GIGU Cases

Question 1

UTI encompasses what 4 things?

Answer 1

Asymptomatic Bacteriuria
Cystitis
Prostatitis
Pyelonephritis

Question 2

A complicated UTI will have what that an uncomplicated UTI will not have?

Answer 2

Systemic problems - fever, flank pain, CVA tenderness
History of abnormal voiding
Foreign body - catheter, stone

Question 3

Why is it important to distinguish between a complicated and uncomplicated UTI?

Answer 3

It determines the duration of treatment

Question 4

Pyelonephritis

Answer 4

Symptomatic infection of the kidneys

Question 5

For pyelonephritis, what basic labs should you get?

Answer 5

BMP, urinalysis, urine microscopy

Question 6

For a severe case of pyelonephritis, what scan should you order?

Answer 6

CT

Question 7

What muscle is commonly in spasm with an acute and chronic renal patient?

Answer 7

Iliopsoas

Question 8

For pyelonephritis, what vertebral levels are somatic dysfunctions commonly found?

Answer 8

T10-L2

Question 9

2 categories of bowel obstructions?

Answer 9

Mechanical

Functional

Question 10

Most common cause of a mechanical bowel obstruction?

Answer 10

Adhesion

Question 11

From worse to worser, what are the levels of bowel obstructions?

Answer 11

Partial
High-grade
Complete

Question 12

Most common cause of a functional bowel obstruction?

Answer 12

Ileus

Question 13

Ileus

Answer 13

Dysmotility that prevents intestinal content from moving

Question 14

When is an Ileus common?

Answer 14

Post-intra-abdominal surgery

Question 15

Ileus, transient or permanent?

Answer 15

Transient

Question 16

What is the gold standard scan for a bowel obstruction?

Answer 16

CT

Question 17

Anterior colon chapman point?

Answer 17

Anterior IT band

Question 18

AKI

Answer 18

Impairment of renal filtration that results in retention of waste products

Question 19

AKI is a _____ not a structural injury to the kidney

Answer 19

Clinical diagnosis

Question 20

For a pre-renal AKI, what is very common finding in the history?

Answer 20

FLUID LOSS - vomiting, diarrhea, etc.

Question 21

Physical exam findings of volume depletion?

Answer 21

Poor skin turgor
Dry mucous membranes (tongue)
Hypotension

Question 22

What are the labs to obtain on all patients with an AKI?

Answer 22

BMP

Urinalysis with urine microscopy

Question 23

Treatment for pre-renal AKI?

Answer 23

Give fluid