Renal Patient Lab Flashcards

1
Q

What does the prostate feel like on physical exam with BPH?

A

Enlarged, firm and non tender

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2
Q

What does prostate feel like with prostate cancer on physical exam?

A

Asymmetric areas of nodules

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3
Q

What are the three categories of symptoms for BPH?

A

Storage symptoms, voiding symptoms, and irritation symptoms.

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4
Q

4 families of drugs to treat BPH?

A

Alpha 1 antagonists, 5 alpha reductase inhibitors, anticholinergic and PDE 5 inhibitors

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5
Q

What drug family exacerbates symptoms of BPH?

A

Antihistamines

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6
Q

what is prostate sympathetic levels?

A

T11-l2

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7
Q

What is parasympathetics to the prostate?

A

Sacral splanchnic

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8
Q

Two classic symptoms of kidney stone?

A

Renal colic and hematuria

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9
Q

What condition can be confused with renal colic pain?

A

Acute mesenteric ischemia

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10
Q

What are we thinking with patients that have acute mesenteric ischemia?

A

A lot have had a prior embolic event

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11
Q

What do patients with chronic mesenteric ischemia complain of and why?

A

Recurrent abdominal pain after eating because they cannot provide the intestine enough blood flow while it is doing its thing.

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12
Q

What do we need to consider with patients with Gout and renal issues and what is the risk factor here?

A

Uric acid stones because of persistent acidic urine.

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13
Q

What do we need to rule out with RLQ pain and how do we make the distinction?

A

Need to rule out appendicitis. Has ab pain, but no hematuria. Also, there is ab tenderness which isn’t with kidney stone.

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14
Q

Patient with renal issues present as a smoker, what do we need to always be thinking and what is the usual clinical presentation?

A

Bladder cancer. Painless hematuria.

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15
Q

What should we order when there is blood in the urine?

A

Urinalysis

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16
Q

What is the best way to confirm the presence of a stone?

A

Non contrast CT

17
Q

Initial treatment for uric acid stones?

A

Alkalize the urine and increase fluid intake.

18
Q

What can we do for recurrent uric acid stones?

A

Xanthine oxidase inhibitors

19
Q

What diet restriction would we make for a uric acid stone patient?

A

Limit purine rich foods, intake of beer, wine and spirits.

20
Q

What is the most valuable lab diagnostic test for UTI?

A

Presence of Pyuria upon urine analysis