Renal Flashcards
Cause of epidydmitis in older people
e.coli
cause of epidydimitis in younger
chlamydia
Treatment of epididymitis in under 35s or new sexual partner
doxycycline
Epidydmitis treatment in over 45s
ofloxacin
Investigation of epididymitis
2 urine samples, one first past and one mid stream
Treatment of hydrocele
aspirate
Varicele more likely in what side
left
most common testicular cancer
seminoma
treatment of seminoma
radio
PLAP
seminoma
Teratoma treatment
chemo
Penile cancer drains where
inguinal lymph nodes
Where do testicular and bladder spread
paraaortic
Peeing, is it para or sympathetic
para
what nerve controls external sphincter
pudendal
what kind of bony mets does prostate cancer
sclerotic
Urge incontinence in elderly can give what
mirabegron
Hydronephrosis need to do what
percutaneous nephrostomy
UTI white cell count
more than 10^5
what UTI doesn’t produce nitrates
enterococcus
Who deffo needs an MSSU in UTI
males, pregnant women, immunocompromised and children
male UTI duration
7 days
female UTI duration
trimethoprim 3, nitro 7
Pylonephritis treatment in community
co-amox then co-trimox
Type of anaemia in CKD
normocytic normochromic anaemia
Everyone with AKI should get what screen
myeloma screen
Brown tumour
CKD, osteitis fibrosis cystic on X ray
Which CKD stages need evidence of KD
1 and 2
Stop what drugs in an AKI
Diuretics Ace I ARBs Aspirin high dose Metformin NSAIDs
How much protein in nephrotic syndrome
> 3g in 24hrs
What drugs can be given in CKD?
ace I, statin, aspirin, EPO injections
Calcium/Vit D
Proliferative - nephritic or nephrotic?
nephritic
Commonest glomerulonephritis?
IgA
HIV get what type of glomerulonephritis
focal segmental
Who gets membranoproliferative
SLE
Podocyte fusion
minimal change
tram track appearance
membranoproliferative
starry sky
post strep
fatty casts
nephrotic syndrome
waxy casts
CKD
Frothy urine
nephrotic syndrome
Hyaline casts
normal OR dehydration
hyaline casts are caused by what protein
Tam hosval mucoprotein
macroalbuminaemia is how much ?
> 30mmol or >3g in 24hrs
Diabetic and macroalbuminaemia give what
ACE
Target BP of diabetic with kidney disease
130/80
what may cause renal artery stenosis
fibromuscular dysplasia (congenital)
OR
atherosclerosis
String of beads
fibromuscular dysplasia
renal bruit
renal artery stenosis
ARPKD
liver issues
what tissue type is renal cell carcinoma
clear cell
What happens to RBCs in renal cell carcinoma
increase
Wilm’s treatment
surgery and chemo
Renal cell cancer treatment
surgery
Alport’s inheritance
ad
Hearing loss type in alport’s
sensorineural
Is there thrombocytopenia in Henoch Schonloin
no
Minimal change treatment
oral prednisolone
Eosinophilic casts
chronic pyelonephritis
What virus is common after organ transplant and what is treatment?
cytomegalovirus, ganciclovir
What kind of murmur can anaemia cause?
aortic stenosis
Most common cause of peritonitis from PD
staph epidermidis
erythropoietin injections in CKD allow for what
inproved exercise tolerance
PURE proteinuria
nephrotic syndrome
commonest nephrotic syndrome in adults
focal segmental
GFR in preg?
increases
What bi polar medication can cause polyuria
lithium
What does circumcision reduce rate of
HIV
Side effecs of tamsulosin
dizziness, dry mouth, depression, postural hypotension
side effects of finasteride
ED, reduced libido, ejaculation problems, gynaecomastia
Angiomyolipoma of kidney
tuberous sclerosis
TUR syndrome
reduced sodium, fluid overload, glycine increased
Complications of transurethral resection
TUR syndrome
Urethral stricture/UTI
Retrograde ejac
Perforation of prostate
Commonish complicatino of vasectomy
chronic testicular pain
What kind of catheter if urethral fracture
suprapubic
Curved penis
Peyronie’s disease
under 2cm can do what for renal stone
lithrotipsy
Large, proximal renal stone treatment?
percutaneous nephrolithotomy
Epidydymo-orchitis may occur after what
surgical intervention
mumps causes what
orchitis
what is goserelin
GnRH agonist
Seminomas vs teratomas, which has better prognosis?
seminomas
commonest testicular cancer in young
teratoma