Renal system Flashcards

1
Q

What causes acute pyelonephritis? (pai.uh·low·nuh·frai·tuhs) Where does it affect?

A

A sudden or severe infection of the kidney brought about by gram-negative bacteria, which results in inflammation of the renal pelvis and nephrons, as well as affecting the adrenal cortex and medulla.

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2
Q

What is uraemia?

A

High levels of urea in the blood

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3
Q

Taking ibuprofen, particularly at high doses over long periods of time, can increase the risk of:

A
Cardiovascular accident (stroke)
and myocardial infarction.
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4
Q

What is cystitis?

A

The inflammation of the urinary bladder. Cystitis is the most common form of urinary tract infection.

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5
Q

Name the procedure that involves a doctor using a device similar to a laparoscope to examine the bladder.

A

Cystoscopy (the device used is called a cystoscope)

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6
Q

Cystitis is the most common form of what?

A

Urinary tract infection (UTI).

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7
Q

What are the three types of acute kidney injury?

A

Prerenal, intrarenal, and postrenal.

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8
Q

What brings about prerenal AKI?

A

Insufficient blood flow to the kidneys.
This could be because of a reduction in cardiac output because of heart failure, or hypovolaemia as a result of haemorrhage or shock.

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9
Q

What does intrarenal AKI involve?

A

A decline in working of the functional kidney tissues including the nephrons.
This could be for a variety of reasons including exposure to harmful chemicals, glomerulonephritis, and hypertension.

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10
Q

What generally causes postrenal AKI?

A

Obstruction of the renal system along the ureters, urinary bladder, and urethra.
Forms of obstruction include kidney stones, prostatic hyperplasia (in men), and urethral stricture.

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11
Q

Renal calculi is the medical name for what?

A

Kidney stones.

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12
Q

AKI results in higher levels of which minerals?

A

Urea, creatinine, phosphate, and potassium.

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13
Q

Name some of the signs of the oliguric phase of AKI?

A
  • Decreased urine output
  • Oedema.
  • Raised urea, creatinine, and potassium.
  • Reduced sodium (hyponatraemia).
  • Acidosis
  • Heart failure.
  • Pulmonary oedema.
  • Orthostatic hypotension.
  • Disorientation.
  • Vomiting.
  • Bowel changes.
  • Convulsions, coma.
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14
Q

ERF stands for?

A

Established renal failure.

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15
Q

What are the two criteria for ERF?

A
  • Progresses over at least three months (90 days).

- Irreversible damage to nephrons.

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16
Q

What are the three main treatment options for ERF?

A

Transplant (60%), haemodialysis (36%), peritoneal dialysis (4%). (percentages for Scotland).

17
Q

Why does ERF often lead to anemia?

A

Because the kidneys produce a hormone called erythropoietin that stimulates red blood cell production.