kidneys Flashcards

1
Q

nephrotic

A

massive protein loss + selective loss of 3.5 g or more every day

Oedema diff between kids and adults
hypoalbuminaemia
hyperlipidaemia
frothy urine

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2
Q

nephritic

A

Mild protein loss non-selective
hematuria- macro or micro - main distinguishing factor from nephrotic
hypertension
oliguria

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3
Q

whats the mechanism of edema in nephrtoic

A

low oncotic pressure

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4
Q

what is the main factor determining non selctive and selctive protein loss in the 2 syndromes

A

the time

in nephritic syndrome : the much larger molecules being filtered out start to clog the tubule downstream, and this obstruction causes a back log of pressure which lead back up to the glomeruli and makes them non functional

nephrotic:
the affected glomeruli are functioning for longer period of time

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5
Q

which kidney sydnrome has hypertensiosn and why

A

nephritic because of the reduced glomerular filtrates and rate (oligouria) due to non functional nephrons

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6
Q

what is the edemia in nephritic due to

A

increased HP

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7
Q

DIURESIS

A

normouria- 500-2000ml
oligo- 100/150-500ml
anuria- less than that

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8
Q

stages of acute renal failure

A
  1. main disease
  2. oligouria
  3. poly
  4. recovery
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9
Q

most characteristic sign of acute renal failure

A

oligouria

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10
Q

types of acute renal failure

A

pre- artheroscleorosis, stonosis, sudden drop in bP
renal
post

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11
Q

main charcteristic feature of acute renal

A

oligouria

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12
Q

can nephrons be recovered from damage

A

no you cant form new nephrons

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13
Q

centralization of shock

A

brain h
heart
kidneys

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14
Q

proteins in urine measurement and values

A
g/24 h
less than 100mg is not proteinuria 
100-500mg/so 0.1-0.5 mild
0.5-3.5 moderate 
above - severe
more than 10g - MASSIVE
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15
Q

qualititve and quanitive indicators of proteinuria

A

quant- grams

qual - is it selective or non selective

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16
Q

which protein is involved in selctive and why?

A

albumin and due to its smaller size ?

17
Q

how would you define acute kidney failure

A

decrease in GFR

18
Q

VASORECTA

A

the extension of the efferent arteriole the remaining blood that has not been filtered so it traveles around the nephron and is involved in reabsorption and secretion

19
Q

whats one of the most common causes for acute glomerulonephritisi

A

sle

20
Q

2 main causes of a decrease in GFR

A

vasuclar changes

uring backflow due to an obstructure so the pressure eventually equalisies

21
Q

renal syndromes

A
hypocalcemia
electrolyte imbalance - k
increase in toxic subsatnces 
metabolic acidosis 
edema 
hypertension
22
Q

whats more dangerous nephrotic or nephritic

A

nephritc is more dangerous but less common

23
Q

whats asterixis linked to

A

kindey and liver disease

24
Q

visabale signs on someones skin that they they have kidney issues

A

uremic frost
urochrome-yellowish hint
xerosis-dry skin due to atrophy of sweat glands
pale-anemia

25
Q

the role between acute renal failure and ions

A

hyper everythign!!!!

26
Q

whats the link between nephrotic syndome and coagulation problems

A

these people pee out antithrombin which STOPS THROMBIN WHICH FORMS CLOTS therfore less antithrombin means more thrombin means more clots

27
Q

Division of glomerular nephritis

A

non Proliferative no proliferation of cells found in the interstitium typical for nephrotic syndrome and proliferative cells found typical for nephritic -more severe

28
Q

characteristics of chronic kidney

A

poluria

isothenuria (specific gravity