renal passmed Flashcards

1
Q

cause of interstitial nephritis

A

antibiotics

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2
Q

what would you see on ultrasound in diabetic nephropathy

A

bilaterally enlarged kidneys

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3
Q

what is acute graft failure picked up by

A

rising creatinine, pyuria and proteinuria

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4
Q

treatment if suspected nephrotic syndrome

A

oral prednisolone

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5
Q

what is raised in acute interstitial nephritis

A
  • WCC
  • eosinophils
  • IgE
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6
Q

how do you prevent contrast induced nephropathy

A

give them fluid before the investigation

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7
Q

if urea:creatinine ratio is raised what does this mean about the cause of the AKI

A

its a pre-renal cause

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8
Q

what factors may cause a low eGFR

A
  • pregnancy
  • big muscle mass
  • red meat
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9
Q

treatment for cranial diabetes insipidus

A

desmopressin

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10
Q

treatment for nephrogenic diabetes insipidus

A

chlorothiazide

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11
Q

if someone with AKI presents with bilateral basal crackles alongside significant ankle swelling what does this indicate

A

that they have pulmonary oedema

-give haemodialysis

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12
Q

what indicates that kidney disease is chronic and not acute

A

hypocalcaemia

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13
Q

side effects of erythropoietin

A
  • bone aches
  • flu like symptoms
  • skin rashes
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14
Q

what is seen on renal biopsy in rapidly progressive glomerulonephritis/goodpastures

A

crescentic glomerulonephritis

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15
Q

presentation of renal cell carcinoma

A
  • classical triad: haematuria, loin pain, abdominal mass
  • pyrexia of unknown origin
  • left varicocele (due to occlusion of left testicular vein)
  • endocrine effects: may secrete erythropoietin (polycythaemia), parathyroid hormone (hypercalcaemia), renin, ACTH
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16
Q

what investigations are required in a patient with AKI of unknown aetiology

A
  • blood test

- ultrasound of kidneys

17
Q

what do you do with a patient with unexplained visible haematuria in the absence of a UTI

A

refer to urology for potential bladder cancer