Renal And Urinary

Question 1

General inspection

Answer 1

Mental state, breathing changes, hydration, machines around them, dialysis, IV fluids

Question 2

Hands

Answer 2

Nails, leuchonychia, Mee’s lines, half-half nails, distal brown Arc, Meurche’s nail

Question 3

Wrist and palms

Answer 3

Palmar pallor, arteriovenous fistula, bruises, scratch marks, uraemic frost, tender muscles + bones, asterixis

Question 4

Arms

Answer 4

Myopathy, bruising, pipgmentation, scratch marks, tenderness of muscle + bones

Question 5

Face

Answer 5

Jaundice, anaemia, scleral haemmorage

Question 6

Mouth

Answer 6

Uraemic fetor, gingival hyperplasia, dryness, ulcers, oral thrush

Question 7

Neck

Answer 7

Scars, parathyroidectomy, central line, JVP, carotid bruit

Question 8

Chest

Answer 8

Heart sounds, rub, uraemic frost, tender muscles + bones

Question 9

Back

Answer 9

Sacral oedema, bony tenderness of vertebrae, murphy’s kidney punch

Question 10

Auscultate

Answer 10

Crepitations

Question 11

Abdomen

Answer 11

Light, deep, ballot kidneys, liver, bladder, scars, distension, ascites, renal transplant scars

Question 12

Percuss and auscultate

Answer 12

9 areas, renal bruits