Renal System Flashcards
Oliguria
⬇️urine vol
< 800ml/day
Causes of urinary incontinence
Pelvic wall weakness Pelvic surgery/radiotherapy Detrusor overactivity Bladder outlet obstruction UTI Degenerative brain disease & stroke Neurological diseases (eg MS) Spinal cord damage
Anuria
Total absence of urine production
Pneumaturia
Passing has bubbles in the urine
Rare
Associated with faecuria
Fistula between bladder & colon
Orange brown urine
Conjugated bilirubin
Rhubarb, senna
Concentrated urine
Drugs: sulfasalazine
Red-brown urine
Blood, myoglobin, free Hb, porphyrins
Beetroot, blackberries
Drugs
What drugs can cause red-brown urine?
Rifampicin
Rifabutin
Clofazimine
Entacapone
Brown-black urine
Conjugated bilirubin
Drugs
Homogentistic acid
What drugs can cause brown-black urine?
L-dopa
Metronidazole
Chloroquine
Primaquine
Blue-green urine
Drugs/dyes
Eg propofol, fluorescein, triamterene
Causes of painless haematuria
Glomerulonephritis Tumours (kidney, ureter, bladder, prost) TB Schistosomiasis Hypersensitive nephrosclerosis Interstitial nephritis Acute tubular necrosis Renal ischaemia Severe excercise Coagulation disorders
Causes of painful haematuria
UTI
Renal stones & obstruction
Loin pain - haematuria syndrome
Causes of haematuria that can be painless or painful
UTI
Reflux nephropathy & renal scarring
Adult Polycystic kidney disease
Renal stones without obstruction
What RENAL diseases cause proteinuria?
Glomerulonephritis Diabetes M Amyloidosis SLE Drugs (eg penicillamine) Malignancy (eg myeloma) Infection
What NON renal diseases cause proteinuria?
Fever Severe exertion Severe ⬆️BP Burns ❤️ failure Orthostatic proteinuria