Renal/GU Flashcards

1
Q

Treatment for hypovolemic hypernatremia

A

D5W

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2
Q

Treatment for euvolemic hypernatremia

A

Hypotonic fluids (D5W or .45% NaCl)

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3
Q

Treatment for hypervolemic hypernatremia

A

Diuretics + D5W

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4
Q

How quickly can you correct hypernatremia?

A

<.5 mEq/L/hr

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5
Q

Treatment for hyperkalemia

A

“C BIG K”

Calcoium gluconate, bicarb and/or insulin and glucose, B-agonists, eliminate potassium from diet/IV fluids, kayexalate

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6
Q

Causes of respiratory acidosis

A

Hypoventilation (airway obstruction, acute/chronic lung disease, opiods/narcotics/sedatives, weakening of respiratory muscles)

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7
Q

Causes of metabolic acidosis

A

Anion gap vs non-anion gap

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8
Q

Causes of anion gap metabolic acidosis

A

MUDPILES: Methanol, Uremia, DKA, Paraldehyde/phenformin, INH, Lactic acidosis), ethylene glycol, salicylates)

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9
Q

Causes of normal anion gap metabolic acidosis

A

Diarrhea,glue sniffing, RTA, hyperchloremia

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10
Q

Causes of respiratory alkalosis

A

Hyperventilation or ASA ingestion (early)

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11
Q

Causes of metabolic alkalosis

A

diuretic cuse, vomiting, antacid use, hyperaldosteronism

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12
Q

RTA type 1

A

DISTAL = defect in H+ secretion; K+ low, urine pH >5.3

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13
Q

RTA type 2

A

Defect in HCO3 reabsorption, low K+,

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14
Q

RTA type 4

A

Aldosterone deficiency/resistance; HIGH K+ (only RTA)

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15
Q

What is RTA?

A

A net decrease in either tubular H+ secretion or HCO3 reabsorption that leads to a NON-ANION-GAP METABOLIC ACIDOSIS

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16
Q

Red cell casts

A

Glomerulonephritis

17
Q

White cell casts

A

Allergic interstitial nephritis

18
Q

Granular casts “muddy brown casts”

19
Q

White cells/white cell casts

A

Pyelonephritis

20
Q

labs/histology of postinfectious glomerulonephritis

A

Low serum C3, ASO titer, lumpy-bumpy

21
Q

What are the two types of nephritic syndrome caused by immun complexes?

A

Postinfectious GN and IgA nephropathy

22
Q

What type of nephritis is associated wtih Henoch-Schonlein purpura?

A

IgA nephropathy

23
Q

What is a type of pauci-immune nephritic syndrome?

A

Wegener’s granulomatosis

24
Q

What type of nephritic syndromes affects the respiratory tract?

A

Wegener’s and goospasture’s

25
Does Wegener's or Goodpasteures affects the upper respiratory tract?
Wegener's
26
What type of nephrotic syndrome is associated with HIV?
FSGS
27
What are the most common type of renal stones?
Calcium oxalate
28
What is the gold standard for nephrolithiasis diagnosis?
Noncontrast abdominal CT
29
Are calcium oxalate stones & calcium phosphate stones radiopaque or radioluscent
Radiopaque
30
What is the only type of stone that is radiolucent?
uric acid (also the only one with acidic urine)
31
Painless causes of scrotal swelling
Hydrocele & varicocele
32
Painful causes of testicular swelling
Epididymitis & testicular torsion
33
What is a + Prehn's Sign
Pain that decreases with scrotal elevation (occurs with epidiymitis)
34
What is a - Prehn's sign?
Scrotal pain that remains the same or increases with scrotal elevation (occurs with testicular torsion)
35
What is an increase in B-hCG in men associated with?
Choriocarcinoma