Renal - Extra Lecture Review Flashcards
Levels of Proteinuria (3)
1) A1 - < 30 = Normal
2) A2 - 30-300 = Moderate
3) A3 - > 300 = Severe
Embryo - What becomes the normal kidney?
Metanephros (Appears at 28-32 days) + Nephrogenesis complete at approx 35 weeks
Creatine Levels in Infancy vs. Birth
Infant - 0.2 (no real muscle mass)
Birth - 0.6 (Mom’s Cr)
VCUG - What Does it Stand For + Mechanism
Voiding Cystourethrography - Floro injeciton of dye into the bladder to look for obstruction + reflux
VUR - What Does it Stand For + Mechanism + Intervention
Vesico-Ureteral Reflux - urine back out of bladder into ureter - high risk of UTI
Usually resolves on own by age 2 - do VCUG if age > 2 with lots of UTI
Don’t give prohpholactic Abx
Thin Basement Membrane Disease
Microscopic Hematuria - Familial but not severe
Mild Proteinuria with no other Renal symptoms - DDx
Febirile - Check temp + f/u urinalysis after recovery
Bacteruria - Definition + Application
Bacteria in the urine, either infection or colonization
Don’t always treat!!
Major Causes of Bacterial UTI (3)
1) E. Coli
2) Proteus
3) Staph. Saprophyticus
Reasons for Female UTIs vs. Males
1) Female’s have shorter urethra
2) Prostate Fluid protects males some
Pyuria - Defintion
WBCs in Urine
Asymptomatic Bacteriuria - 3 Cut Offs
Female - 2 Urine Samples > 100,000 bacteria w/o S/Sx
Male - 1 Urine Sample > 100,000 bacteria w/o S/Sx
Catheter Patient - 1 Urine Sample > 10,000 bacteria w/o S/Sx
Patient Groups were you do treat Asymptomatic Bacteriuria (3)
1) Preganncy
2) Patients about to have urologic surgery
3) Patients about to have hip surgery
Complicated Pyelonephritis Forms (3)
1) Emphysema (air bubbles in kidney)
2) Papillary Necrosis
3) Abscess
