Paediatrics Renal and Urology - Liam Flashcards
UTI
- treatment
- <3
- IV antibiotics (ceftriaxone) and full septic screen
- >3
- Oral antibiotics (trimethoprim/nitrofurantoin/cefalexin/amoxicillin)
Vesico-ureteric reflex:
- pathology
Urine flows from bladder back into ureters
Vesico-ureteric reflux
- diagnosis
Micturating cystourethrogram (MCUG)
Nephrotic syndrome
- pathology
Basement membrane permeable to protein (proteinuria)
Nephrotic syndrome
- classic triad
Low serum albumin
High urine protein
Oedema
Nephrotis syndrome
- causes
Minimal change disease
Minimal change disease
- pharmacological treatment
Corticosteroids (predinisolone)
Nephritic syndrome
- pathology
Inflammation within nephrons causing HAEMATURIA
Nephritic syndrome
- causes
Post-streptococcal glomerulonephritis
IgA nephropathy (Burgers disease)
What organism preceds post-streptococcal glomerulonephritis
B-haemolytic strep (strep pyogenes in tonsillitis)
Post-strep glomerulonephritis
- treatment
Supportive
Antihypertensive medication and diuretics
IgA nephropathy
- pathology
Releated to Henoch-Schonlein Purpura which is IgA vasculitis
IgA nephropathy
- age
Teenangers and young adults
IgA nephropathy
- treatment
Supportive treat and immunosuppresants (steroids)
Haemolytic uraemic syndrome
- pathology
Thrombosis within small vessels throughout body
Haemolytic uraemic syndrome
- classic triad
Haemolytic anaemia
Acute kidney injury
Thrombocytopenia
Haemolytic uraemic syndrome
- organism that preceeds
E-coli
Haemolytic uraemic syndrome
- treatment
Medical emergency
Supportive management
Maybe renal dialysis
Polycystic kidney disease
- cause
- genetic
- 2 types - autosommal dominant and autosommal ressesive
Polycystic kidney disease
- features
Cystic enlargement of renal collecting ducts
Oligohydramnios, pulmonary hypoplasia and Potter syndrome
Congenital liver fibrosis
Hydrospadias
- pathology
Urethral meatus displaces, normal further towards bottom of glans
