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LECTURE 5
RENAL
99
Medical
Professional
08/21/2013

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Term
6 LOW COMPLEMENT ASSOCIATED NEPHROTIC SYNDROMES:
Definition
SERUM SICKNESS
SLE
SBE
PSGN
MPGN II
CRYOGLOBULINEMIA
Term
HORMONES WITH DISULFIDE BONDS:
Definition
"PIGI"
PROLACTIN
INHIBIN
GH
INSULIN
Term
PSAMMOMA BODIES:
Definition
PAPILLARY CA OF THYROID
SEROUS CYSTADENOMA OF OVARY
MENINGIOMA
MESOTHELIOMA
Term
JONES CRITERIA FOR ARF:
Definition
"JONES"
JOINTS (POLYARTHERITIS)
CARDITIS
NODULES SUBCUTANEOUS
ERYTHEMA MIRGINATUM
SYDENHAM CHOREA
Term
IgA NEPHROPATHIES:
Definition
HENOCH-SCHONLEIN PURPURA (HSP)
BERGER'S
ALPORT'S
Term
RENAL INDUCED ACIDOSIS:
Definition
PLASMA (RTA)
AMMONIA PRODUCTION IN THE CD - 10% OF UREA CYCLE
GLUTAMINASE
CARBONIC ANHYDRASE
Term
HORMONES PRODUCED BY SMALL CELL CA OF LUNG:
Definition
ACTH (MC)
ADH
PTH
TSH
ANP
Term
5 CAUSES OF SIADH:
Definition
"SIADH"
SMALL CELL CARCINOMA
INCREASED INTRACRANIAL PRESSURE
A PAIN
DRUGS
HYPOXIA
Term
LOW VOLUME STATES WITH ACIDOSIS (NOT ALKAOSIS):
Definition
RTA
DIARRHEA
Term
TYPES OF KIDNEY STONES:
Definition
CALCIUM OXALATE - 80%
STRUVITE
URIC ACID
CYSTEINE
Term
PSEUDOGOUT:
Definition
CA++ PYROPHOSPHATE
+ BIREFRINGENT CRYSTALS
RHOMBOID CRYSTALS
MC OLDER PATIENTS
SEEN EQUALLY IN BOTH GENDERS
Term
BLADDER CA RISK FACTORS:
Definition
SMOKING
ANILINE DYES
BENZENE
AFLATOXIN
CYCLOPHOSPHAMIDE
SCHISTOSOMA HAEMATOBIUM
VON HIPPEL-LINDAU
TUBULAR SCLEROSIS
Term
CAUSES OF PAPILLARY NECROSIS:
Definition
VASCULITIS
AIDS
Term
3 ANATOMICAL NARROWINGS OF URETER:
Definition
HILUM
PELVIC BRIM
ENTRANCE OF BLADDER
Term
NEPHRITIC SYNDROME:
Definition
HYPERTENSION
HEMATURIA
RBC CASTS
PROTEIN LOSS <3.5gm/dL
Term
NEPHROTIC SYNDROME:
Definition
EDEMA
HYPERLIPIDEMIA(VLDL)
HYPERCOAGULABILITY(2,7,9,10,C,S)
LOW SERUM ALBUMIN
HIGH URINE ALBUMIN
PROTEIN LOSS >3.5gm/dL
Term
MCC OF UTI:
Definition
#1-E-COLI
#2-PROTEUS
#3-KLEBSIELLA
Term
MOST FREQUENT CAUSE OF UTI IN FEMALES 5-10 YRS AND 18-24 YRS:
Definition
S.SAPROPHYTICUS B/C THEY STICK THINGS INSIDE THEMSELVES
Term
PRE-RENAL FAILURE:
Definition
SERUM BUN:CR>20:1
URINE Na+ LOW
FRACTIONAL Na EXC.<1%
CONCENTRATED URINE
Term
INTRA-RENAL FAILURE:
Definition
SERUM BUN ~ 10 TO 15 - BUN:CR<20/1
URINE Na+ HIGH
FRACTIONAL Na EXC.>2%
DILUTE URINE (LOW SPECIFIC GRAVITY)
Term
RENAL ARTERY STENOSIS:
Definition
CLOT IN FRONT OF THE RENAL ARTERY
Term
GN - GLOMERULONEPHRITIS
Definition
INFLAMED GLOMERULI
Term
INTERSTITIAL NEPHRITIS:
Definition
CLOT OFF MEDULLA
Term
FOCAL SEGMENTAL GN:
Definition
CLOT OFF PIECES OF NEPHRON
Term
RPGN
RAPID PROGRESSIVE GLOMERULONEPHRITIS
Definition
CRESCENT FORMATION
Term
MC NEPHROTIC DISEASE IN ADULTS
Definition
MEMBRANOUS GN
Term
MC RENAL DISEASE IN BLACKS/HISPANIC
Definition
FSGN
Term
MC RENAL DISEASE IN HIV/IV DRUG USERS
