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Renal 2 > HTN - Kirila > Flashcards

HTN - Kirila Flashcards

1
Q

CKD - estimated GFR

A
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2
Q

CKD - estimated GFR

A
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3
Q

CKD - urine Albumin:Cr ratio

A

> 30

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4
Q

Diagnostic test for CKD

A

Renal sonography

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5
Q

Clinical clues to renovascular disease

A
  • New increased Cr
  • Increased Cr w/ ACEI or ARB
  • Drug-resistant HTN
  • Flash pulmonary edema
  • Abdominal/flank bruit
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6
Q

Diagnostic tests for renovascular disease

A

Renal sonography, CT/MR angiography, invasive angiography

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7
Q

Clinical clues to coarctation of aorta

A

Arm pulses > leg pulses
Arm BP > leg BP
Chest bruits
Rib notching on radiography

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8
Q

Diagnostic tests for coarctation of aorta

A

MR angiography, TEE, invasive angiography

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9
Q

Clinical clues to primary aldosteronism

A

Hypokalemia, drug-resistant HTN

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10
Q

Diagnostic tests for primary aldosteronism

A
  • Plasma renin and aldosterone

- 24 hr urin aldosterone and potassium after salt loading - - Adrenal vein sampling

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11
Q

Clinical clues for cushing syndrome

A

Trucal obesity, wide and blanching purple striae, muscle weakness

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12
Q

Diagnostic tests for cushing syndrome

A
  • 1 mg Dexamethasone-suppression test
  • Urinary cortisol after dex.
  • Adrenal CT
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13
Q

Clinical clues for pheocromocytoma

A
  • Paroxysms of HTN
  • Palpitations
  • Perspiration
  • Pallor
  • Diabetes
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14
Q

Diagnostic tests for pheocromocytoma

A
  • Plasma metanephrines
  • 24 hr urine metan. and catech.
  • Abdominal CT or MR
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15
Q

Clinical clues for obstructive sleep apnea

A
  • Loud snoring
  • Large neck
  • Somnolence
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16
Q

Diagnostic test for obstructive sleep apnea

A

Polysonography

17
Q

CKD - urine Albumin:Cr ratio

18
Q

Diagnostic test for CKD

A

Renal sonography

19
Q

Clinical clues to renovascular disease

A
  • New increased Cr
  • Increased Cr w/ ACEI or ARB
  • Drug-resistant HTN
  • Flash pulmonary edema
  • Abdominal/flank bruit
20
Q

Diagnostic tests for renovascular disease

A

Renal sonography, CT/MR angiography, invasive angiography

21
Q

Clinical clues to coarctation of aorta

A

Arm pulses > leg pulses
Arm BP > leg BP
Chest bruits
Rib notching on radiography

22
Q

Diagnostic tests for coarctation of aorta

A

MR angiography, TEE, invasive angiography

23
Q

Clinical clues to primary aldosteronism

A

Hypokalemia, drug-resistant HTN

24
Q

Diagnostic tests for primary aldosteronism

A
  • Plasma renin and aldosterone

- 24 hr urin aldosterone and potassium after salt loading - - Adrenal vein sampling

25
Clinical clues for cushing syndrome
Trucal obesity, wide and blanching purple striae, muscle weakness
26
Diagnostic tests for cushing syndrome
- 1 mg Dexamethasone-suppression test - Urinary cortisol after dex. - Adrenal CT
27
Clinical clues for pheocromocytoma
- Paroxysms of HTN - Palpitations - Perspiration - Pallor - Diabetes
28
Diagnostic tests for pheocromocytoma
- Plasma metanephrines - 24 hr urine metan. and catech. - Abdominal CT or MR
29
Clinical clues for obstructive sleep apnea
- Loud snoring - Large neck - Somnolence
30
Diagnostic test for obstructive sleep apnea
Polysonography
31
Hypertensive crisis w/ retinopathy, microangiopathy, or acute renal insufficiency: Timeline? Target BP? First-line therapy? Alternate therapies?
Several hours 20-25% decrease Labetalol Nitroprusside, Nicardipine
32
Hypertensive encephalopathy: Timeline? Target BP? First-line therapy? Alternate therapies?
Immediate 20-25% decrease Labetalol Nicardipine, Nitroprusside
33
Acute aortic dissection: Timeline? Target-BP? First-line therapy? Alternate therapies?
Immediate | Systolic
34
Acute pulmonary edema: Timeline? Target-BP? First-line therapy? Alternate therapies?
Immediate 60-100 Nitroprusside + loop diuretic Nitroglycerine
35
Acute coronary syndrome: Timeline? Target-BP? First-line therapy? Alternate therapies?
a

Renal 2 (11 decks)

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