OSCE STUFF Flashcards

1
Q

What does a high GFR do to sodium levels

A

Results in a high loss of sodium so low body sodium

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2
Q

What does a high renal tubule flow do to sodium levels

A

Results in decreased sodium reabsorption in the proximal tubule which means low body sodium.

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3
Q

What are symptoms of low body sodium.

A

Cellular overhydration, loss of energy, confusion

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4
Q

What are the syptoms of water deficiency

A

hypotension, low pulse volume, decreased skin turgor, peripheral vasoconstriction, tachycardia, raised plasma proteins, ureamia

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5
Q

What is raised in classic acute renal failure

A

Urea, creatnine, K+, H+, urate, phosphate

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6
Q

What is lowered in classic acute renal failure

A

Calcium, bicarbonate

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7
Q

What is lowered in tubular dysfunction

A

K+, phosphate, urate, bicarbonate,

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8
Q

What remains normal in tubular dysfunction

A

Urea and creatinine

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9
Q

What is raised in chronic renal failure

A

Creatinine, urea, phosphate and urate

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10
Q

What is lowered in chronic renal failure

A

Bicarbonate and Hb

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11
Q

What do high ALT levels indicate

A

Acute liver damage, chronic liver disease and obstructive jaundice

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12
Q

What does raised Aspartate Aminotransferase indicate

A

Raised in shock, after exercise and pregnancy.

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13
Q

What do low ALT levels indicate

A

Vitamin B6 deficiency

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14
Q

What does raised GGT levels indicate

A

All types of liver and biliary tract disease and also pancreatic cancer

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15
Q

If GGT levels are raised what has the person consumed

A

Alcohol

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16
Q

What do raised levels of ALP indicate

A

Cirrhosis, liver cancer, and bone disease

17
Q

What do low albumin levels indicate

A

Chronic liver, disease, malnutrition, nephrotic syndrome and severe burns.

18
Q

What do high-levels of albumin indicate

A

dehydration

19
Q

What is raised in vomiting and diarrhoea

A

Sodium, chloride and urea

20
Q

What is lowered in vomiting and diarrohea

A

Potassium, bicarbonate

21
Q

What is raised in overhydration

A

Potassium and bicarbonate

22
Q

What is lowered in overhydration

A

Sodium, chloride and glucose

23
Q

What is raised in alcohol consumption

A

Sodium, urea, creatinine, glucose, albumin

24
Q

What is lowered in alcohol consumption

A

Potassium, bicarbonate, GFR