Renal CIS Case 3

Question 1

red urine etiologies

Answer 1

hematuria, med side effect, vaginal bleeding, nephrolithiasis

Question 2

red or reddish brown discoloration of urine from

Answer 2

hb or myoglobin in urine (rhabdomyolysis)
perphyria
food (beets, rhubarb)
drugs (phenazyopyridine, rifampin, isonizid

Question 3

what is the most common place of edema in kids with nephritis

Answer 3

periobrital region

Question 4

when pediatric pts have extremity edema with nephritis is it pitting or non pitting

Answer 4

non pitting

Question 5

is alkaline phosphatase higher or lower in kids compared to adults

Answer 5

higher
example 250 is normal for child but elevated in adult
(kids are growing)

Question 6

definition of hematuria

Answer 6

RBCs in urine, specifically > 3 RBCs per high power field on urine sediment exam

Question 7

coca cola urine vs frank hematuria

Answer 7

coca cola brown as opposed to red suggests renal source as opposed to bladder

Question 8

what is a reducing substance and why are they checked in pediatric UA

Answer 8

glucose and galactose bacteria bi-products

• UTI or carbohydrate metabooism error
• used for screening test for inborn erros of carb metabolism

Question 9

most common symptomatic presentation of post strep in kids

Answer 9

hematuria, edema, hypertension

50% of time is asymptomatic

Question 10

holliday segar method aka 4-2-1 method of pediatric IVF

Answer 10

4 cc/kg/hr for first 10kg
2 cc/kg/hr for second 10 kg
each additional kg add 1 cc/kg/hr

Question 11

what is the normal urine output

Answer 11

1 to 2 L/day

Question 12

oliguria

Answer 12

<500 mL/day

Question 13

anuria

Answer 13

urine output less than 50 mL/day