Renal Flashcards
Management of males with suspected UTI
urine culture
7 days antibiotics
What test is used to screen for AUTOSOMAL DOMINANT PolyCystic Kidney disease?
US
What are the criteria to notice AKI?
- a rise in serum creatinine of 26 micromol/litre or greater within 48 hours
- a 50% or greater rise in serum creatinine known or presumed to have occurred within the past 7 days
-fall in urine output to less than 0.5 ml/kg/hour for more than 6 hours in adults and more than
How does acute interstitial nephritis present?
oliguria
painful joints
history of penicillin consumption
rash
fever
How does Alports syndrome typically present?
haematuria
sensorineural hearing loss
progressive renal failure
What hypertension medication should be stopped in AKI?
Angiotensin II receptor antagonists
What investigation is used in screening for polycystic kidneys?
US
What to give a patient with CKD if they have anaemia?
iron first
then erythropoeisis agents
What organism is most commonly associated with peritonitis secondary to peritoneal dialysis?
Staph epidermidis
What should be added to dialysis fluid if peritonitis occurs?
vancomycin (or teicoplanin) + ceftazidime
What should be monitored in patients with Henoch-Schonlein purpura post discharge?
BP and urine dip
to ensure renal involvement is not continuing
What treatment results in removal of potassium from the body?
Calcium resonium
What are the causes of unilateral hydronephrosis?
Pelvic-ureteric obstruction (congenital or acquired)
Aberrant renal vessels
Calculi
Tumours of renal pelvis
What are the causes of bilateral hydronephrosis?
Stenosis of the urethra
Urethral valve
Prostatic enlargement
Extensive bladder tumour
Retro-peritoneal fibrosis
Causes of Focal segmental glomerulosclerosis (FSGS
Idiopathic
HIV
heroin
alports
sickle cell
