Lecture 18 - Clinical Renal Failure

Question 1

Presentation definition of kidney failure?

Answer 1

high creatinine, low GFR

Question 2

Other blood tests useful in separating acute and chronic?

Answer 2

ESR (high), calcium (low), phosphate (high), haemoglobin

Question 3

Relevance of haemoglobin test?

Answer 3

kidney produces erythropoietin - normal RBC indicate acute failure unless bleeding has occured (month life span of RBC)

Question 4

Main renal-caused condition?

Answer 4

acute tubular necrosis - usually from pre-renal cause not treated early enough

Question 5

Other cause of intrinsic renal failure?

Answer 5

rapidly progressive Glomerulonephritis - red cells in ruine, crescents in glomeruli

Question 6

Best test for post renal?

Answer 6

kidney ultrasound

Question 7

Signs of chronic kidney failure?

Answer 7

malnutrition, fluid overload, rash, pericardial rubq

Question 8

Tests of chronic kidney disease?

Answer 8

low RBC, small kidney

Question 9

BP treatment?

Answer 9

ACE inhibitors, beta blockers, diuretics