Renal. vein thrombosis + periferal edema (08-05) (1)

Question 1

renal vein t.
risk factors? 3 groups

Answer 1

hypercoagulability (nephrotic, malignancy, OCP)
Volume depletion (infants
Trauma

Question 2

renal vein t.
clinical? 4

Answer 2

hematuria
flank/abdominal pain
elevated LDH+/- AKI
Enlarged kidney on imaging

Question 3

renal vein t.
diagnosis (methods)? 2

Answer 3

CT or MR angiogprahy

Renal venography

Question 4

renal vein t.
treatment. 2

Answer 4

Anticoagulation
Thrombolysis/thrombectomy (if AKI present)

Question 5

Peripheral edema.
4 groups of mechanisms?

Answer 5

Incr. capillary hydrostatic pressure

Decr. capillary oncotic pressure (hypoalbuminemia)

Incr. capillary permeability

Lymphatic obstruction/incr. interstitial oncotic pressure

Question 6

Peripheral edema.
Incr. capillary hydrostatic pressure. 3 causes?

Answer 6

HF (left ventricular and cor pulmonale)

Primary renal sodium retention (renal disease and drugs)

Venous obstruction (eg cirrhosis and venous insuff.)

Question 7

Peripheral edema.
Decr. capillary oncotic pressure (hypoalbuminemia). 2 causes

Answer 7

protein loss (nephrotic synd. and protein losing enteropathy)

Decr. albumin synthesis (cirrhosis and malnutrition)

Question 8

Peripheral edema.
Incr. capillary permeability. causes 4

Answer 8

burns, trauma, sepsis

Allergic reactions

ARDS

Malignant ascites

Question 9

Peripheral edema.
Lymphatic obstruction/incr. interstitial oncotic pressure. 3 causes?

Answer 9

malignant ascites

hypothyroidism

lymph node dissection