Renal Flashcards
How long after a streptococcal infection does post streptococcal glomerulonephritis tend to affect children?
8-14 days
An asian child presents with recurrent hematuria after respiratory infections. What do you do next?
renal biopsy - test for burger’s disease
A patient presents with palpable purpura and hematuria, bdominal pain and arthritis. This is..
Henoch schonlein purpura
What is the cause of most nephrotic syndrome in children and how is it treated?
minimal change disease - treat with corticosteroids
What are the complications associated with nephrotic syndrome?
hypercholesterolemia, increased risk for infections, increased risk of thrombosis
What is the recommended treatment for HUS?
NOT antibiotics - transfusions
A patient presents with abdominal tenderness, edema, thrombocytopenia, anemia and renal insufficiency followng a bout of bloody diarrhea. This is..
HUS
What is the most common abdominal mass?
multicystic dysplastic kidney
At what age does the predisposition for UTI switch?
6 months of age, switches from boys to girls
How many RBCs are needed to have hematuria?
6
What is the classic metabolic finding associated with renal tubular acidosis?
hyperchloremic metabolic acidosis
A child with bilateral abdominal masses and severe hypertension might have…
autosomal recessive polycystic kidney disease associated with pulmonary hypoplasia
A child with mild hearing loss, hypertension, hematuria and proteinuria may have…
Alport’s syndrome
How do you calculate maintenance fluids for a child?
4,2,1 rue
4ml/kg/hr for first 10
2 ml/kg/hr for next 10
1 ml/kg after that
How quickly should you be correcting serum sodium?
no quicker than 0.5meQ/hour
