Paeds Renal Flashcards
USS for UTI
Under 6 mo with first UTI - scan within 6w
Recurrent UTis - scan within 6w
Atypical UTI - scan during illness
Ix for renal scarring
DMSA scan
Ix for VUR
Micturating cystourethrogram
Frothy urine, generalized oedema and pallor
Nephrotic syndrome
Most common cause of nephrotic syndrome in children
Minimal change disease
Urinalysis of minimal change disease
Small molecular weight proteins
Hyaline casts
Nephrotic syndrome Mx
High dose prednisolone Low salt diet Diuretics Albumin infusions Abx prophylaxis
Most common causes of nephritis in children
Post strep glomerularnephritis
IgA nephropathy (Berger’s)
Renal biopsy in IgA nephropathy
IgA deposits
Glomerular mesangial proliferation
Toxin in HUS
Shiga toxin produced by E. coli 0157 or Shigella
Classic triad of HUS
Haemolytic anaemia
Acute Kidney Injury
Thrombocytopenia
Child with gastroenteritis 5 days ago now presenting with dark urine, abdo pain, irritability, swelling and bruising
Haemolytic Uraemic Syndrome
Age Children get control of daytime urination
2 yo
Age children get control of night time urination
3-4 yo
Pharm tx for nocturnal enuresis
Desmopressin (ADH)
Oxybutinin (anti ach)
Imipramine (TCA)