NEPHROLOGY Flashcards

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1
Q

CK RISES AT WHAT TIME AFTER EXERTION?

A

12-96 HRS

LIVER ENZYMES AND POTASSIUM

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2
Q

What is the goal urine output in ml/hr for rhabdo

A

200

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3
Q

What can be added to IVF in order to keep pH > 7.5 for rhabdo

A

bicarb

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4
Q

RTP guidlines with rhabdo should start when what 2 things are satisfied

A
  1. labs have normalized

2. no symptoms

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5
Q

(Hematuria, Hemoglobinuria, Myoglobinuria)

Presence of RBC

A

Hematuria

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6
Q

(Hematuria, Hemoglobinuria, Myoglobinuria)

Supernatant=pink

A

Hemoglobinuria

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7
Q

(Hematuria, Hemoglobinuria, Myoglobinuria)

Supernatant= clear

A

Myoglobinuria

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8
Q

3 thing that causes proteinuria with exercise.

A
  1. decreased pH- causes increased permeability
  2. exercise metobolites alter membrane permibility
  3. Filtration fraction doubles despite decrease in renal plasma flow and decrease GFR
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9
Q

Name medications and suppliments that can cause kidney stones

A
  1. Corticosteroids
  2. Vit C, D, B6
  3. Carbonic anhydrase
  4. Calcium supplements
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10
Q

Most common kidney stone found in adults

A

Calcium Oxalate

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11
Q

First line imaging for Adult suspected of kidney stone

A

noncontrast CT

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12
Q

First line imaging for children suspected of kidney stone

A

US

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13
Q

Stones pass under what length

A

<5 mm

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14
Q

Surgery for stone remvoal usually occurs at what size?

A

> 1 cm

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15
Q

Most common sport with Geniurinary injuries

A

cycling

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16
Q

Subcutanous hematoma occurs where?

A

tunica dartos and tunica vaginalis

17
Q

What layer is torn during testicular laceration

A

Tunica Albingina

18
Q

How long can a testicular rupture be repaired

A

72 hrs.

19
Q

Penatrating testicular injuries almost always require what treatment?

A

surgery

20
Q

Torsion occurs most often in the tunica__

A

vaginalis- anteriomedially

21
Q

For presumed testicular torsion how much time do you have ?

A

4 hours

22
Q

List from most frequent to less

Urethra, kidney, bladder

A

Kdiney, bladder, urethra

23
Q

When should you image an adult with renal blunt force trauma ?

A

Significant MOA w/Gross Hematuria
Significant MOA microscopic hematuria in presence of shock
Significant MOA with associated injuries
Any penatrating injury

24
Q

Gold Standard for renal trauma?

A

Enhanced Contrast CT

Low threshold in children

25
Q

Name the Grade of for urethral injuries:

Contusions or hematoma

A

Grade 1

26
Q

Name the Grade of for urethral injuries:

laceration w/ <50% transaction

A

Grade 2

27
Q

Name the Grade of for urethral injuries:

laceration w/ > 50% transaction

A

Grade 3

28
Q

Name the Grade of for urethral injuries:

complete transaction

A

Grade 4