Renal buzzwords Flashcards
Which renal Ix for this buzzword:
2/7 dysuria + frequency + offensive urine
MSU for MCS
Which renal Ix for this buzzword:
Haematuria dipstick
Non-contrast CT-KUB – most sensitive
Which renal Ix for this buzzword:
Severe loin pain, vomiting
Non-contrast CT-KUB – most sensitive
Which renal Ix for this buzzword:
Recurrent UTI
USS of renal tract
Which renal Ix for this buzzword:
baby FHx of vesico-ureteric reflux
USS of renal tract
Which renal Ix for this buzzword:
India + weight loss + night sweats
3 early morning urine samples for Microscopy, culture, ZN staining
Which renal Ix for this buzzword:
UD: blood, leukocytes (sterile pyuria)
Urine sample: no growth (-ve culture)
3 early morning urine samples for Microscopy, culture, ZN staining
Which renal Ix for this buzzword:
Transplanted kidney worsening renal function over 2/52, pain around area,
Transplant 4/12 ago
Renal biopsy
Which buzzwords suggest:
MSU for MCS
2/7 dysuria + frequency + offensive urine
Which buzzwords suggest:
Non-contrast CT-KUB –
Severe loin pain, vomiting
Haematuria dipstick
Which buzzwords suggest:
USS of renal tract
Recurrent UTI, FTT, baby FHx of vesico-ureteric reflux
Which buzzwords suggest:
3 early morning urine samples for Microscopy, culture, ZN staining
India + weight loss + night sweatsUD: blood, leukocytes (sterile pyuria)
Urine sample: no growth (-ve culture)
Which buzzwords suggest renal biopsy
Transplanted kidney worsening renal function over 2/52, pain around area,
Transplant 4/12 ago
What do these buzzwords suggest:
Muddy brown cast + high creatinine
Acute tubular necrosis**
What do these buzzwords suggest:
High urine sodium, low urine osmolality
Acute tubular necrosis**
What do these buzzwords suggest:
Low urine:serum urea ratio
Acute tubular necrosis**
What do these buzzwords suggest:
Low urine:plasma osmolarity ratio
Acute tubular necrosis**
What do these buzzwords suggest:
Unwell after ACEi
Pre-renal acute renal failure 2° renal artery stenosis
What do these buzzwords suggest:
Bilateral renal bruits, Hx of IHD
Pre-renal acute renal failure 2° renal artery stenosis
What do these buzzwords suggest:
Esoinophilic cast, urine dip: protein+blood
Acute interstitial nephritis**
What do these buzzwords suggest:
Old man, CAP, penicillin Tx, dysuria, back pain
Acute interstitial nephritis**
What do these buzzwords suggest:
Bladder palpable up to umbilicus + unable to pass urine + man
Post-renal AKI 2° to prostatic hypertrophy
What do these buzzwords suggest:
D&V + high urea + creatinine + K+
Normocytic anaemia + fractionate RBC (film)
Escherichia coli O157:H7 stool
Haemolytic uraemic syndrome
What do these buzzwords suggest:
HUS + Fever + neurological manifestations
TTP
What do these buzzwords suggest:
24 years of rheumatoid + develop peripheral oedema
Proteinuria 3+ urine – cause?
Amyloidosis
What do these buzzwords suggest:
Bone pain, lethargy, poor renal function
Monoclonal band on serum electrophoresis
Monoclonal globulin protein in urine
MM
What do these buzzwords suggest:
Crohn’s, poor renal function, proteinuria
Stain +ve with congo red – renal Biopsy
Amyloid A amyloidosis
What do these buzzwords suggest:
T1DM albuminuria, previous dipstick normal
Diabetic microalbuminuria
What do these buzzwords suggest:
Collapse following stroke: High urea + creatinine, K+, High CK, urine dark red
Rhabdomyolysis
What do these buzzwords suggest:
4M, facial swelling, 3+ proteinuria, low albumin
Minimal change glomerulonephritis
What do these buzzwords suggest:
25M, facial swelling, 3+ proteinuria, low albumin
Membranous glomerulonephritis
What do these buzzwords suggest:
+ve anti-GBM antibodies
Goodpasture’s syndrome
What do these buzzwords suggest:
7M 2/7 after URTI hematuria, flank pain
Biopsy: Proliferative glomerulonephritis with antibody deposition
IgA nephropathy (Berger’s disease)
What does high titres of anti-streptolysin O antibody suggest
Post-strep glomerulonephritis
What do these buzzwords suggest:
15F, 2/52 post-tonsilitis, dark urine, puffy
High titres of anti-streptolysin O antibody
Post-strep glomerulonephritis