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Paediatrics > Kidney issues > Flashcards

Kidney issues Flashcards

1
Q

What is GFR in infants up to age of 2

A

20-30ml

Reaches adult of 80-120 at 2 years

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2
Q

When do you investigate macroscopic and microscopic haematuria

A 
Macroscopic = always
Microscopic = >2 trace on 2 occasions
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3
Q

What does haemoglobinuria present with

A

+ve dipstick for blood

Negative microscopy for organism

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4
Q

What are the most common causes of haematuria

A 
UTI = most common
Trauma
Stones 
Glomerulonephritis 
- Post infection 
- IgA
- HSP
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5
Q

GN

A

SEE kidney

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6
Q

What is Alport

A

XL

Type 4 GBM disease

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7
Q

How does it present

A 
Hameaturia
Proteinuria
HYpertension
Sensorineural deaf
Eye change
Renal failure
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8
Q

What is Potter

A 
AR 
Polycystic kidney
Bilateral renal agenesis
Contracture
Fetal compression
Pulmonary hypoplasia
Oligohydramnios
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9
Q

How does PCKD present

A

Large kidney on USS
Oligohydramnio
Resp distress as poor renal leading to overload

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10
Q

What causes hypertension in children

A

Renal = 80%
Coarctation of aorta
Phaeochromocytoma
Adrenal hyperplasia

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11
Q

What is HSP

A

Autoimmune vasculitis in children

IgA deposition in skin, joints, gut and kidney

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12
Q

What are the symptoms

A

Purpuric rash on leg
Joint pain / Arthralgia / Swelling
Abdo pain / colic
Haematuria / renal failure due to IgA nephritis

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13
Q

What usually proceeds

A

Viral infection

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14
Q

What can GI Sx lead too

A

Haemorrhage
Intussception
Infarction

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15
Q

How do you Dx

A

Clinical
+ve immunofluresence for IgA in skin
Biopsy = identical to IgA
Do U+E, albumin for nephrotic, ACR, BP

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16
Q

What must you exclude

A

Meningococcal setticemia / ALL / ITP / HUS

17
Q

How do you do this

A

FBC + film
Blood culture
CRP

18
Q

How do you treat

A 
NSAID - joints
Steroids if severe
Manage as IgA if kidney involvement 
BP lowering drugs/. ACEI
Monitor with urine dip and BP
19
Q

What do you screen for in 1 year

A

High BP

Proteniuria

Paediatrics (35 decks)

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