Renal Cases and Soap

Question 1

Hematuria

Answer 1

Presence of blood in urine

Pink tinge

Question 2

Differentials for Hematuria

Answer 2

• Cancer of the urethra, bladder, prostate, ureter, or kidneys
• infection
• glomerulonephritis
• kidney stones

Question 3

Renal Lithiasis

Answer 3

• calcium deposits in kidney (kidney stones)

Question 4

Renal Cell Carcinoma on Ultrasound

Answer 4

CLEAR cell most common

Question 5

Review of Systems vs Review of Symptoms

Answer 5

ROS

• Chest pain
• Shortness of breath

Question 6

Where can transitional cell urinary tract cancers can occur?

Answer 6

urinary tract from renal pelvis to proximal 2/3 of urethra

Question 7

Most cost effective initial screening diagnostic testing

Answer 7

CBC
CMP
Lipid panel
TSH
Urine Dipstick/ microscopic/ culture
Bone scan- will help to determine bony metastasis (common site in renal cell cancer)

CT- too expensive
MRI- more expensive than CT
PET- more expensive

Question 8

Pelvic Pain (urinary origin)

Answer 8

1) Cystitis

2) Pyelonephritis

Question 9

Pelvic Pain ( GI)

Answer 9

1) Appendicitis
2) Colitis
3) Diverticulutis

Question 10

Pelvic Pain ( female reproductive processes)

Answer 10

1) menarche
2) dysmenorrhea
3) Ovarian Cyst

Question 11

Pelvic Pain ( male GU)

Answer 11

Prostatis

Question 12

Lloyd’s punch

Answer 12

• assesses costovertebral angle ( CVA) tenderness
• pain is elicited by deep percussion in the back between the 12th rib and the spine

sign of pyelonephritis or renal calculus

Question 13

Pyelonephritis

Answer 13

type of urinary tract infection (UTI) that generally begins in your urethra or bladder and travels to one or both of your kidneys

Question 14

Cystitis

Answer 14

inflammation of the bladder

- caused by bacterial infection

Question 15

Autoimmune disorders characteristics for underlying cause of hematuria

Answer 15

• often can run in families
• upper/ lower respiratory symptoms along with hematuria
• other signs: skin changes, joint pain/ swelling, weight loss