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emily specialties > Paeds Renal > Flashcards

Paeds Renal Flashcards

1
Q

USS for UTI

A

Under 6 mo with first UTI - scan within 6w

Recurrent UTis - scan within 6w

Atypical UTI - scan during illness

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2
Q

Ix for renal scarring

A

DMSA scan

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3
Q

Ix for VUR

A

Micturating cystourethrogram

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4
Q

Frothy urine, generalized oedema and pallor

A

Nephrotic syndrome

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5
Q

Most common cause of nephrotic syndrome in children

A

Minimal change disease

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6
Q

Urinalysis of minimal change disease

A

Small molecular weight proteins

Hyaline casts

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7
Q

Nephrotic syndrome Mx

A 
High dose prednisolone 
Low salt diet
Diuretics
Albumin infusions
Abx prophylaxis
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8
Q

Most common causes of nephritis in children

A

Post strep glomerularnephritis

IgA nephropathy (Berger’s)

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9
Q

Renal biopsy in IgA nephropathy

A

IgA deposits

Glomerular mesangial proliferation

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10
Q

Toxin in HUS

A

Shiga toxin produced by E. coli 0157 or Shigella

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11
Q

Classic triad of HUS

A

Haemolytic anaemia
Acute Kidney Injury
Thrombocytopenia

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12
Q

Child with gastroenteritis 5 days ago now presenting with dark urine, abdo pain, irritability, swelling and bruising

A

Haemolytic Uraemic Syndrome

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13
Q

Age Children get control of daytime urination

A

2 yo

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14
Q

Age children get control of night time urination

A

3-4 yo

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15
Q

Pharm tx for nocturnal enuresis

A

Desmopressin (ADH)
Oxybutinin (anti ach)
Imipramine (TCA)

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16
Q

Type of PKD presenting in childhood

A

Autosomal recessive

17
Q

Mutation in ARPKD

A

Polycystic kidney and hepatic disease 1 (PKHD1) gene on chr 6 coding for Fibrocystin protein complex (FPC)

18
Q

Presentation on ARPKD

A

Antenatal scan - polycystic kidneys and oligohydramnios

19
Q

4 year old with painless mass on abdomen and haematuria

A

Wilms Tumour

20
Q

Cryptorchidism mx

A

Watch and wait 3-6mo
Referral to pead urology afte 6mo
Orchidopexy 6-12mo

21
Q

Smooth swelling around 1 testicle that transilluminates on examination with torch

A

Hydrocele

emily specialties (18 decks)

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