NEPHROLOGY Flashcards
CK RISES AT WHAT TIME AFTER EXERTION?
12-96 HRS
LIVER ENZYMES AND POTASSIUM
What is the goal urine output in ml/hr for rhabdo
200
What can be added to IVF in order to keep pH > 7.5 for rhabdo
bicarb
RTP guidlines with rhabdo should start when what 2 things are satisfied
- labs have normalized
2. no symptoms
(Hematuria, Hemoglobinuria, Myoglobinuria)
Presence of RBC
Hematuria
(Hematuria, Hemoglobinuria, Myoglobinuria)
Supernatant=pink
Hemoglobinuria
(Hematuria, Hemoglobinuria, Myoglobinuria)
Supernatant= clear
Myoglobinuria
3 thing that causes proteinuria with exercise.
- decreased pH- causes increased permeability
- exercise metobolites alter membrane permibility
- Filtration fraction doubles despite decrease in renal plasma flow and decrease GFR
Name medications and suppliments that can cause kidney stones
- Corticosteroids
- Vit C, D, B6
- Carbonic anhydrase
- Calcium supplements
Most common kidney stone found in adults
Calcium Oxalate
First line imaging for Adult suspected of kidney stone
noncontrast CT
First line imaging for children suspected of kidney stone
US
Stones pass under what length
<5 mm
Surgery for stone remvoal usually occurs at what size?
> 1 cm
Most common sport with Geniurinary injuries
cycling
Subcutanous hematoma occurs where?
tunica dartos and tunica vaginalis
What layer is torn during testicular laceration
Tunica Albingina
How long can a testicular rupture be repaired
72 hrs.
Penatrating testicular injuries almost always require what treatment?
surgery
Torsion occurs most often in the tunica__
vaginalis- anteriomedially
For presumed testicular torsion how much time do you have ?
4 hours
List from most frequent to less
Urethra, kidney, bladder
Kdiney, bladder, urethra
When should you image an adult with renal blunt force trauma ?
Significant MOA w/Gross Hematuria
Significant MOA microscopic hematuria in presence of shock
Significant MOA with associated injuries
Any penatrating injury
Gold Standard for renal trauma?
Enhanced Contrast CT
Low threshold in children
Name the Grade of for urethral injuries:
Contusions or hematoma
Grade 1
Name the Grade of for urethral injuries:
laceration w/ <50% transaction
Grade 2
Name the Grade of for urethral injuries:
laceration w/ > 50% transaction
Grade 3
Name the Grade of for urethral injuries:
complete transaction
Grade 4
