Term
| When does renovascular hypertension usually present? |
|
Definition
younger and older patients
<30
>50 |
|
|
Term
|
Definition
| HTN that does not respond to 3 anti HTN drugs including a diuretic |
|
|
Term
|
Definition
| HTN that causes organ damage |
|
|
Term
| What clinical symptom does flash pulmonary edema cause? |
|
Definition
|
|
Term
| What can occur to the renal function during treatment of renovascular hypertension with ACE/ARB and why? |
|
Definition
| Acute Renal Failure due to decreased blood flow to kidney |
|
|
Term
| What can occur when the renal perfusion pressure drops below 80 thus preventing autoregulation? |
|
Definition
| ishemic renal disease due to lack of blood flow |
|
|
Term
| What percentage of narrowing needs to occur to get ischemic renal disease? |
|
Definition
|
|
Term
| What is the most common cause of renal stenosis in adults? |
|
Definition
|
|
Term
| What is the most common cause of renal stenosis in children? |
|
Definition
|
|
Term
| What is the anatomical difference in renal artery stenosis caused by artherosclerosis and fibromuscular dysplasia? |
|
Definition
| artherosclerosis is more proximal to aorta and fibromuscular dysplasia is more distal |
|
|
Term
| What are four tests that are used to diagnosis renal artery stenosis? |
|
Definition
captopril renogram
Magnetic resonance arteriograph
arterography
duplex ultrasound |
|
|
Term
| What is the best screening test for renal artery stenosis? |
|
Definition
|
|
Term
| What is the best test when renal artery stenosis is highly likely also the goldstandard of diagnosis? Why? |
|
Definition
| angiography because you can treat at same time |
|
|
Term
| What is the downside to MR angiograph? |
|
Definition
| skin fibrosis toxic effect |
|
|
Term
| What is the downside to angiography? |
|
Definition
| contrast toxicity to the kidney |
|
|
Term
| What test cannot measure GFR? |
|
Definition
|
|
Term
| Which diagnostic test of renal stenosis is best for GFR measurement? |
|
Definition
|
|
Term
| What type of people is a duplex ultrasound difficult to use on? |
|
Definition
|
|
Term
| What are the treatment options (4) for renal HTN? |
|
Definition
ACE/ARB
Calcium channel blockers
percutaneous renal transluminal angiopathy
surgical revascularization
|
|
|
Term
| When one is on ACE/ARB what most be monitored frequently? |
|
Definition
|
|
Term
| When should an ACE inhibitor be stopped? |
|
Definition
when serum creatinine rises more than 30%,
K is >5.5,
or symptomatic HTN |
|
|
