Renal Cases Flashcards
Where does transitional cell carcinoma occur?
renal pelvis, ureters, and bladder
The majority of renal cell carcinomas are of what type?
Clear cell type
If a pt is established in a clinic, what kind of soap note do they need?
HPI
would not have to do an H&P
What is hematuria a possible sign of?
urinary tract cancer
If a woman presents with pelvic pain, what is something that we should remember to ask about?
Last menstrual period
Why are women more likely to have a UTI?
Their urethra is much shorter
What is cystitis?
inflammation of the bladder
What maneuver assess costovertebral angle? (flank tenderness)
Lloyd’s punch
if positive, should be thinking of pyelonephritis or renal lithiasis (kidney stone)
What testing would be included in your “first pass”
lab work: CBC, CMP, TSH
urine test strip (culture only if strip is positive)
US before CT–cheaper, less risk to pt
