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Internal Medicine - Kidney/Lower urinary
internal med
40
Health Care
Graduate
08/06/2011

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Cards

Term
interpreting FeNa
Definition
<1% = prerenal, >2% = intrarenal (ATN, inbetween can be either
Term
vegetarians urine: acid or alkaline
Definition
alkaline
Term
alkalinization of urine is recommended in which overdose cases
Definition
1.phenobarbitol
2.salicylate
3.TCAs
4.cocaine
5. antihistamines
6. and more
Term
a positive dipstick urine protein is apx how much protein in 24hrs
Definition
150mg/24h
Term
if urine is positive for glucose then serum glucose is usually greater than:
Definition
160
Term
urine + for blood with none under microscope =
Definition
rhabdo
Term
evaluation of microscopic hematuria is needed when:
Definition
1. present in 2/3 specimens
2. >100/hpf
Term
RBC casts =
Definition
glomerulonephritis; get bx of kidney
Term
crystals in urine associated with crohn's and antifreeze ingestion
Definition
clacium oxalate
Term
normal range for urine Na+ and urine osm
Definition
urine Na <40 and urine osm <500
Term
what % of kidney stones are radio-opaque?
Definition
90%
Term
#1 cause of kidney stone
Definition
hypercalcemia with thiazide diuretic
Term
stones less than __mm have a high likihood of passing on their own
Definition
<5mm
Term
when does post-strep GN come after pharyngitis?
Definition
2-3wks
Term
autoimmune that can cause a glomerulonephritis
Definition
1. Lupus
2. goodpastures (lungs too)
3. wegner's
Term
complement proteins: low or high during a lupus flare?
Definition
low
Term
hereditary nephritis and nerve deffness:
Definition
Alport syndrome (mormons)
Term
test for goodpastures
Definition
anit-GBM Ab
Term
treatment for goodpastures
Definition
steroids and plasmapheresis
Term
primary cause of nephrotic disease in childrenL
Definition
minimal change disease
Term
nephrotic syndrom dx by
Definition
24h urine protein >3.5g
Term
complications of nephrotic disease
Definition
1. hypo-osmolar (
Term
primary cause of nephrotic syndrome in adults
Definition
membraneous glomerulonephropathy (85% idiopathic)
Term
secondary causes of membraneous glomerulonephropathy:
Definition
1. infection (such as HBV)
2. drugs (captopril, NSAIDs)
3. cancer (lung and colon)
4. autoimmune (such as lupus)
Term
metabolic gap acidosis, hypocalcemia with >>PTH, uremia +/- pericarditis,
Definition
chronic glomerulonephritis
Term
ATN most commonly caused by
Definition
shock after surgery
Term
drug induced tubulointerstitial disease... what test to order
Definition
urine eosinophils
Term
aminoglycosides + loop diuretics
Definition
ototoxicity and nephrotoxicity
Term
drug that causes distal RTA
Definition
amphotericin B
Term
10 secondary causes of HTN
Definition
1. cushings
2. pheo
3. conn's (primary aldosteronism)
4. birth control
5. ETOH
6. cocaine
7. sleep apnea
8. nicotine
9. NSAIDs
10. decongestants
Term
#1 cause of death in HTN
Definition
MI, stroke = #2
Term
first line drug for primary HTN
Definition
thiazide
Term
first line therapy for stage 2 HTN
Definition
thiazide plus acei/arb
Term
first line tx for HTN in CHF, Post-MI, Chronic Renal Dz
Definition
CHF = ACEi, BB
DM = ACEi
MI = BB
CKD = ACEi
Term
DOC for HTN in pregnancy
Definition
Aldomet
Term
malignant HTN =
Definition
diastolic >140 with end organ damage (eyes, brain, heart, kidneys)
Term
treatment for malignant HTN
Definition
nitroprusside
Term
flank pain with hematuria in pt with Afib
Definition
renal infarct
Term
causes of hydronephrosis in men/women
Definition
men: BPH
women: cervical/endometrial CA
Term
complcations drainage of dilated bladder.
Definition
rapid drainage of dilated bladder can cause major hemorrhage
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