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Renal
IM renal facts
44
Medical
Post-Graduate
06/05/2010

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Cards

Term
antiproteinase-3 (anti-PR3)
Definition
Wegeners
Term
antimyeloperoxidase (anti-MPO)
Definition
microscopic polyangitis
Term
Treatment for Wegeners
Definition
plasma exchange, immunosuppressive therapy
Term
Treatment for lupus nephritis class III or IV (acute nephritis with hematuria / proteinuria )
Definition
6 months of monthly IV cyclophosphamide, followed by cyclophosphamide q 3 months x 2 years
Term
Membranoproliferative glomerulonephritis is associated with which autoimmune diseases
Definition
Sjogrens, SLE (and HCV, infective endocarditis and certain malignancies)
Term
IgA nephropathy treatment
Definition
ACE / ARB if protein : Cr < 1, if > 1, pulse steroids +/- alkylating agent
Term
HIVAN manifestations
Definition
nephrotic syndrome; large, echogenic kidneys; renal insufficiency; rapid progression to ESKD
Term
Treatment for fibrillary and immunotactoid glomerulonephritis
Definition
Plasmapheresis, prednisone, cytotoxic agents, NSAIDs, and colchecine
Term
Nephrotic syndrome findings
Definition
urine protein : Cr > 3.5, hypoalbuminuria, hyperlipidemia, lipiduria, edema, hypercoagulability
Term
Nephritic syndrome findings
Definition
hematuria, oliguria, HTN, renal insufficiency, proteinuria
Term
Tubuluointerstitial disease findings
Definition
Slowly prgressive renal dizsease, bland urine sediment, protein excretion < 2g/day, atrophic, echogenic kidneys on US
Term
Acute tubulointerstitial disease findings
Definition
pyuria, eosinophilia, eosinphiluria, AKI
Term
Clinical features of autosomal-recessive PKD
Definition
Hepatic fibrosis and portal HTN
Term
Treatment for HTN in ARPKD
Definition
Salt restriction, ACE
Term
Alport syndrome presentation
Definition
nephrotic range proteinuria, hearing and visual abnormalities
Term
Fabry disease presentation
Definition
Mild proteinurea, slow deteriation of renal function, cutaneous angiokeratomas, painful parasthesias of hands, premature CAD
Term
Fabry disease treatment
Definition
IV recombinant alpha-galactosidase A
Term
Acute interstitial nephritis UA findings
Definition
leukocyte casts, eosinophils, protein : Cr < 2.5
Term
The kidney in pregnancy
Definition
Increased ureteric dilatation, increased protein excretion to 150-300 mg/day
Term
SLE and pregnancy
Definition
not recommended unless SLE has been inactive for > 6 months
Term
What should be suspected if HTN, elevated Cr and proteinuria on first antepartum visit?
Definition
Chronic GN
Term
Time to wait after renal transplant for pregnancy
Definition
1 to 2 years, and only if Cr < 2
Term
UA findings in interstitial nephritis
Definition
sterile pyuria and WBC casts
Term
UA findings in nephrosclerosis
Definition
bland urine sediment
Term
Sodium restriction with advanced CKD
Definition
< 2.4 g/day
Term
Expected daily Cr excretion for men
Definition
25 mg/kg/day
Term
Expected daily Cr excretion for women
Definition
20 mg/kg/day
Term
GFR is validation for what kind of renal disease
Definition
CKD. Not validated in AKI for healthy persons.
Term
Gold standard for estimation of GFR in healthy persons or with AKI
Definition
Radionuclide kidney clearance scanning
Term
Causes of sterile pyuria
Definition
Infection, AIN, chronic tubulointerstitial disease, acute kidney transplant rejection
Term
Erythrocyte casts are pathognomonic for...
Definition
acute glomerulonephritis
Term
Most common indications for renal biopsy
Definition
Nephrotic syndrome, acute transplant rejection, acute glomerulonephritis
Term
Conivaptan and tolvaptan are...
Definition
vasopressin antagonists, approved for hypervolemic and euvolemic hyponatremia, but NOT hypovolemic hyponatremia.
Term
Clinical symptoms of hypokalemia
Definition
flaccid paralysis, rhabdo, smooth muscle dysfunction, polyuria, polydipsia, renal failure, glucose intolerance
Term
Severe, symptomatic hypophosphatemia happens most often in...
Definition
alcoholics
Term
Hypophosphatemia manifests as...
Definition
severe weakness, rhabdo, hemolysis, left left shift on O2 curve
Term
Low anion gap is caused by
Definition
Unmeasured anions - unmeasured cations = AG. Low albumin or increased cationic light chains will cause a low anion gap.
Term
Lab findings with extra-renal metabolic acidosis...
Definition

large, negative urine anion gap.

 

Examples are diarrhea, loss of pancreatic or biliary secretions.  Gap is caused by increased urine ammonium secretion.

Term
Treatment for proximal RTA
Definition
Bicarb and thiazide
Term
Treatment for distal RTA
Definition
Correction of hypoalemia and alkalai tx.
Term
Treatment for ethylene glycol and methanol poisoning
Definition
Fomepizole
Term
Unexplained anion gap in setting of APAP should make you think of...
Definition
pyroglutamic acidosis
Term
Acute compensation in respiratory alkalosis is __ HCO3 for __ pCO2
Definition
2 decrease in HCO3 for every 10 decrease in arterial PCO2
Term
Chronic compensation in respiratory alkalosis is __ HCO3 for __ pCO2
Definition
5 decrease in HCO3 for every 10 decrease in arterial PCO2
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