psoas
-most renal pts have some sort of psoas syndrome
As we age, how does kidney function change?
GFR decreases and nephron # decreases
-cannot clear drugs as well**
What type of incontinence: leakage of bladder with pressure?
Stress
What type of incontinence: sudden, intense urge followed by involuntary loss of urine?
Urge
What type of incontinence: dribbling of urie due to a bladder that doesn’t completely empty?
Overflow
What type of incontinence: physical or mental impairment makes it difficult to get to toilet?
Functional
Which kidney is inferior and more caudad?
Right
-below the liver
Sym innervation of the kidney?
T10-L1
Sym innervation of ureter?
Upper: T10-L1
Lower: L1-L2
Sym innervation of bladder?
T11-L2
PSym of kidney?
Vagus
Psym of Ureter?
Upper: Vagus
Lower: S2-S4
PSym of bladder?
S2-S4
Which CP is 2” above and 1” lateral to umbilicus?
Adrenal
Which CP is 1” above and 1” lateral to umbilicus?
Kidney
Which CP is around the umbilicus?
Bladder
Which CP is on the inner edge of pubic ramus, near the symphysis?
Urethra
Posterior CP for Adrenals?
Intertransverse space between T11-T12
Posterior CP for Kidneys?
Intertransverse space between T12-L1
Posterior CP for Ureters?
Intertransverse space between L1-L2
Posterior CP for bladder and urethra?
Superior edge of L2 TP
Where is the first LN that the kidneys drain into?
Lateral aortic nodes–>thoracic duct
What GI issue can cause bladder symptoms?
Constipation can cause bedwetting and UTIs in kids
What innominate dysfunction would you expect for bladder issues?
Superior or Inferior Pubic Shear
Counterstrain AT 9-12 Location and Set Up
All FSTRA
AT9 1” Above Umbilicus
AT10 1” Below Umbilicus
AT11 halfway b/t umbilicus and pubis
AT12 Medial ASIS
Counterstrain PT 9-PL2 Location and Set Up
All E STRA
PTs=located on TP of corresponding vertebrae
PLs=located on SP (1/2 segment below) of corresponding vertebrae
Pt prone, Doc opposite, Grasp Pt ASIS
A reflex related to lymphatic and autonomic interactions is called?
Viscerosomatic reflex
If wanting to improve lymphatics of a patient (resp/circ model), what would you do? (5)
- open the thoracic inlet
- Dome the thoracic diaphragm
- Check lower ribs
- Examine Pelvic diaphragm
- Pedal pump (if pt can handle)
