Renal Diseases Flashcards

1
Q

Classification of renal disease

A

Based on the area primarily affected

  1. Glomerular
  2. Tubular
  3. Interstitial
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2
Q

Refers to a sterile, inflammatory process that affects the glomerulus and is associated with the finding of blood, protein, and casts in the urine

A

Glomerulonephritis

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3
Q

The causative agent of Acute Poststreptococcal Glomerulonephritis

A

Group A Streptococcus

*Contains M protein in the cell wall

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4
Q

Another name for Rapidly Progressive Glomerulonephritis

A

Crescentic Glomerulonephritis

*Occurs in SLE, deposition of autoimmune complexes such as IgA

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5
Q

An autoimmune disorder that produces a cytotoxic autoantibody against the alveolar and glomerular basement membranes (antiglomerular basement antibody) after viral respiratory infections

A

Goodpasture syndrome

*Antiglomerular basement antibody

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6
Q

Key diagnosis of Wegener granulomatosis

A

Anti-neutrophilic cytoplasmic antibody (ANCA)

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7
Q

Key characteristic of membranous glomerulonephritis

A

Thickening of glomerular basement membrane resulting from the deposition of immunoglobulin G immune complexes

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8
Q

Type of membranoproliferative glomerulonephritis wherein there is an increased cellularity in the subendothelial cells of Magnesium

A

Type 1

*Type 2= extremely dense deposition in the glomerular basement membrane

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9
Q

Also known as Immunoglobulin A Nephropathy

A

Berger’s disease

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10
Q

Primary protein depleted in the circulation in most cases of renal disorders

A

Albumin

*Hypoalbuminemia causes liver to compensate by producing lipids

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11
Q

Minimal change disease is also known as _

A

Lipid nephrosis

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12
Q

Primary disorder associated with damage to the renal tubules

A

Acute tubular necrosis

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13
Q

Decreased blood flow that causes a lack of oxygen to the tubules

A

Ischemia

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14
Q

General term indicating a severe condition that decreases the blood flow throughout the body

A

Shock

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15
Q

Disorder most frequently associated with tubular dysfunction

A

Fanconi’s syndrome

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16
Q

Fanconi’s syndrome is a generalized failure of tubular reabsorption in the _

A

Proximal convoluted tubule

17
Q

Fanconi’s syndrome may be inherited in association with _ and _

A

Cystinosis and Hartnup disease

18
Q

Urinalysis finding in Fanconi’s syndrome

A

Glycosuria with normal blood glucose
Mild proteinuria
Low urinary pH due to failure to reabsorb bicarbonate

19
Q

An inherited disorder of collagen production affecting the glomerular basement membrane

A

Alport’s syndrome

* The glomerular membrane has a lamellated appearance with areas of thinning

20
Q

Most common cause of end-stage renal disease

A

Diabetic nephropathy

21
Q

Urine concentration is regulated in _ in response to Antidiuretic hormone

A

Distal convoluted tubules and collecting duct

22
Q

Where is ADH produced ?

A

Hypothalamus

23
Q

Inability of renal tubules to respond to antidiuretic hormone

A

Nephrogenic Diabetes insipidus

* Neurogenic DI = failure of hypothalamus to produce ADH

24
Q

Nephrogenic DI may be acquired from medications including _

A

Lithium and Amphotericin B

25
The disorder that affects the reabsorption of glucose only
Renal glycosuria | *autosomal recessive
26
Patients w/ renal glucosuria have normal/increased glucose concentrations in the blood, and an increased glucose urine output
Normal glucose in the blood
27
Most common renal disease
UTI
28
Infection of the bladder
Cystitis
29
Infection of the upper urinary tract including the tubules and the interstitium
Pyelonephritis
30
Type of pyelonephritis which results from the ascending movement of bacteria from a lower UTI into the renal tubules and interstitium
Acute pyelonephritis
31
Reflux of urine from the bladder back into the ureters
Vesicoureteral reflux
32
Most frequent cause of chronic pyelonephritis
Congenital urinary structural defects producing reflux nephropathy
33
Marked by inflammation of the renal interstitium followed by the inflammation of renal tubules
Acute interstitial nephritis
34
Acute interstitial nephritis is primarily associated with _
Allergic reactions to medications that occurs within the renal interstitium *Symptoms develop 2 weeks after administration
35
Glomerular filtration rate in end-stage renal disease
<25 mL/min
36
Abnormally high levels of waste products in the blood (BUN and Creatinine)
Azotemia
37
Renal calculi vary in size from barely visible to large, staghorn calculi resembling the shape of the renal pelvis and smooth round bladder stones
Renal lithiasis
38
A procedure that uses high-energy shock waves to break stones in the upper urinary tract into pieces
Lithotripsy
39
75% of renal calculi are composed of _
Calcium oxalate /phosphate