Renal Flashcards

1
Q

Polycystic kidneys key symptoms and associated with what?

A

Flank pain
Haematuria
High bp

Need to check brain and heart is suggestive features for:
Berry anneuyism
Mitral prolapse

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2
Q

Mitral stenosis most common cause

A

Rheumatic heart disease

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3
Q

Calcification is most common cause of stenosis of which valve?

A

Aortic

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4
Q

Top risk factors for aki

A

Age
Ckd
Diabetes

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5
Q

Top drugs for aki

A

Damn

Diuretics
Ace Inhibitors
Metformin (can cause lactic acidosis)
NSAIDs

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6
Q

Most sensitive investigation for hypovolaemia

A

Postural drop in bp

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7
Q

Ace vs NSAIDs affect which part of glomerulus?

A

Ace = efferent arteriol
NSAIDs = afferent

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8
Q

Gentamicin can cause

A

Renal tubular acidosis (most common renal cause of aki)

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9
Q

Mushrooms, snake bites, metals, and other exogenous toxins can cause what?

A

Aki

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10
Q

Too much endogenous toxins which can cause an aki are what?

A

Calcium
Myoglobin
Urate (think tumour lysis syndrome)

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11
Q

Acute interstitial nephritis causes. How may it present?

A

Drugs (abx, NSAIDs, Omeprazole)

V high creatinine
Clinically quite well

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12
Q

Glomerulus nephritis types

A

Anca vasculitis (URGENT TO CHECK)
and systemic eg lupus
Good pastures
Post streptococcle

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13
Q

Cancer causing aki

A

Myeloma

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14
Q

Bloody Diahhorea + aki think what

A

Haemolytic uraemia syndrome

Look at fbc

Haemolytic anaemia
Thrombocytopenia
Aki
Are diagnostic

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15
Q

Obstructive causes top in men and women

A

Men - prostate
Women - cervical cancer

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16
Q

Hi potassium do what

A

ECG

Calcupium glauconate (stabilise heart)

Iv salbutamol, Iv2 dextrose and insulin

Monitoring
Potential dialysing

17
Q
A

Fluid overload
Poisoning
PH (acidosis) symptomatic
High potassium
Symptomatic uraemia

All The vowels
Acidosis
Electrolytes (Hyperkalaemia)
Intoxication
Overload
Uraemia

18
Q

What 3 questions when considering drugs in aki?

A

Responsible?
Still prescribe ?
Any dose options?