Renal/GU Flashcards
chronic prostatitis
afebrile
voiding
chronic inflammatory prostatitis
INCREASE WBCs
afebrile
voiding
chronic NONinflammatory prostatitis
NORMAL WBCs
afebrile
voiding
contrast induced nephropathy tx=
non-ionic contrast agent before and during
NAC, bicarb
fastest way pf decreasing glucose
insulin and glucose
—> intracellular shift
hematuria at end of stream
bladder
hematuria at beginning of stream
urethral
which kidney is easier to palpate
R kidney= lower than left kidney– since the liver
renal stones
decrease protein
decrease oxalate
decrease fat
decrease salt
increase fluids
increase calcium– thiazides
PC: acute renal vein thrombosis
PAIN PAIN PAIN PAIN PAIN
fever
hematuria
normal in elderly
absent/ decrease achilles
when to put in foley catheter
greater than 100ml
chronic alcoholics
hypophosphatemia
hypomagnesemia—> hypokalaemia
urinary outflow obstruction
- flank pain
- low volume voids (and sometimes high)
- bilateral–> hydronephrosis
post-ictal acid base=
lactic acidosis– resolves without treatment in 60-90minutes
value for chloride responsive
greater than 20 urine chloride
what can alkalinize urine for uric acid stones
potassium citrate
dehydration
IV crystalloids
renal transplant dysfunction, acute rejection tx=
IV steroids
diuretic abuse
K+ urine
Na+ urine
painful blader syndrome= interstitial cystitis
- idiopathic
- chronic bladder pain– worse with filling, relief with voiding
- dyspareunia
- urinary frequency
- urgency
tx of alkalosis
IV normal saline
PSA discussion in 65yo
- mild prostate enlargement
- stool in rectal vault negative for occult blood
quick check if SIADH
urine osmolarity> serum osmolarity
saline unresponsive metabolic alkalosis
urine chloride > 20
renal papillary necrosis PC
ACUTE RENAL FAILURE
flank pain
gross hematuria
precocious puberty- advanced bone age- INCREASE LH
central
precocious puberty-advanced bone age- LOW LH
peripheral
PC: recurrent UTI’s and nephrolithiasis,
and palpable kidneys and liver
PCKD
