Urology/Nephrology Quiz #5 Flashcards

1
Q

What are the lower types of UTI?

A

urethritis
cystitis
prostatitis

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2
Q

sx of Lower UTI

A
dysuria
urgency
frequency
suprapubic pain
coudy urine
strong odor to urine
hematuria
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3
Q

types of upper UTI

A

pyelonephritis

ureteritis

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4
Q

sx of upper UTI

A
fever
chills
flank pain
tender CVA
GI sx
dysuria
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5
Q

pathophys of UTI

A

ascending infections from perineal/urethra
hematogenous
direct extension from nearby organs

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6
Q

what are some organisms that cause UTI?

A

e. coli (80-90% of cystitis)
klebsiella
staph
chlamydia

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7
Q

What are host defenses in urinary tract?

A

WBCs in bladder
acidity of urine
urine flow flushes organisms
local antibodies

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8
Q

risk factors for UTIs

A
congenital malformations
DM
pregnancy
vaginal intercourse
hygiene
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9
Q

what cause 50% of urethritis?

A

gonococcal

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10
Q

sx of urethritis

A
urgency
frequency
tingling with urination
urethral itching
burning
yellow or green d/c
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11
Q

sx of cystitis (bladder infection)

A

burning or painful urination
frequency
urgency
nocturia

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12
Q

what are sx that are present in urethritis that are not present in cystitis?

A

tingling
urethral itching
yellow/green d/c

*nocturia is only present in cystitis

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13
Q

sx of acute pyelonephritis

A
rapid onset chills, fever (over 101)
tachycardia
flank pain
N/V
frequency and urgency
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14
Q

what are complications of acute pyelonephritis?

A

renal abscess (wall off abscess in kidney)

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15
Q

nephritic syndromes

A

glomerular inflammatory process that causes renal dysfunction

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16
Q

mnemonic for nephritic syndrome

A
Proteinuria
Hematuria
Azotemia
RBC casts
Oliguria
HTN
17
Q

Post-infectious glomerulonephritis

A

Type III hypersensitivity
GABHS
5-15 yo

18
Q

sx of post-infectious glomerulonephritis

A
post pharyngitis
fever, confusion, HTN, periorbital edema
hematuria
HA
N/V
malaise
19
Q

Rapidly progressing glomerulonephritis (RPGN)

A

glomerular crescent formations

that can lead to end stage renal failure

20
Q

What is Goodpasture’s (a type 1 RPGN) associated with?

A

influenza A infection

21
Q

What is Henoch-schonlein purport (type 2 RPGN) associated with?

A

IgA immune complexes

22
Q

What is Wegeners granulomatosis (type 3 RPGN) assocaited with

A

necrotizing GN

23
Q

Berger’s disease

A

IgA nephropathy
most common worldwide
peaks in teens and 20s

24
Q

sx of Bergers

A

episodic gross hematuria
gastroenteritis
proteinuria
HTN

25
Q

Alports syndrome

A

hereditary nephritis

gene mutation affecting type IV collagen

26
Q

classification of nephrotic syndromes

A

proteinuria > 3.5g/24 hours
decreased serum proteins
increased serum lipids
edema