Definition
FSGN
Term
MC RENAL MASS
Definition
CYST
Term
MC MALIGNANT RENAL TUMOR IN ADULTS
Definition
ADENOCARCINOMA
Term
MC MALIGNANT RENAL TUMOR IN KIDS
Definition
WILM'S TUMOR
Term
MCC OF RPGN
Definition
GOODPASTURE'S
Term
MC NEPHROTIC DISEASE IN KIDS
Definition
MINIMAL CHANGE DISEASE
Term
OXALATE STONES IN 3 Y.O WHITE FEMALE
Definition
CYSTIC FIBROSIS
Term
OXALATE STONES IN 5 Y.O BLACK FEMALE
Definition
CELIAC SPRUE
Term
OXALATE STONES IN ADULT FEMALE
Definition
WHIPPLE'S DISEASE
Term
OXALATE STONES IN ADULT MALE OR FEMALE
Definition
CROHN'S DISEASE
Term
RENAL TUBULAR ACIDOSIS (ACIDOSIS &HYPOKALEMIA)
TYPE I
Definition
HIGH URINE PH
METABOLIC ACIDOSIS
FREQUENT UTI
STONES
Term
RENAL TUBULAR ACIDOSSIS (ACIDOSIS &HYPOKALEMIA)
TYPE II
Definition
HIGH URINE PH (EARLY)..LOW PH (LATE)
DEPLETION OF HCO3-
HYPOKALEMIA
NO CARBONIC ANHYDRASE IN PCT
Term
RENAL TUBULAR ACIDOSSIS (ACIDOSIS &HYPOKALEMIA)
TYPE IV
Definition
DIABETES
HYPERKALEMIA
NO ALDOSTERONE (INFARCTED JG APPARATUS)
Term
WHICH PART OF THE NEPHRON CONCENTRATES URINE?
Definition
MEDULLA
Term
WHAT IS GLODBLATT'S KIDNEY?
Definition
FLEA-BITTEN KIDNEY (CONTRALATERAL SIDE)
Term
WHAT IS UREMIA?
Definition
AZOTEMIA + SYMPTOMS
Term
WHAT IS AZOTEMIA?
Definition
RENAL FAILURE
Term
WHAT IS NEPHRITIC KIDNEY DISEASE?
Definition
PROTEIN LOSS <3.5MG/DL
Term
WHAT IS NEPHROTIC KIDNEY DISEASE?
Definition
PROTEIN LOSS <3.5 MG/DL
MASSIVE PROTEINURIA AND LIPIDURIA
Term
WHAT IS SEEN IN RPGN?
Definition
CRESCENTS
Term
WHAT IS POST STREP GN?
Definition
SUBEPITHELIAL HUMPS
Term
WHAT IS INTERSTITIAL NEPHRITIS?
Definition
URINE EOSINOPHILS (DRUG), TOXINS
Term
WHAT IS LUPUS NEPHRITIS?
Definition
GLOMERULAR DISTRUCTION - AUTOIMMUNE COMPLEXES
DS-DNA
Term
WHAT IS MGN (MEMBRANOGLOMERULONEPHRITIS):
Definition
DEPOSITION
Term
WHAT IS MPGN (MEMBRANOPROLIFERATIVE GLOMERULONEPHRITIS):
Definition
TRAM TRACKS (TYPE II) LOW C3
Term
WHAT IS MCD (MINIMAL CHANGE DISEASE):
Definition
KIDS (UP TO AGE 20)
FUSED FOOT PROCESSES
LOSS OF CHARGE BARRIER
Term
WHAT IS FSGN (FOCAL SEGMENTAL GLOMERULOSCLEROSIS):
Definition
HIV PTS
Term
WHAT ARE VASCULITIS WITH LOW C3:
Definition
"PMS IN SALT LAKE CITY"
POST-STREP GN
MPGN TYPE II
SBE
SERUM SICKNESS
LUPUS
CRYOGLOBULINEMIA
Term
WHAT IS THE MOST COMMON CAUSE OF KIDNEY STONES?
Definition
DEHYDRATION
Term
WHAT IS THE MOST COMMON TYPE OF KIDNEY STONE?
Definition
CALCIUM PYROPHOSPHATE (OXYLATE)
Term
WHAT TYPE OF KIDNEY STONE HAVE COFFIN-LID CRYSTALS?
Definition
TRIPLE PHOSPHATE
Term
WHAT TYPE OF KIDNEY STONES HAVE ROSETTE CRYSTALS?
Definition
URIC ACID
Term
WHAT TYPE OF KIDNEY STONES HAVE HEXAGONAL CRYSTALS?
Definition
CYSTEIN
Term
WHAT TYPE OF KIDNEY STONES HAVE ENVELOPE DUMBBELL-SHAPED CRYSTALS?
Definition
OXALATE
Term
WHAT DISEASE HAVE ANIRIDIA?
Definition
WILM'S TUMOUR
Term
WHAT IS PHIMOSIS?
