Shared Flashcard Set

Details

CMS III - Focused Nephro Review
Winter Semester 2011
33
Medical
Graduate
08/09/2011

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Cards

Term
Main factor in cause of osteitis cystic
Definition
Hyperparathyroidism
Term
Where does loop diuretic work
Definition
Thick Ascending limb
Term
Where does Na and HCO3 get resorbed?
Definition
PCT
Term
Uremia’s MC presenting symptom
Definition
Weight loss and anorexia
Term
Winter's formula? What is it used for? What is the shortcut for finding the approx PCO2?
Definition
PCO2 = (1.5 × [HCO3-]) + 8 ± 2
metabolic acidosis
pCO2 is always approximately equal to the last 2 digits of the pH.
Term
Anion gap formula?
Definition
[Na] – ([Cl-] + [HCO3-])
Term
Causes of high anion gap acidosis?
Definition
M = Methanol
U = Uremia
D = DKA (also AKA and starvation)
P = Paraldehyde
I = INH
L = Lactic acidosis
E = Ethylene Glycol
S = Salycilate
Term
Where do thiazide work?
Definition
DCT
Term
What is the MC cause of pt being put on dialysis?
Definition
DM (nephropathy)
Term
RBC Casts are hallmark of ...?
Definition
glomerular disease
Term
Pt dehydrated, slightly elevated Na what IV to give?
Definition
Fluid challenge .9% Saline
Term
Cause of high BUN/Cr ratio?
a) GI Bleed
b) Pregnancy
c) SIADH
d) Cirrhosis
Definition
GI Bleed
Term
Hormone affecting the thirst mechanism in the hypothalamus?
Definition
ADH
Term
Gold standard for dx of renal stones?
Definition
Renal CT
Term
Best for diagnosing renal cysts and dilation of tubules?
Definition
Renal U/S
Term
What is the treatment if pt presents and is about to explode with fluid due to post-renal obstruction?
Definition
cath him
Term
What dz is associated with extra-renal cysts on liver and spleen?
Definition
ADPKD
Term
Difference in tx of protatitis and UTI?
Definition
Prostatitis extend treatment for 30 days
Term
Muddy brown casts seen in...?
Definition
acute tubular necrosis
Term
MC pathogen causing UTI on sexually active patients?
Definition
Staph Saprophyticus
Term
MC recurrent bacteria cause of UTI?
Definition
Proteus and Enterococcus
Term
BUN/Cr ratio associated with dehydration?
Definition
40/1
Term
What the first way to check kidney function?
Definition
Plasma Cr
Term
Which type of stone is radiolucent?
Definition
Uric Acid stones
Term
What type of kidney dx would you expect to see with HIV?
Definition
Focal segmental sclerosis
Term
What is the glomerulus adjacent to?
Definition
macula densa of the DCT
Term
What changes angiotensinogen to angiotensin I?
Definition
renin
Term
What does angiotensin II do?
Definition
acts on the ‘kidney’ to secrete aldosterone
Term
What are the effects of SIADH?
Definition
increase urine amount and increase urine osmolality
Term
What type of acid/base imbalance is caused by diarrhea?
Definition
non-anion gap metabolic acidosis
Term
What med would you use for a diabetic pt with HTN and Renal issues?
Definition
ACE I
Term
20 y/o G1P1 Pt has just started OCs 3 mo ago, has CVA tenderness and suprapibic pain with palpation. What does she have?
Definition
Pyelonephritis
Term
What is the cause of anemia associated with CRF?
Definition
Low EPO
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