Shared Flashcard Set

Details

trueger
renal path 2
75
Other
Not Applicable
05/23/2006

Additional Other Flashcards

 


 

Cards

Term
kindey stone complns
Definition
hydronephrosis
pyelonephritis
Term
Ca kidney stones
Definition
most common
CaOxalate, CaPhos or both
up Ca (CA, PTH, vit D, milk-alk)
recur
radiopaque
Term
Amm Mg phos stones
Definition
struvite
2nd most common
infn w. urease pos bugs
(prot, staph, klebs)
can be staghorn->nidus for UTI
radiopaque
Term
uric acid stones
Definition
assoc w. hyperuricemia & gout
up cell turnover (leuk, myeloprolif)
radiolucent
Term
cystine stones
Definition
2nd to cystinuria
radiolucent
Term
causes of Ca stones
Definition
up Ca (CA, PTH, vit D, milk-alk)
Term
causes of Amm Mg phos stones (struvite)
Definition
infn w. urease pos bugs
(prot, staph, klebs)
Term
radiolucent stones
Definition
uric acid, cystine
Term
radiopaque stones
Definition
Ca, Am Mg phos (struvite)
Term
most common
CaOxalate, CaPhos or both
up Ca (CA, PTH, vit D, milk-alk)
recur
radiopaque
Definition
Ca kidney stones
Term
struvite
2nd most common
infn w. urease pos bugs
(prot, staph, klebs)
can be staghorn->nidus for UTI
radiopaque
Definition
Amm Mg phos stones
Term
assoc w. hyperuricemia & gout
up cell turnover (leuk, myeloprolif)
radiolucent
Definition
uric acid stones
Term
2nd to cystinuria
radiolucent
Definition
cystine stones
Term
up Ca (CA, PTH, vit D, milk-alk)
Definition
causes of Ca stones
Term
infn w. urease pos bugs
(prot, staph, klebs)
Definition
causes of Amm Mg phos stones (struvite)
Term
uric acid, cystine
Definition
radiolucent stones
Term
Ca, Am Mg phos (struvite)
Definition
radiopaque stones
Term
renal cell CA
Definition
most common renal malign
men aged 50-75
RF: smok, obes
PUPTVS:
Paraneos (PTH, EPO, ACTH, PRL),
hemUria
Palpable mass w. Pain
Tubule -> polygon clr cells
Vonhippaullindau = chr 3 del
Smoking
Term
PUPTVS
Definition
renal cell CA
Paraneos (PTH, EPO, ACTH, PRL),
hemUria
Palpable mass w. Pain
Tubule -> polygon clr cells
Vonhippaullindau = chr 3 del
Smoking
Term
wilms tumor
Definition
kids 2-4
huge, palpable flank mass, hemihypertrophy
del WT1 on chrom 11
can be part of WAGR:
Wilms, Aniridia, Genitourin malf & mentalmotor Retardation
Term
kids 2-4
huge, palpable flank mass, hemihypertrophy
Definition
wilms tumor
chr11: del WT1
Term
renal cell CA gens
Definition
vHL, del chr 3
Term
del chr 3
Definition
vHL, RCC
Term
del WT1, chr 11
Definition
wilms tumor
Term
trans cell CA
Definition
most common urin tract tymor (calyces, pelvis, ureters, bladder)
painless hemur
Pee SAC: Phenacetin, Smoking, Aniline & Cyclophosphamide
Term
ac pyelonephritis
Definition
aff cortex, spares glom & vessels
WBC casts = pathognomonic
F, CVA tenderness
Term
chr pyelonephritis
Definition
coarse, assym corticomed scarring
eos in tubule = thyroidization of kidney
Term
aff cortex, spares glom & vessels
WBC casts = pathognomonic
F, CVA tenderness
Definition
ac pyelonephritis
Term
coarse, assym corticomed scarring
eos in tubule = thyroidization of kidney
Definition
chr pyelonephritis
Term
diffuse cortical necr
Definition
ac gend infarct of both cortices
prob etio = vasospasm + DIC
assocd w. obstetr catastr (eg abruptio plac) and septic shock
Term
ac gend infarct of both cortices
prob etio = vasospasm + DIC
assocd w. obstetr catastr (eg abruptio plac) and septic shock
Definition
diffuse cortical necr
