Passmed Flashcards
What do muddy brown casts suggest?
Acute tubular necrosis
What is seen in Anderson fabrys disease?
Lamellar inclusions within lysosomes.
What drug is used in non urgent cases of hyperkalaemia to prevent absorption from the GI tract?
Calcium reasonium.
How do you screen for autosomal dominant polycystic kidney disease?
USS.
Clinical syndrome of autosomal dominant polycystic kidney disease?
Berry aneurysms (SAH) Screen individuals with a family history.
The most common extra renal manifestation are hepatic cysts but note; the liver function is generally preserved.
How does autosomal recessive polycystic kidney disease present?
Young child that basically always have hepatic lesions too;
Bilateral and symmetrical disease.
Kidneys always palpable.
What dose of insulin in hyperkalaemia?
10 units of actrapid in 50mls 50% dextrose.
What is Behcets syndrome?
Recurrent oral and genital ulceration.
Eye lesions = uveitis or retinal stuff.
Erythema nodosium.
Pathergy test +ve.
Most common infection post transplant?
CMV
ABG of sepsis?
Metabolic acidosis with a raised anion gap due to high lactate
Most common cause of death in CKD
Heart disease.
Child with minimal change disease managament?
oral prednisolone.
Metabolic acidosis with normal anion gap?
Addison’s disease.
