RTA types Flashcards

1
Q

type I RTA characteristics

A

increased acidity of the plasma due to failure to secrete acid. problem acidifying usually in the ducts of the distal nephron. leads to academia and hypokalemia

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2
Q

typical presentation of RTA 1

A

normal anion gap metabolic acidosis. hypokalemia, hypocalcemia, hyperchloremia, urinary stones, nephrocalcinosis bone demineralization, sjogrens syndrome.

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3
Q

type II characteristics

A

proximal RTA. failure of the proximal tubular cells to reabsorb filtered bicarb form the urine. leading to bicarb wasting. fanconi syndrome

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4
Q

what does RTA II present as

A

phosphaturia, glycosuria, aminoaciduria, uricosuria, and tubular proteinuria

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5
Q

type IV RTA

A

this is not a tubular disorder. it is a mild metabolic acidosis due to physiological reduction in proximal tubular ammonium excretion secondary to hypoaldosteronism resulting in decreased buffering capacity.

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6
Q

what is the cardinal feature of type IV RTA

A

hyperkalemia.

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