Renal CIS

Question 1

What are the 3 types of notes you should know?

Answer 1

SOAP note = problem focused
annual wellness visit = full H&P
new pt visit = full H&P also

Question 2

What do you note when describing a pt’s general appearance? (6)

Answer 2

position
activity
posture
affect (expression on face)
skin color
diaphoretic

Question 3

What are the 4 likely systems of origin for pelvic pain?

Answer 3

urinary
GI
Female reproductive
Male GU (prostatitis)

Question 4

What is hematuria a major symptom of?

Answer 4

urinary tract cancer

Question 5

Where can transitional cell UT cancers occur?

Answer 5

from renal pelvis all the way down to proximal 2/3 of urethra –> almost any area can be predisposed to cancer by smoking, toxin exposure, etc

Question 6

What is the most common type of renal cell carcinoma?

What is the first line of treatment?

Answer 6

clear cell type

surgery

Question 7

What is Lloyd’s punch?

What is the preferred way to do it

Answer 7

assesses costovertebral angle (CVA) tenderness = kidney pain

preferred = put one hand flat on pt’s back –> use other hand to tap w/ fist

Question 8

What is the most common cause of UTI?

Answer 8

E-coli

Question 9

What is pyelonephritis?

Answer 9

kidney infection

Question 10

What is renal lithiasis?

Answer 10

kidney stone

Question 11

What is the cheapest, most effective form of imaging for a urinary tract issue?

Answer 11

ultrasound