Renal Medicine Flashcards
NICE criteria for AKI
Rise in creatinine of >25 in 48hrs
Rise in creatinine of >50% in 7 days
Urine output of 6h
AKI risk factors
CKD HF DM Liver dx old age cognitive impairment nephrotoxic meds - NSAIDS and ACE-inh contrast medium
Px of CKD
asymptomatic usually pruritus anorexia nausea oedema muscle cramps peripheral neuropathy pallor HTN
Name 1 complication of CKD
anaemia
renal bone disease
CVS dx
periph. neurop.
Indications for dialysis
AEIOU Acidosis Electrolyte abnormalities Intoxication Oedema Uraemia
Three types of maintenance dialysis
- Continuous ambulatory peritoneal dialysis
- haemodyalysis
- automated peritoneal dialysis
Alternative to dialysis?
Transplant
Which type of syndrome must fulfil the following
- peripheral oedema
- proteinuria
- serum albumin
- hypercholesterolemia
NEPHROTIC SYNDROME
What are the types of glomerulonephritis?
- Minimal change disease
- Focal segmental glomerulosclerosis
- Membranous glomerulonephritis
- IgA nephropathy (AKA mesangioproliferative glomerulonephritis or Berger’s disease)
- Post streptococcal glomerulonephritis (AKA diffuse proliferative glomerulonephritis)
- Mesangiocapillary glomerulonephritis
- Rapidly progressive glomerulonephritis
- Goodpasture Syndrome
What are most types of glomerulonephritis treated with>
Immunosuppression (steroids) BP control (ACE-i or ARB)
- check 0tofinals
what does diabetic nephropoathy cause?
glomerulosclerosis cause of high sugar levels passing
What can a hypersensitvity reaction to drugs or infection cause in the kidney?
acute interstitial nephritis
Management of acute tubular necrosis?
supportive,
IV fluids
stop nephrotoxic meds
treat complications
Which types of Renal tubular acidosis are most relevant to clinical practice
1 and 4
How is T1 RTA treated?
T4?
bicarbonate
fludrocortison (+Nabicarb)