Definition
FORESKIN SCARRED AT PENIS HEAD
Term
WHAT IS PARAPHIMOSIS?
Definition
FORESKIN SCARRED AT PENIS BASE (FORESKIN RETRACTION STRANGULATES PENIS)
Term
WHAT IS URGE INCONTINENCE?
Definition
DETRUSOR SPASTICITY => SMALL BLADDER VOLUME
Term
WHAT IS STRESS INCONTINENCE?
Definition
WEAK PELVIC FLOOR MUSCLES (ESTROGEN EFFECT) UROGENITAL DIAPHRAGM
Term
WHAT IS OVERFLOW INCONTINENCE?
Definition
CAN NOT COMPLETELY EMPTY BLADDER
Term
WHAT STRUCTURES HAVE ONE-WAY VALVE?
Definition
URETHRA
EJACULATORY DUCT
Term
WHAT HAS WBC CASTS?
Definition
NEPHRTIS
Term
WHAT HAS WBC CASTS ONLY?
Definition
PYELONEPHRITIS (SEPSIS)
Term
WHAT HAS WBC CASTS AND EOSINOPHILS?
Definition
INTERSTITIAL NEPHRITIS (ALLERGIES)
Term
WHAT HAS WBC CATS+RBC CATS?
Definition
GLOMERULONEPHRITIS
Term
WHAT HAS FAT CASTS?
Definition
NEPHROTIC SYNDROME
Term
WHAT HAS WAXY CASTS?
Definition
CHRONIC RENAL FAILURE
Term
WHAT HAS TUBULAR CASTS?
Definition
ATN (ACUTE TUBULAR NECROSIS)
Term
WHAT HAS MUDDY BROWN CASTS?
Definition
ATN
Term
WHAT HAS HYALINE CASTS?
Definition
NORMAL SLOUGHING
Term
WHAT HAS EPITHELIAL CASTS?
Definition
NORMAL SLOUGHING
Term
WHAT HAS CRESCENTS?
Definition
RPGN
Term
HOW DO YOU MEASURE AFFERENT RENAL FUNCTION?
Definition
CREATINE (OR INULIN)
Term
HOW DO YOU MEASURE EFFERENT RENAL FUNCTION?
Definition
BUN (PAH)
Term
WHAT IS THE AFFERENT ARTERIOLES JOB?
Definition
FILTER
Term
WHAT IS THE EFFERENT ARTERIOLES JOB?
Definition
SECRETE
Term
HOW DO YOU TEST AFFERENT ARTERIOLE FUNCTION?
Definition
GFR (INULIN)
Term
HOW DO YOU TEST EFFERENT ARTERIOLE FUNCTION?
Definition
RPF (PAH)
Term
WHAT IS PRE-RENAL FAILURE?
Definition
LOW FLOW TO KIDNEY (BUN:CRT >20/1)
Term
WHAT IS RENAL FAILURE?
Definition
DAMAGED GLOMRULUS (BUN:CRT <20/1)
Term
WHAT IS POST-RENAL FAILURE?
Definition
OBSTRUCTION
Term
WHAT IS THE JOB OF A PROXIMAL TUBULE?
Definition
REABSORB 60-80% OF EVERYTHING FILTERED
Term
WHAT IS THE JOB OF THE THICK DESCENDING LIMB?
Definition
REABSORB WATER
Term
WHAT IS THE JOB OF THE THICK ASCENDING LIMB?
Definition
MAKE THE CONCENTRATION GRADIENT BY REABSORBING Na, K, Cl, Mg, Ca WITHOUT WATER
Term
WHAT IS THE JOB OF THE EARLY DISTAL TUBULE?
Definition
CONCENTRATE URINE BY REABSORBING NaCl (HYPOTONIC)
Term
WHAT IS THE JOB OF THE LATE DISTAL TUBULE AND COLLECTING DUCT?
Definition
FINAL CONCENTRATION OF URINE BY REABSORBING WATER
EXCRETION OF URIC ACID AND MAKE NEW HCO3-
Term
WHAT DOES THE MACULA DENSA DO?
Definition
MEASURES OSMOLARITY
(Na+)
Term
WHAT DOES THE J-G APPARATUS DO?
Definition
MEASURES VOLUME
Term
WHAT IS FANCONI'S SYNDROME?
Definition
OLD TETRACYCLIN USE - DESTROYS PCT
URINE PHOSPHATE , GLUCOSE, AMINO ACIDS
Term
WHAT IS BARTTER'S SYNDROME?
Definition
DEFECTIVE TRIPLE TRANSPORTER
LOW Na, CL, K, BUT NORMAL BP
Term
WHAT IS PSYCHOGENIC POLYDIPSIA?
Definition
DILUTE URINE, DUE TO EXCESS WATER INTAKE
Term
WHAT IS CENTRAL PONTINE MYEINOSIS?
Definition
DUE TO CORRECTING Na+ FASTER THAN 0.5mEq/HR
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