Renal Flashcards

1
Q

the most common cause of renal trauma

A

blunt trauma

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2
Q

diagnostic tests for renal trauma

A

UA, ultrasound, MRI, CT, angiography, labs

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3
Q

treatment of renal trauma

A

bed rest, fluids, surgery (nephrectomy)

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4
Q

risk factors for kidney cancer

A

smoking, obesity, genetics, ACKD, HTN, exposure to asbestos, cadmium, and gasoline

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5
Q

what kind of cancer is most likely renal cancer

A

renal cell carcinoma

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6
Q

the early stage of kidney cancer is ___

A

asymptomatic

(many go undiagnosed until the disease has significantly progressed)

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7
Q

kidney cancer symptoms are caused by what

A

the tumor compressing, stretching, or invading structures near or within the kidney

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8
Q

what are some manifestations of renal cancer

A

- hematuria
- flank pain
- abdominal mass

- weight loss
- fever
- HTN
- hypercalcemia

**about 33% of patients have metastasis at the time of diagnosis

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9
Q

most common sites of metastasis of renal cancer

A

lungs, liver, and long bones

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10
Q

a tumor that is more common in boys than girls, is usually noticed around 3y/o

genetic and usually presents with other anomalies

A

wilms tumor

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11
Q

what are some diagnostic procedures for renal tumors

A

IVP, CT, MRI, arteriography, percutaneous needle aspiration

biopsy (to diagnose)

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12
Q

treatment of renal tumors depends on the ___ of the tumor

A

stage

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13
Q

the tumor can be up to 7cm in diameter and is confined to the kidney

A

stage 1

treatment: nephrectomy

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14
Q

the tumor is larger than a stage 1 tumor and is still confined to the kidney

A

stage 2

treatment: nephrectomy

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15
Q

the tumor extends beyond the kidney to the surrounding tissue and may have spread to nearby lymph nodes

A

stage 3

treatment: nephrectomy

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16
Q

the cancer spreads outside of the kidney to multiple lymph nodes or to distant parts of the body, such as bones, brain, liver, or lung

A

stage 4

treatment: chemo

**kidney cancer can be resistant to radiation therapy, but may be useful in palliative care or metastasis to bone or lungs

17
Q

___ support is important in any cancer diagnosis

A

emotional

18
Q

the most common cancer of the urinary system

usually transitional cell cancer

A

bladder cancer

19
Q

risk factors for bladder cancer

A
  • smoking
  • rubber
  • radiation
  • longterm indwelling catheter
  • chronic/current stones
  • chronic lower UTIs
20
Q

manifestations of bladder cancer

A
  • hematuria (painless)
  • bladder irritability (w/ dysuria)
  • frequency
  • urgency
21
Q

diagnostic tests for bladder cancer

A

UA (cytology), CT/ultrasound/MRI, cystoscopy (confirmed by biopsy)

22
Q

treatment of bladder cancer

A
  • surgery (cystectomy)
  • radiation
  • chemo
23
Q

___ ___ is a procedure that is done when urinary flow is blocked

A

urinary diversion

24
Q

different types of urinary diversions

A
  • ureterostomy
  • illeal/colonic conduit
  • continent diversions
  • orthotopic bladder
25
Q

ureters are excised from the bladder and brought through the abdominal wall, and a stoma is created

A

ureterostomy

no major surgery needed
may need periodic cath to dilate

26
Q
A