Renal

Question 1

What are LUTS symptoms?

Answer 1

FUD:
Frequency
Urgency
Dysuria

Question 2

Pyelonephritis presentation triad

Answer 2

Fever, flank pain (aka CVA tenderness), N/V

Question 3

Hydronephrosis presentation

Answer 3

Flank pain, CVA tenderness, palpable kidney and bladder (usually unilateral), decreased urine output

Question 4

Polycystic kidney disease presentation

Answer 4

Palpable kidneys bilaterally, flank pain, HTN, AR/MR (murmurs) if disease is severe

Question 5

Renal cell carcinoma presentation triad

Answer 5

Hematuria, flank pain, palpable abdominal mass

Question 6

In a patient with suspected stones, how can you tell the location of the stone based on their pain?

Answer 6

Urolith = pain radiating more towards the groin and lower down the trunk
Nephrolith = pain more in the lower back/more associated with flank pain

Question 7

Which physical exam finding is most associated with acute simple cystitis?

Answer 7

Suprapubic pain

Question 8

How to differentiate acute simple cystitis, uncomplicated UTI, and pyelo on physical exam

Answer 8

Acute simple cystitis - suprapubic pain, FUD sx, bladder distention, but NO SYSTEMIC SYMPTOMS

Complicated UTI - same sx as acute cystitis + signs of systemic infection (i.e. fever, chills, fatigue/malaise)

Pyelo - all the same systemic sx + CVA tenderness (!!!), N/V

Question 9

Common presentation of bladder cancer

Answer 9

Male pt with painless hematuria, long time smoker