updates Flashcards
dehydration leads to
hypernatremia (hypertonic dehydration)
Isotonic dehydration is
Hypovolemia
Isotonic dehydration occurs how?
ECF fluid and electrolyte loss is equal (hemorrhage) - normal NA levels
Hypertonic dehydration
True water loss - ECF losses - watery diahhrea, sweating
mild dehydration sxs
headache, oliguria, skin turger
severe dehydrations sxs
Renual fail, coma, hypovolemia (tachy, syncope, sucken fontanelles) decreased wet diapers.
Tx of mild dehydration is?
oral fluids
Tx of severe dehydration is?
IV NS, ringer lactate (0.5 D5W%)
volume deficiete
isotonic NS
water deficiete
Hypotonic Saline
MC fused kidney under the IMA
horseshoe kidney
Hydronephrosis and vesicouereter reflux and UPJ is?
horseshoe kidney
horseshoe kidney sxs
Turners, asymptomatic mostly
horseshoe kidney work up
Post natal US, Cr, UA, Urine culture
horseshoe kidney tx?
most dont need anything - referral if obstruction or stones or infections