OME - Day 8 Flashcards
Colicky flank pain that radiates to groin, diagnosis?
Kidney stone
First test for Kidney Stone?
U/A (no blood = no stone)
Flank pain and hematuria, diagnosis?
Kidney stone
Medications that help the stone pass?
Tamsulosin
Most common cause of kidney stones?
Calcium Oxalate
Stone that is < 5mm, treatment?
Fluid and Analgesic
Stone that is >3cm, treatment?
Nephrostomy and surgery
Stone that is >5mm, <3cm, treatment?
Lithotripsy
What is the radiographic test of choice for kidney stone in pregnancy?
U/S (not CT scan)
What is the radiographic test of choice for kidney stone?
CT scan (not X-ray)
Flank pain, flank mass, hematuria, diagnosis?
Renal Cell Carcinoma
HTN, Renal Failure, Lots of Cysts on the kidney, diagnosis?
Autosomal Dominant Polycystic Kidneys Disease
If you have ADPKD, what do you look for?
Berry aneurysms, cysts in pancreas, cysts in liver
Paraneoplastic syndrome associated with renal cell carcinoma?
Polycythemia
Radially oriented cysts, diagnosis?
Autosomal Recessive Polycystic Kidney Disease
What is the diagnostic step to diagnose renal cell carcinoma?
Nephrectomy (not biopsy)
You get a CT scan for pancreatitis and find a large loculated cyst, next step?
Nephrectomy
You get a CT scan for pancreatitis and find a simple cyst on the kidney, diagnosis?
Reassurance, incidental
If you have a metabolic acidosis, what is the next thing you look at?
Anion Gap
Next step in a metabolic alkalosis?
Urine Chloride (or give volume and reassess)
Next Step in NON anion gap metabolic acidosis?
Urine Anion Gap
What are the causes of Respiratory Acidosis?
Hypoventilation ? opiates, Asthma/Copd, OSA, OHS
What are the causes of Respiratory Alkalosis?
Hyperventilation Pain, Anxiety, Hypoxemia
What is you differential for Anion Gap Metabolic Acidosis?
MUDPILES Methanol, Uremia, DKA, Propylene Glycol, Isopropanol (Isoniazid), Lactate, Ethylene Glycol, Salicylates.
