Miscellaneous Flashcards
AAA - 2 types
Supra-renal
Infra-renal
Infra-renal AAA and renal artery relation
Below the position of the renal arteries
Supra-renal AAA and renal artery relation
Involves the renal arteries
Hyponatraemia - definition
Low sodium levels in the blood
Hyponatraemia - causes
Low sodium intake
Large water intake
Hyponatraemia - management if the patient is dry
Patient needs salt and water
0.9% saline
Hyponatraemia - management if patient is euvolaemic
Query SIADH
Hyponatraemia - management if the patient is fluid overloaded
Restrict water intake
Consider diuretic therapy (to loose salt)
Rhabdomyalysis - definition
Muscle injury
Death of muscle fibres and release of their contents into the bloodstream which can cause kidney injury
Rhabdomyalysis - investigations
Urinalysis
- urine has myoglobin in it which is very dark
Interstitial nephritis causes which abnormalities on urinalysis?
None
Fibromuscular dysplasia - definition
Rare genetic condition which causes narrowing of the renal artery
Fibromuscular dysplasia is related to atherosclerosis. True or false?
False
Fibromuscular dysplasia - who gets it
Young females
Fibromuscular dysplasia - associated conditions
Ehlers Danlos syndrome
Fibromuscular dysplasia - clinical features
High blood pressure
Which condition has a string of beads appearance of the renal artery?
Fibromuscular dysplasia
Tuberculosis pyelonephritis - clinical features
Upper UTI
systemic features
Dysuria
Pus in the urine !!
Upper UTI symptoms + pus in urine but no organisms grown initially?
Tuberculosis pyelonephritis
Tuberculosis pyelonephritis - pathogenesis
Caseous foci
Typical caseating granulomatous inflammation
Complication of BPH
Acute urinary retention
Management of acute urinary retention
Catheterise patient
Urethral injury is commonly associated with which kind of fracture?
Pubic rami fracture
Investigations for urethral injury
Retrograde urethrogram
Management of urethral injury
Suprapubic catheter
When does a penile fracture typically occur?
During sex
Potters syndrome - who gets it
foetus