Kidney disorders Flashcards
What is Tinea solius?
look it up! Diarrheal stuff and can cause neurocysticercosis
Patient hase calcium phosphate stone, what do you suspect?
HYPERPARATHYROIDISM (makes sense, putting lots of phosphate through)
renal tubular acidosis to make it get all acidy and plant in there
Stone not seen on radiograph?
Uric acid is Unseen
Urica cid stone
Need contrast or CT
Surgery for staghorn calculi?
Percutatneous nephrostolithotomy
Lung pleural effusion in cancer is what ratio for protein? For LDH? What protein do you expect?
Exudate
Pleural: serum protein >.5
LDH>.6
pleural fluid protein > 3 g/dl
Flank pain, chronic UTI, gross hematuria and large palpable kidney and HTN?
think polycystic kidney disease
Can look like renal cell carcinoma
Tx of ADPKD?
Vasopressin antagonisnts
Amiloride
Drainage of large cysts
Tx complications
Transplant! ESRD
RCC is 3 star
Risk factors?
Age
SMOKING
asbestos
ANY RENAL PARENCHYMAL MASS IS LIKELY it
Tx RCC?
Don’t biopsy, just take it out b/c don’t want to seed peritoneum
Immunotherapy
Radiation
Chemo
Poor prognosis NEVER IGNORE SOLID MASS
Acute interstitial nephritis? Or allergic intersital, or drug induced
Caused by meds most often
Antibiotics and NSAIDs are biggies
But sulfa, allopurinol (that is a sulfa), PPIs, diuretics, cadmium
4 things to keep in mind for AIN?
Rash
Fever
Creatinine
EOSINOPEHLIA
Urine eosinophils? BASICALLY DONE
Tx AIN?
STop offending agent
Supportive care
STEROIDS
Conplications for acute interstitial nephritis?
Failure
Acute tubular necrosis
Papillary necrosis
ESRD
