Renal Patient Lab Flashcards
What does the prostate feel like on physical exam with BPH?
Enlarged, firm and non tender
What does prostate feel like with prostate cancer on physical exam?
Asymmetric areas of nodules
What are the three categories of symptoms for BPH?
Storage symptoms, voiding symptoms, and irritation symptoms.
4 families of drugs to treat BPH?
Alpha 1 antagonists, 5 alpha reductase inhibitors, anticholinergic and PDE 5 inhibitors
What drug family exacerbates symptoms of BPH?
Antihistamines
what is prostate sympathetic levels?
T11-l2
What is parasympathetics to the prostate?
Sacral splanchnic
Two classic symptoms of kidney stone?
Renal colic and hematuria
What condition can be confused with renal colic pain?
Acute mesenteric ischemia
What are we thinking with patients that have acute mesenteric ischemia?
A lot have had a prior embolic event
What do patients with chronic mesenteric ischemia complain of and why?
Recurrent abdominal pain after eating because they cannot provide the intestine enough blood flow while it is doing its thing.
What do we need to consider with patients with Gout and renal issues and what is the risk factor here?
Uric acid stones because of persistent acidic urine.
What do we need to rule out with RLQ pain and how do we make the distinction?
Need to rule out appendicitis. Has ab pain, but no hematuria. Also, there is ab tenderness which isn’t with kidney stone.
Patient with renal issues present as a smoker, what do we need to always be thinking and what is the usual clinical presentation?
Bladder cancer. Painless hematuria.
What should we order when there is blood in the urine?
Urinalysis