Tricky + Riskfactors Flashcards

1
Q

Risk Factors: CKD Chronic Kidney Disease

A
Family Hx
Age (Increased)
Male
African American
HTN, DM, Smoking
Obesity or overweight
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2
Q

Cholelithiasis: Risk factors

A
  • Gender (little higher in females)
  • Age (<40)
  • Estrogen (higher)
  • Lifestyle (obese or sedentary)
  • Diet (cholesterol + fat, low fiber)
  • Family History
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3
Q

Other Causes of Cholecystitis

A
  • Prolonged immobility/fasting
  • Bacterial infection
  • Parenteral nutrition
  • Diabetes mellitus (DM)
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4
Q

Pancreatitis: Risk Factors

A
Middle Aged
African American (3X)
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5
Q

Chronic Glomerulonephritis Drugs

A

Corticosteroids:
-prednisone

Diuretics

Immunosuppressants

Anti-hypertensives:
-ARB or ACE

Other:

  • Dialysis
  • Diet (low Na, K+)
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6
Q

Glomerulopathy (2 causes)

A

Diabetic Nephropathy

  • Major complication
  • Underlying Pathology: Gross thickening of GBM

Hypertensive Glomerular Disease
-Underlying Pathology: Decreased renal perfusion

-Sclerotic glomerular changes

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7
Q

Nephrolithiasis: Risk Factors

A
Medications
20-30
White
Family Hx
Congenital urinary defect
Weather (hot/dehydration)
Obesity
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8
Q

Pyelonephritis/Upper UTI: Symptoms

A

Sudden onset of

  • Fever, chills, CVA tenderness
  • Lower UTI: dysuria
  • N/V
  • Anorexia
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9
Q

Renal Cell Carcinoma: Risk Factors

A
Smoking (#1)
Obesity (#2)
Age (increasing)
Male
Genetics/Fam Hx
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10
Q

Urothelial Carcinoma: Risk Factors

A

Smoking (#1)
Male
Occupations with toxin exposure
Low fluid intake (toxins chill)

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11
Q

What Disorder is characterized by H.A.R.P symptoms

A

Acute Glomerulonephritis

  • Hematuria
  • Azotemia
  • Retention: sodium + water, Oliguria, leads to HTN and Edema
  • Proteinuria
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12
Q

Acute pancreatitis complications

A
  1. Pseudocyst
  2. Abscess
  3. Pulmonary complications
    - Pt not taking deep breaths (pain/fluid/enzymes)
  4. Hypotension
    - leaking vessels
  5. Tetany from hypocalcemia
    - Lipase causes fat necrosis» FFA bind to calcium
  6. Increased risk for clotting
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13
Q

Symptoms of Pancreatitis

A
  • N/V, abdominal distension, hypoactive bowel sounds
  • Fever
  • Hypotension, tachycardia (loss of fluid/pain)
  • Jaundice
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14
Q

Pancreatic Treatment w/drugs, which ones?

A

Morphine

Dicyclomine (bentyl)
-antispasmodic (anticholinergic)

Antacids (decrease HCL + pancreatic enzymes)

H2-receptor antagonists (Zantac, Pepsid)

Pancrelipase (Creon)
-replacement of enzymes

Insulin
-If DM occurs

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15
Q

Early + Late manifestations of Renal Cell Carcinoma

A

Early

  • None
  • some found on abdominal CT by accident

Late:
CVA tenderness
Hematuria (cola colored)
Palpable abdominal mass

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16
Q

Early + Late manifestations of Urothelial Carcinoma

A

Early:
-Hematuria

Late:

  • Frequency
  • Urgency
  • Dysuria
17
Q

3 key characterizes of CKD

A
  1. Glomerulosclerosis
  2. Interstitial fibrosis (renal tubules)
  3. Interstitial Inflammation
18
Q

Nephrotic Syndrome: Clinical Manifestations

A
  1. Edema
    - lack of albumin + third spacing
  2. Hypertension
    - kidney needs volume RASS
  3. Liver Involvement
    - Hyperlipidemia
    - Hypercoagulation (loss of antithrombin III + plasminogen)