Nephro Misc Flashcards
pulmonary fibrosis, a form of restrictive lung disease can cause what metabolic imbalance?
Chronic respiratory acidosis
Signs of HYPOcalcemia
Chvostek’s Sign (facial nerve spasm)
Trousseau’s sign (inflation of BP cuff = carpal spasms)
Prolonged QT interval
QT interval in HYPERcalcemia
Shortened QT interval
Initial Dx test ordered for Nephrolithiasis
Noncontrast CT abd/pelvis
which stones are radiopaque (visible on radiographs)
calcium & struvite
Kidney Stones < 5mm in diameter Tx
Spontaneous passage: IV fluids, analgesic, antiemetics
Tamsulosin
Kidney Stones >7mm in diameter Tx
- Extracorporeal shock wave lithotripsy (breaks large stones)
- Uretoscopy + Stent: immediate relief in obstruction or at risk kidney
- Percutaneous Nephrolithotomy= large stones > 10mm
HUS Triad
- Hemolytic Anemia
- Thrombocytopenia
- Renal Insufficiency
Tx for HUS
Supportive
FFP (Plasmapheresis)
Dx for HUS
Increased BUN/Creatinine
TTP Pentad
- Thrombocytopenia
- Anemia
- Kidney failure
- Neuro sxs
- Fever
Diff b/w TTP & HUS
HUS lacks fever & neuro sxs in TTP
Dx for TTP
thrombocytopenia w/ normal COAGs
Tx for TTP
FFP
Antibodies vs ADAMTS13
TTP
Hallmark findings of Nephrotic Syndrome
- Proteinuria
- Hypoalbuminemia
- edema
- hyperlipidemia
Hallmark Findings of Nephritic Syndrome
- Proteinuria
- HTN
- azotemia
- oliguria
- hematuria
UA in Nephrotic Syndrome
Proteinuria > 3.5g/day
Fatty casts, oval fat bodies “maltese cross”