Term
ATN
Definition
most common cause of RF
reversible but fatal if untx
assocd w. renal isch (shock, MI) crush (myoglobinuria), toxins
death us in init ologuric phase
recovery in 2-3wks
Term
most common cause of RF
reversible but fatal if untx
assocd w. renal isch (shock, MI) crush (myoglobinuria), toxins
death us in init ologuric phase
recovery in 2-3wks
Definition
ATN
Term
renal pap necr
Definition
assoc w. DM, ac pyelonephr, chr phenacetin use
Term
assoc w. DM, ac pyelonephr, chr phenacetin use
Definition
renal pap necr
Term
ac RF
Definition
abrubt decl in RF w. up Cre & BUN over sev days
Term
ac RF causes
Definition
1)prerenal azotemia
2)intr renal
3)postrenal
Term
prerenal azotemia ARF
Definition
-> ARF
decr RBF (hypoTN)->dn GFR, kidney retains Na & water
Term
intr renal ARF
Definition
us due to ATN or isch/toxins
patchy necr -> debris in tubules
fluid backflow over necr tubule -> dn GFR
epith/gran casts
Term
postrenal ARF
Definition
outflow obstr (eg BPH, stones, CA)
devs only w. bil obstr
Term
abrubt decl in RF w. up Cre & BUN over sev days
Definition
ac RF
Term
1)prerenal azotemia
2)intr renal
3)postrenal
Definition
ac RF causes
Term
-> ARF
decr RBF (hypoTN)->dn GFR, kidney retains Na & water
Definition
prerenal azotemia ARF
Term
us due to ATN or isch/toxins
patchy necr -> debris in tubules
fluid backflow over necr tubule -> dn GFR
epith/gran casts
Definition
intr renal ARF
Term
outflow obstr (eg BPH, stones, CA)
devs only w. bil obstr
Definition
postrenal ARF
Term
U osm in prerenal, renal & postrenal
Definition
pre: >500
renal: <350
post <350
Term
U Na in pre, ren & post
Definition
pre: <10
renal: >20
post >40
Term
FeNa in pre ren & post
Definition
pre: <1%
renal: >2%
post >4%
Term
BUN/Cr in pre, ren & post
Definition
pre: >20
renal:<15
post:>15
Term
consequences of RF
Definition
uremia: up BUN, up Cr & sx
anemia (no EPO)
renal osteodystrophy (no vit D)
hyperK -> card arrhyth
MB acid (no H+ secrn, no make bicarb)
uremic enceph
Na & water exc-> CHF & pulm edema
Term
causes of chr RF
Definition
HTN, DM, etc
Term
hypoNa
Definition
disorientation, stupor, coma
Term
hyperNa
Definition
neuro: irrit, delirium, coma
Term
hypoCl
Definition
2nd to met alk
Term
hyperCl
Definition
2nd to nonaniongap acid
Term
hypoK
Definition
U waves, flattened Ts, arrhythm, paralysis
Term
hyperK
Definition
peaked Ts, arrhythm
Term
hypoCa
Definition
tetany, NM irrit
Term
hyperCa
Definition
delirium, renal stones, abd pain
Term
hypoMg
Definition
NM irrat, arrhytm
Term
hyperMg
Definition
delirium, dn deep tendon relfs, cardiopulm arrest
Term
hypophos
Definition
low min ion product -> bone loss
Term
hyperphos
Definition
high min ion -> metCa, renal stones
Term
disorientation, stupor, coma
Definition
hypoNa
Term
neuro: irrit, delirium, coma
Definition
hyperNa
Term
2nd to met alk
Definition
hypoCl
Term
2nd to nonaniongap acid
Definition
hyperCl
Term
U waves, flattened Ts, arrhythm, paralysis
Definition
hypoK
Term
peaked Ts, arrhythm
Definition
hyperK
Term
tetany, NM irrit
Definition
hypoCa
Term
delirium, renal stones, abd pain
Definition
hyperCa
Term
NM irrat, arrhytm
Definition
hypoMg
Term
delirium, dn deep tendon relfs, cardiopulm arrest
Definition
hyperMg
Term
low min ion product -> bone loss
Definition
hypophos
Term
high min ion -> metCa, renal stones
Definition
hyperphos
Supporting users have an ad free experience!