Renal/Uro Class Flashcards
Malignant HTN findings and sx
Caused by
Common Pops
Pathophys
On biopsy
MRI may show
papilledema, visual impairment
Eclampsia, scleroderma renal crisis
Men, blacks
endo damage, natriuresis, volume depletion w activation of RAAS
Onion skin lesions
PRES
CT acute bleeding non contrast
Old bloood
bright
dark
Posterior Reversible Encephalopathy Syndrome
Seen in pt w
Due to loss of
Sx
Co cx
Dx
TX
severe HTN
cerebral autoregulation w resultant vasogenic edema
HA, altered sensorium, seizure, visual changes
SLE, renal failure, eclampsia
MRI
BP controle
SCC of penis areas
RF
Africa, Asia, SA
Multiple sex partners, genital warts, no circumsion, phumosis, HIV
Impetigo rash appearance
HSP presentatin
flaccid vessicles and bullae
rash, glomerulonephritis, GI bleeding
Testicular cancer presentatioj
Metastatic sx
Dx metastases w
oft asx, may have dull ache
supraclavicular LAD, pulm sx, bone/back pain
biopsy of tests/LN
Ethylene glycol conversion
Metabolites produce
tx
2step, alcohol dehydrogenase for step 1
RF, acidosis
fomepizole and dialysis
APKD inheritance
Presenttion
Extrarenal
XP associated with
AD
Flank pain, hematuria, stones, HTN
liver cysts, intracranial aneurysms
frequent UTI
Syphillis rash sites
Other sx
palms and soles
Argyll robertson pupils, aortic aneurysm
Uric acid stones can produce
ATN presents with
Von Recklinhausen’s dz puts patient at risk for
Dermatomyositis risk for
SLE at risk for
hematuria
epithelial/muddy brown casts
Internal malignancies, pheochromocytoma
internal malignancy
Renal/brain disease
BPH sx
can result from
Prostate cancer w out/w
Bladder stone does not have, has
Urinary obstruction from
urinary retention, distended bladder/prostate, freq urination, weak stream, intermittency, hesitation
anticholinergics
wout urinary retention, w hard mass
distension, firm suprapubic mass
Gonococcal urethritis
RF complciations
hyperK presents with
treat w
further
met acid, hyperK
peaked T, wide QRS, sine wave
IV Ca, albumin/glucose, albuterol
hemodialysis
Aortic aneurysm LUQ
Palpable purpura for small/medium sized vessel ddx
IE presents w
palpable, pulsatile on midline
Infect, vsculitis, CT dz, drugs, malignancy
Fever, aortic insufficiency
test of choice for test torsion
BPH DRE
Adenocarcinoma of testes pres
Acute prostatitis
presents
Sx
DRE
color doppler US
enlarged gland, rubber, nontender
asx, metastases, hard nodule
acute ill, young/MA male
fever, malaise, dysuria, pain, dribbling
tender, edematous gland
Tumor lysis syndrome occurs after
develops due to
Consequencesq
later
Chemo
cell lysis w spilled K, Phos, UA
ARF/hyperK/ATN
IV volume overload
High AGAP met acid (cant excrete acid)
Nutcracker syndrome
Phimosis tx
HSV infection, pt at risk for
left RV compression by SMA/aorta- varicocele and hematuria
topical steroids
HIV, viral meningitis (women)
