Renal 6 - Diabetic Nephropathy, Interstitial Kidney Disease + ATN Flashcards
1
Q
diabetic nephropathy
A
most common cause of chronic kidney disease
causes glomerulosclerosis
proteinuria
screened with urine albumin : creat ratio
optimise blood sugars + give ACEx
2
Q
acute interstitial nephritis
A
AKI + HTN usual presentation
hypersensitivity reaction to drugs or infection
may have rash, fever, raised eosinophils
treat cause
3
Q
chronic tubulointerstitial nephritis
A
chronic kidney disease seen
many causes
4
Q
acute tubular necrosis
A
most common cause of AKI
either caused by ischaemia or toxins
1-3 weeks recovery time
5
Q
causes of acute tubular necrosis
A
ishchaemic: shock, sepsis, dehydration
toxins:
contrast, gentamicin, NSAIDs, lithium, heroin
6
Q
key urinalysis finding in ATN
A
muddy brown casts
7
Q
managing ATN
A
supportive IV fluid stop nephrotoxins treat complications
