GU

Question 1

3 Common Causes of Nephrotic Syndrome

Answer 1

Minimal change disease: children, preceded by URI, rx: steroids

Focal segmental glomerulosclerosis: African-Americans, HIV/IVDA (heroine)

Membranous nephropathy: Caucasians, HBV, HCV, SLE, gold, penicillamine, malignancy

Question 2

How do you treat a bleeding HD patient?

Answer 2

DDAVP

Question 3

How do you diagnoses SBP in peritoneal HD patient?

Answer 3

positive culture OR WBC > 100 with 50% neutrophils

Question 4

Epididimytis Tx

Answer 4

< 35 yo think STIs - Tx - 250 mg IM ceftriaxone x 1 then doxy 100 mg BID x 10 days

> 35 yo think E Coli - Tx - 250 mg IM ceftriaxone x 1 then levo 500 mg daily x 10 days

Question 5

Phimosis v Paraphimosis

Answer 5

Phimosis = foreskin cannot be retracted v. paraphimosis = foreskin stuck in retracted position over glands (emergency because compartment syndrome - surgery)
PARA needs PARAmedics because emergency