Urinary Tract Flashcards

1
Q

Bloody/grayish vaginal discharge since birth
Hymen intact
Mother and Grandmother are cartakers

Appropriate next step ?

A

Parental reassurance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Coughing up blood
BP = >130/>90 mmHg
Hematuria and proteinuria

Diagnosis ?

A

Goodpasture syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Large voids of dilute urine
Excessive thrist
Dehydration episodes

Diagnosis?

A

Diabetes inspidus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Poor weight gain
Chronic constipation
Hyperchloremic metabolic acidosis

Diagnosis?

A

Hereditary fanconi syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

White, cheese like material in foreskin

Unable to retract foreskin past glans

A

The child is normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Past UTI
On antibiotics for E.coli pyelonephritis
Wedge shaped area in right kidney

Management?

A

Prolonged antibiotic therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

History of UTIs
BP = 135/90 mmHg

Symptom?

A

Headache

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Blood and protein in urine
Recent visit to amusement park
Swollen face and little urine

Diagnosis?

A

Hemolytic - Uremic syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Red urine
Recent visit to amusement park
Positive for heme in urine

Indicates presence of what in urine?

A

Myoglobin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Severe scrotal pain
No trauma history

Management?

A

Order a surigal consult immediately

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Burning while urinating
Foul smelling vaginal discharge
Reddened vulva
Intact hymen

Management?

A

Advice to stop taking prolonged bubble baths

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Abdominal cramping
Rash on legs, buttocks and forearms
Proteinuria and microhematuria

Diagnosis?

A

Arthritis or arthralgia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Intermittent red urine (+3 blood on dipstick)
Father on dialysis

Cause of childs heamturia?

A

Alport syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Episodes of bed wetting
Father had episodes tell age of 10
Worried about bullying at summer camp

Correct statement about nocturnal enuresis ?

A

Spontaneous cure rates are high regardless of therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Infant born with hypoplastic lungs
No aminiotic fluid when membrane was ruptured

Next step after stabilizing infant?

A

Renal ultrasound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Burning while urinating
Blood in dip test

Category?

A

Idiopathic hypercalciuria

17
Q

Dark urine

Category?

A

Acute glomerulonephritis

18
Q

Puffy eyes in morning
Unexpected weight gain
Scrotal edema

Category?

A

Nephrotic syndrome

19
Q

History of constipation and dehydration
Serum potassium = 2.7 mEq/L

Category?

A

Bartter syndrome

20
Q

Common cause of morality in primary nephrotic syndrome

A

Thromboembolism

21
Q

Inheritance pattern of primary idopathic necrotic syndrome?

A

Sporadic

22
Q

Reasons for biopsy in a patient with nephrotic syndrome

A

Age at onset of 10 months

23
Q

Types of blood cells in a child diagnosed with HUS

A

Schistocytes

24
Q

What is the strongest indication for dialysis

A

Serum BUN 120 mg/dL