Nephrology Flashcards

1
Q

Loin pain and hypertension

with father dead from CVA

A

Loin pain- 2 answers- Acute pyelonephritis / ADPKD ADPKD- Loin pain with HTN Acute pyelonephritis- Loin pain with UTI, fever, abd. pain

in Autosomal Dormant Polycystic KD always remember that headache can lead to SAH due to rupture of berry aneurysm

PKD would be asymptomatic or will present with vague abdominal pain and Features of CKD..

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2
Q

Rhabdomyolysis
Runner fainted and dehydrated and tall T and widen QRS
First Calcium gluconate or IV NCL

A
  • skeletal muscle breakdown
  • release of intracellular contents into the extra-cellular space (potassium & myoglobin)
  • Hyperkalaemia! treat any Hyperkalaemia in which K > 6.5mmol/L
    or ANY hyperkalaemia WITH ECG changes!!

1st step : 10mL of 10% Calcium Chloride or
30mL of 10% Calcium Gluconate which is cardioprotective!

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