nefro Flashcards

1
Q

arteriolas interlobulares + aferente

A

HAS (aferente -> ap. justaglomerular)

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2
Q

4 perguntas pra diagnostico GNPE

A

tem doenca primaria? ; respeita periodo incubacao da infeccao faringe/pele? ; aslo/anti-dnaseB positivos? Consumo complemento (C3 e Ch50) por 8 semanas?

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3
Q

microscopia eletronica na GNPE

A

Gibas (corcovas de Humps)= deposito subeptelial

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4
Q

Tratamento GNPE

A

restricao hidrossalina, diuretico de alca e hidralazina

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5
Q

doencas relacionadas a dc berger (igA)

A

hiv, cirrose, purpura henoch-schonlein. Nao cai complemento

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6
Q

sindrome pulmao rim

A

goodpasture (anti-mbg) ou poliangeite microscopica (grave) ou Churg-strauss (leve)

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7
Q

proteinas perdidas na sd nefrOtica

A

albumina, imunoglobulinas, Trasnferrina (anemia refrataria) anti-trombina 3 (trombose veia renal, varicocele esquerda)

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8
Q

germe PBE

A

pneumococo na sd nefrotica -> ceftriaxone

e.coli, klebsiella na cirrose -> cefotaxima 5d

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9
Q

trombose de veia renal

A

membranosa, membranoproliferativa (mesangiocapilar) e amiloidose -> profilaxia antitrombotica

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10
Q

aossociacao com lesao minima (fusao e retracao podocitos)

A

aine e linfoma hodgkin

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11
Q

doencas associadas nefropatia membranosa

A

LES, hep B, neoplasia oculta

captopril, sais de ouro, d-penicilamina

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12
Q

clinica e doencas associadas a nefropatia mesangiocapilar

A

Hep C , Ivas recente

Oliguria hematuria e consome complemento por mais de 8 semanas

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13
Q

amiloidose renal

A

sd nefrotica com proteinuria intensa, tvrenal, cora pelo vermelho do congo, em rins de tamanho normal/aumentados

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14
Q

drogas associadas com NTA

A

anfotericina B e aminoglicosideos (amica, genta, MICINA)

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15
Q

causas e clinica NIA

A
alergia medicamentosa (B-lactamicos, aines, sulfas)
IR oligurica + rash cutaneo + febre com EOSINOFILIA
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16
Q

necrose de papila renal é?

A

P(pielonefrite)H(hemoglobinopatia)O(obstrucao)D(Dm)A(analgesicos)
pode ter febre

17
Q

ATR1

A

diminui excrecao de H. Ph urina ALCALINO. Sjorgen

18
Q

ATR2

A

bicarbonaturia. ph urina fica normal com doenca estabelecida. MM

19
Q

ATR4

A

dimiuicao Aldosterona. tem HIperK

20
Q

ateroembolismo

A

IR (fissuras biconvexas), livedo reticular, placas hollenhorst (retina), sd dedo azul. + eosinofilia