Renal Flashcards
Polycystic kidneys key symptoms and associated with what?
Flank pain
Haematuria
High bp
Need to check brain and heart is suggestive features for:
Berry anneuyism
Mitral prolapse
Mitral stenosis most common cause
Rheumatic heart disease
Calcification is most common cause of stenosis of which valve?
Aortic
Top risk factors for aki
Age
Ckd
Diabetes
Top drugs for aki
Damn
Diuretics
Ace Inhibitors
Metformin (can cause lactic acidosis)
NSAIDs
Most sensitive investigation for hypovolaemia
Postural drop in bp
Ace vs NSAIDs affect which part of glomerulus?
Ace = efferent arteriol
NSAIDs = afferent
Gentamicin can cause
Renal tubular acidosis (most common renal cause of aki)
Mushrooms, snake bites, metals, and other exogenous toxins can cause what?
Aki
Too much endogenous toxins which can cause an aki are what?
Calcium
Myoglobin
Urate (think tumour lysis syndrome)
Acute interstitial nephritis causes. How may it present?
Drugs (abx, NSAIDs, Omeprazole)
V high creatinine
Clinically quite well
Glomerulus nephritis types
Anca vasculitis (URGENT TO CHECK)
and systemic eg lupus
Good pastures
Post streptococcle
Cancer causing aki
Myeloma
Bloody Diahhorea + aki think what
Haemolytic uraemia syndrome
Look at fbc
Haemolytic anaemia
Thrombocytopenia
Aki
Are diagnostic
Obstructive causes top in men and women
Men - prostate
Women - cervical cancer
Hi potassium do what
ECG
Calcupium glauconate (stabilise heart)
Iv salbutamol, Iv2 dextrose and insulin
Monitoring
Potential dialysing
Fluid overload
Poisoning
PH (acidosis) symptomatic
High potassium
Symptomatic uraemia
All The vowels
Acidosis
Electrolytes (Hyperkalaemia)
Intoxication
Overload
Uraemia
What 3 questions when considering drugs in aki?
Responsible?
Still prescribe ?
Any dose options?
Naproxen is what type of pain killer
NSAID
