GIGU Cases Flashcards
UTI encompasses what 4 things?
Asymptomatic Bacteriuria
Cystitis
Prostatitis
Pyelonephritis
A complicated UTI will have what that an uncomplicated UTI will not have?
Systemic problems - fever, flank pain, CVA tenderness
History of abnormal voiding
Foreign body - catheter, stone
Why is it important to distinguish between a complicated and uncomplicated UTI?
It determines the duration of treatment
Pyelonephritis
Symptomatic infection of the kidneys
For pyelonephritis, what basic labs should you get?
BMP, urinalysis, urine microscopy
For a severe case of pyelonephritis, what scan should you order?
CT
What muscle is commonly in spasm with an acute and chronic renal patient?
Iliopsoas
For pyelonephritis, what vertebral levels are somatic dysfunctions commonly found?
T10-L2
2 categories of bowel obstructions?
Mechanical
Functional
Most common cause of a mechanical bowel obstruction?
Adhesion
From worse to worser, what are the levels of bowel obstructions?
Partial
High-grade
Complete
Most common cause of a functional bowel obstruction?
Ileus
Ileus
Dysmotility that prevents intestinal content from moving
When is an Ileus common?
Post-intra-abdominal surgery
Ileus, transient or permanent?
Transient
What is the gold standard scan for a bowel obstruction?
CT
Anterior colon chapman point?
Anterior IT band
AKI
Impairment of renal filtration that results in retention of waste products
AKI is a _____ not a structural injury to the kidney
Clinical diagnosis
For a pre-renal AKI, what is very common finding in the history?
FLUID LOSS - vomiting, diarrhea, etc.
Physical exam findings of volume depletion?
Poor skin turgor
Dry mucous membranes (tongue)
Hypotension
What are the labs to obtain on all patients with an AKI?
BMP
Urinalysis with urine microscopy
Treatment for pre-renal AKI?
Give fluid
