Renal Vascular Disease Flashcards

1
Q

_____ can be a cause or consequence of increased blood pressure

A

renal vasculature disease

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2
Q

this renal vascular disease deals w/ renal arterioles and is associated w/ HTN that can lead to vascular remodeling and hypertrophy

A

benign nephrosclerosis

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3
Q

granularity is seen on surface of kidney due to this disease

A

benign nephrosclerosis

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4
Q
A

benign nephrosclerosis

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5
Q
A

benign nephrosclerosis

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6
Q
A

benign nephrosclerosis

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7
Q
A

benign nephrosclerosis

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8
Q
A

benign nephrosclerosis

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9
Q
A

benign nephrosclerosis

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10
Q
A

benign nephrosclerosis

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11
Q

associated with malignancy or accelerated HTN

A

malignant nephrosclerosis

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12
Q

onion skinning of arterial wall

A

malignant nephrosclerosis

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13
Q
A

malignant nephrosclerosis

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14
Q

stain and dx

A

silver; malignant nephrosclerosis

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15
Q

this renal vascular disease will have elevated levels of renin

A

malignant nephrosclerosis

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16
Q

associated w/ HTN emergency (HA, nausea, visual impairment, retinal hemorrhages); organ failure

A

malignant nephrosclerosis

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17
Q
A

malignant HTN

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18
Q
A

malignant nephrosclerosis

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19
Q
A

malignant nephrosclerosis

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20
Q
A

malignant nephrosclerosis

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21
Q
A

renal artery stenosis

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22
Q

causes HTN due to increased production of renin from ischemic kidney

A

renal artery stenosis

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23
Q

can be unilateral or bilateral

A

renal artery stenosis

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24
Q

can also be caused by fibromuscular dyplasia

A

renal artery stenosis

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25
Q
A

renal artery stenosis

26
Q
A

atherosclerotic renal artery stenosis

27
Q

cut off blood supply, leads to

A

atrophic kidney

28
Q

loss of cell architecture due to loss of blood supply (tuft contraction)

A

renal artery stenosis

29
Q

juxtaglomerular apparatus hyperplasia sign of

A

renal artery stenosis

30
Q

due to fibromuscular dysplasia or atherosclerosis

A

renal artery stenosis

31
Q

2 thrombotic microangiopathies

A

TTP and HUS

32
Q

excessive activation of platelets
capillary thrombi
thrombocytopenia
microangiopathic hemolytic anemia (schistocytes)

A

TTP and HUS

33
Q

consumption of platelets causes what

A

thrombocytopenia

34
Q

fragmentation of RBCs

A

microangiopathic hemolytic anemia

35
Q

seen in children

A

hemolytic uremic syndrome

36
Q

infection w/ E.coli (bloody diarrhea) and damage by shiga toxin O157:H7

A

hemolytic uremic syndrome

37
Q

what happens from the complement pathway that leads to acceleration of platelet activation

A

Membrane attack complex (MAC) causing endothelial damage and formation of thrombi

38
Q

what leads to TTP

A

deficiency of ADAMTS13 (usually breaks down multimeric vWF) and clots form

39
Q

how does shiga-like toxin affect the kidneys

A

glomerular receptors for that toxin

40
Q

to treat HUS

A

dialysis

41
Q
A

schistocytes seen in blood smear of patient w/ TTP or HUS

42
Q
A

thrombi seen in pt w/ TTP or HUS

43
Q

dx?

A

TTP or HUS

44
Q

thrombi shown

A

TTP or HUS

45
Q
A

TTP or HUS

46
Q

microthrombi

A

TTP or HUS

47
Q

disease caused by emboli composed of fragments of atheromatous plaques being lodged off after a procedure

A

atheroembolic renal disease

48
Q

see cholesterol clefts (crystals) under microscope

A

atheroembolic renal disease

49
Q
A

cholesterol clefts

50
Q

dx

A

atheroembolic renal disease

51
Q

hematuria
proteinuria
hyposthenuria (can’t concentrate urine)
papillary necrosis

A

sickle cell nephropathy

52
Q

sickling of the hypertonic region of medulla causes what

A

inability to concentrate urine

53
Q

what is it and dx

A

papillary necrosis
sickle cell nephropathy

54
Q

profound blood loss to kidney caused by

A

diffuse cortical necrosis

55
Q

uncommon
anuria after procedure
pale cortex
ischemic infarction

A

diffuse cortical necrosis

56
Q

pale cortex

A

diffuse cortical necrosis

57
Q

caused by an occlusion to kidney and then ischemic necrosis to fibrous scarring

A

renal infarct

58
Q

wedge shape anemic infarcts

A

renal infarcts

59
Q
A

renal infarct

60
Q
A

renal infarcts

61
Q
A

renal infarct