Renal. Lymphedema + renal infact (08-15) (1)

Question 1

Lymphedema.
What is strong contributor?

Answer 1

smoking

Question 2

Lymphedema.
late findings due to what?

Answer 2

due to deposition of the subcutaneous collagen and adipose tissue

Question 3

Lymphedema. In advanced cases - what presentation?

Answer 3

Warty appearance

Question 4

Lymphedema. positive stemmer sign. what is it?

Highly specific!

Answer 4

Inability to lift the skin on the dorsum of the second toe

Question 5

Lymphedema. how diagnosed?

Answer 5

Based on clinical presentation

May be used duplex US in some cases

Question 6

Lymphedema. etiology? 5

Answer 6

Disruption of the lymphatic system:

a) Obstruction (eg malignancy)
b) Lymph node dissection
c) Chronic inflam (eg recurrent cellulitis)
d) Congenital (eg turner syndrome)
e) parasitic infection (eg filariasis)

Question 7

Lymphedema. again. clinical presentation 3?

early and late

Answer 7

swelling, pain, heaviness

Early: soft, pitting edema
Late: firm and thickened skin, nonpitting edema

Question 8

Lymphedema. treatment?

Answer 8

Weight loss

Limb elevation and compression

Physiotherapy

Question 9

Renal infarct. etiologies 4?

Answer 9

Afib
renal artery trauma
hypercoagulability
Infectious endocarditis

Question 10

Renal infarct. presentation? 5

Answer 10

flank pain
vomiting and nausea
fever
hematuria
proteinuria without casts

Question 11

Renal infarct. when incr. creatinine?

Answer 11

A rise in creatinine may occur in bilateral infarction or a very large unilateral infarction. It can be
normal in unilateral infarction.

Question 12

Renal infarct. lab 3?

Answer 12

incr. LDH
Leukocytosis
incr. CRB

Question 13

Renal infarct. diagnosis instrumental?

Answer 13

CT scan/MRI
Seen wedge-shaped cortical infarction