Renal Flashcards
Alports Syndrome
Congenial sensoneural hearing loss, haematuria, proteinuria
X linked
Autosominal recessive
Fabris Disease
Angiokeratoma
corneal opacities
tinnitus
renal failure
Non-visible unexplained haematuria in patient aged 60 years or over and with dysuria or raised white cell count on a blood test referral
urgent 2 week
Visible haematuria and >45 yrs
urgent 2 week
Children with unexplained visible haematuria should be referred
very urgently (within 48 hours) to paediatrics to investigate for Wilm’s tumour
PSA test after UTI
6 weeks
PSA test after DRE duration
1 week
PSA test after vigorous exercises/ sex
48 hours
Hypertension management in CKD with ACR>30 irrespective of age and ethnicity
ACEi
ACR referral to nephrology
ACR > 70 unless caused by diabetes
ACR >30 with persistent haematuria after excluding UTI
CKD diagnosis
eGFR persistently <60 +/- ACR persistently >3
on atleast 2 occasions 3 months apart = CKD
After starting ramipril, what % of increase in creatinine is acceptable
30%
CKD monitoring
HTN
AKI
Diabetes
heart disease
family history of end stage ckd
After starting ACEi % drop in egFR is accepted?
25%
Renal cell carcinoma triad
Loin pain, haematuria, abdominal mass
Refer to nephrology if egfr is below 30 or if there is drop in greater than how much in 1 yr?
15ml
Refer to nephrology if ACr is >?
> 70 unless diabetic
AFP and/or beta-hCG are elevated in 80-85% which cancer
Non seminomal testicular ca
Conn’s syndrome is primary hyperaldrostenorism
electrolytes
High Sodium, low potassium
HTN
Addisons disease (adrenal insuffiency) electrolytes
Low sodium, high potassium
Tumour markers for seminomal testicular cancer
HCG
