Urogenital Review Flashcards

1
Q

How does 4 HS all affect Kidney

A

Type I - drug induced - Acute Interstitial Nephritis AIN
II - Ant-AB - Goodpasture, Anti-GBM; Post Strep
III - Complex deposition - Lupus Nephritis ; IgA also
IV - drug induced, transplant rejection

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2
Q

Whats most common cause of Nephrotic Syndrome

A

Membranous Glomerulopathy

- deposition of Immune complexes

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3
Q

Diabetic Nephropathy histology [2]

A

Nodular Glomerulosclerosis

BM thickening

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4
Q

Top cause for enlarged kidney

A

Polycystic KD - AD

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5
Q

How does IE cause wedge-shaped regions in kidney

A

Coagulative Necrosis

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6
Q

How does muscle trauma cause Kidney damage

A

Releases myoglobin, haemoglobin - Toxic
- Toxic Acute Tubular Necrosis

Ischaemia and Shock also for ATN

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7
Q

How does Macula Densa and JGA compensate Renal Stenosis from Hypertension

Treatment?

A

Hypertension, Renal Stenosis, GFR drops

  • Macula Densa: PG produced vasodilates afferent
  • JGA: Renin - ANGII - Vasoconstricts efferent

Increases GFR
But ANG leads to more hypertension

  • ACEI - block ANGII
  • NSAIDs - block PG production

but note drop in GFR leads to kidney injury by NSAIDs

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8
Q

Benign HT on Kidney

A

Hyaline arteriosclerosis- ischemia - Scarring

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9
Q

Malignant HT on Kidney

A

Fibrinoid Necrosis
Hyperplastic arteriosclerosis - w smooth muscle proliferation and concentric arrangement, collagen deposition
- Intimal thickening;

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10
Q

Schistosomiasis and Bladder cancer?

A

Squamous metaplasia, SCC

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11
Q

Alpha 1 blocker for?

A

RELAX BLADDER !!! RELAX even tho blocking sympathetic

ALPHA symp induces contraction of the urinary bladder,

although this effect is minor compared to the relaxing effect of β2-adrenergic receptors.

In other words, the overall effect of sympathetic stimuli on the bladder is relaxation, in order to inhibit micturition upon anticipation of a stressful event

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12
Q

What does HPV infect

A

Squamous epithelium

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13
Q

What does Leydig cells produce

A

Testosterone

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14
Q

What is hydrocele

A

Fluid accumulation in Tunica Vaginalis

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15
Q

What is elephantiasis

A

Cx of inguinal lymph nodes infection by Filariasis

- Wuchereria bancrofti

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16
Q

PSA increase may mean…

A

BPH,
Prostate Cancer - AC
Prostatitis