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Urinary & Renal > Peds Nephro > Flashcards

Peds Nephro Flashcards

1
Q

ureteric bud forms at?

A

8 weeks gestation

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2
Q

what percent of total nephrons exist at birth?

A

100%

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3
Q

rare congenital dz with unilateral kidney made of groups of cysts with CT (no renal parenchyma)

A

multicystic dysplastic kidneys

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4
Q

complications of multicystic dysplastic kidneys

A

HTN, vesicoureteral reflux in contralateral kidney

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5
Q

complication of vesicoureteral reflux

A

INFECTION (due to stasis)

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6
Q

complications of posterior urethral valves

A

thick bladder, hydro, dysplastic kidneys, Potter’s sequence from amniohydramnios (low set ears, limb defority, pulm hypoplasia)

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7
Q

stage I HTN in children

A

95th percentile - 99th percentile + 5mmHg

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8
Q

stage II HTN in children

A

99th percentile + 5mmHg and up

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9
Q

HTN in children is usually (primary/secondary)

A

secondary!

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10
Q

causes of HTN in children

A

AR CKD (tiny fusiform cysts lead to enlarged kidney), coarctation, prematurity and bronchopulm dysplasia, renovascular dz, primary if OBESE

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11
Q

measurement of GFR in children

A

Schwartz formula (K*height/creatinine)

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12
Q

Schwartz formula (over/under)estimates GFR in children with CKD

A

OVERestimates it; use 0.413* (height/serum cr)

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13
Q

most common cause of CKD in patients under 18

A

renal dysplasia and obstructive uropathy

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14
Q

care issues for children with CKD include?

A

immunizations, nutrition/growth, psychosocial devt, transition to adult care

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15
Q

stop ____ before vaccinating children with live vaccines

A

steroids

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16
Q

which components of a traditional renal diet should not be a part of management in children?

A

protein or fluid restrictions

17
Q

major complication of kidney dz in children

A

hyperparathyroid related bone disease (renal osteodystrophy) impacts learning to walk

18
Q

why are children with CKD growth restricted?

A

GH resistance due to decreased receptors and upregulation of inhibitors; exogenous GH may help

19
Q

____ mortality is much higher in both children and adults with CKD or kidney transplant

A

cardiovascular

Urinary & Renal (22 decks)

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