Renal/GU Flashcards
healthy MA man, vomiting and diarrhea
findings of orthostatic hyperTN
labs will show inc ___
urine osmolality is __ serum
effective circulating volume is ___
aldosterone is ___
ADH
more
dec
inc
YA male, history of a tonic clonic seizure
started on medicine
CK rises, creatitine is elevated
urinalyis shows lots of blood, low RBC
dx is ___
may be precipitated by S/S/T
rhabdomyolysis
]
statin, seizure, trauma
Elderly woman, post MI
lacy violaceous on legs, toe is blue
pulses are normal, creatitine is high
worsening renal fxn bc of ___
catheterization resulted in ___
may have high __ in blood
atheroembolic dz
ruptured plaques
eosinophils
YA woman, dx with cellulitis
began Dicloxacillin
creatitine rises, leukocyte cast in urine
__ in urine
urine Na is high
dx is ____
may be caused by P/N
eosinophils
acute interstitial necrosis
penicillin, NSAIDs
vomting, diarrhea, FeNa <1%, urine Na less than 20
dx is ___
prerenal azotemia
hypoTN, muddy brown cast, epithelial cells, urine Na is inc
dx is ____
Acute tubular necrosis
eldely man, coughing up blood, multiple sinus/ear infections
creatitine is rising, RBC in urine
cxr shows pulmonary nodules
dx is ____
antibody to
GPA
anti-PR3
post pharyngitis, AKI, RBC casts
low C3/C4
dx is ____
glomeruli are enlarged and ___
IF is ___ w deposition of IgM/IgG/C3
deposited along the __/__
EM shows __ immune complexes
type __ hs
post streptococcal GN
hypercellular
granular
GBM/mesangium
subepithelial
3
young boy, arthralgias, ab pain, rash over the legs
URI week a go, palpable rash
UA with RBC
dx is ____
mechanism
henoch schonlein purpura
IgA depostion in small vessels
MA man, urinating blood
recovering from mild URI
recurrent episodes, always w URI
UA w RBC
dx is ____
deposition in ___
IgA nephropathy
mesangium
young boy, hearing loss, ocular findings, hematuria
dx is ___
mutation in ___
__/__ of basement membrane
__ inheritance
alport syndrome
T4 collagen
thinning/splitting
XD
older patient, smoker, hematria
dx is __
bladder cancer
hematuria, flank pain, high HCT and Ca
left sided varicocele, fever
dx is ____
RCC
young pt, facial/lower extremity edema
Creatinie is normal, albumin low, cholesterol high
urinalysis shows protein
dx is ____
EM shows ____
responds to ___
minimal change glomerulonephropathy
effacement of foot processes
CS
elderly man, post cancer
low albumin, proteinuria
nodule in kidney, fatty casts in urine
dx is ____
granular as a result of __
Nephrotic presentation in __
spike and dome appearance w ____
may be related to A
or N/P/G
assc w ___
membranous nephropathy
IC deposition
SLE
supepithelial deposits
antibodies
NSAIDs/penacillamine/gold
Hep B
YA woman, nephrotic syndrome
develops flank pain/bloody urine
aebrile/CVAT
dx is ____
due to loss of ___
renal vein thrombosis
AT3
HIV pt, AA, nephrotic syndrome
dx is ___
effacement of ___
also related to S/H/O
FSGS
foot processes
SCD, heroin, obesity
young boy, wet diaper w blood
palpable mass in right flank, deletion of chromosome 11p
dx is _____
wilms tumor
infant, appeas sick
palpable mass in both upper quadrants
tumor involves adrenal gland and liver
dx is ____
lab shows in ___ in urine
neuroblastoma
VMA
MA woman, pregnant, develops painless vaginal bleeding
uterus is larger than it shoul be
BHCG is greatly elevated
dx is ____
possible compliation
molar preg
choriocarcinoma
YA woman, breast lump
firm, nontender, mobile mass
dx is ___
__ is much more diffuse
fibroadenoma
fibrocystic dz
YA male, swollen left testicle
UA is neg
labs show high AFP/BHCG
dx is ___
nonseminoma
elderly man, hx of back pain, weight loss
collapse at L4
serum ALP is elevated
dx is ___
prostate cancer
elderly woman, LLQ discomfort
US shows mass
assc with elevated __
CA 125
older woman, worsening bladder control
sometimes doesnt make it to the bathroom
voiding may be
dx is ___
caused by ___
urge incontinence
detrusor hyperactivity
incomplete
loss of continence w cough/sneeze
dx is ___
caused by __ or insufficiency of ____
stress incontinence
detrusor hypermobility, internal sphincter
continuous leakage, neurologic dysfunction
dx is ___
overlow incontinence
elderly, dementia pt, debilitated
dx is ___
functional incontinence
MA woman, LLQ pain
risky sexual practices
Fever, adnexal/cervical motion tenderness
dx is ____
PID
thick white vaginal discharge, vagina is erythematous
discharge is white, pH is low
dx is ___
look for
vaginal candidiasis
hyphae
frothy, green yellow vaginal discharge
smells poor
pH greater than 5
dx is ___
look for ____
trichomoniasis
motile flagella
painless, indurated clean base ulcer
dx is ___
syphillis
deep, undermined, purulnt ulcer
tender adenopathy
dx is __ via ___
chancroid
H druceyi
multiple painful shallow ulcers
dx is ___
genital herpes HSV2
proctitis, draining inguinal LN, anorectal ulcers
dx is ___ via ____
lymphogranuloma venereum
C trachomantis L1-3
painless ulcer is __ syph
rash on palms, fever, LAN is ___ syph
tabes dorsalis, AR pupils, aortitis, gummas is __ syph
fever, hypoTN, rigors after PCN tx is ____
primary
secondary
tertiary
Jarish herxheimer rxn
MA man, unconcious
high AGAP metabolic acidosis
urine shows oxalate crystals
dx is ___
ethylene glycol poisoning
staghorn calculus
assc w __ or ___
urease producing Proteus/Klebsiella
sudden onset testicular pian, does not improve w elevation
dx is ___
testicular torsion
AKI post tx for lymphoma
high uric acid, phosphate and K
dx is ___
tumor lysis syndrome
Aminoglycosides/vancomycin SE
Acute tubular necrosis
older man, URI followed by acute urinary obstructiion
result of ___ in cold meds
inc smooth muscle tone in __
alpha agonists
bladder neck
BPH sx, tx w ___ 5AR inhibitor first
followed by alpha blocker ___
finasteride
tamsulosin
