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22 Cards in this Set
- Front
- Back
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Hypercalcemia
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Parathyroid Adenoma
Addison Dz = chronic adrenal insufficiency Milk Alkali Sarcoid Carcinomatosis Hyperparathyroidism Myeloma Immobilization D Vitamin Thiazides |
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Hydronephrosis and Debris +/- Calcification
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Xanthogranulomatous Pyelonephritis E-coli
Pyonephrosis TB (Infindibular Stenosis, Amorphous Calcifications) Fungal Infection (Candida) |
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Cystic Renal Masses
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Acquired from Dialysis
Abscess Cystic Wilms Tumor Renal Artery Aneurysm Hydronephrosis Duplicated System Calyceal Diverticulum ADPCKD / VHL / TS Cystic/Necrotic RCC MLCN |
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BOSNIAK 3
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Intermediate Probability for Malignancy
Central, Thick or Irregular Calcifications Thick, Irregular, Nodular or Multiple Septations Heterogeneous Hyperdensity (> 15Hu) on CT and Not a Cyst By US Enhancement (> 10Hu) or washout after 15-20 minutes |
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Renal Oncocytoma
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Proximal tubular adenoma
Solid renal cortical mass with central stellate scar Homogeneous enhancement Central stellate scar: Nonenhancing "Spoke-wheel" pattern of tumor vascularity |
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Papillary Necrosis
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“lobster Claw”, “Ball-on-Tee”, “Signet Ring’ Calyces)
POST CARD Pyelonephritis Obstruction (chronic) Sickle Cell Anemia TB Cirrhosis/ ETOH Analgesic Abuse Renal Vein Thrombosis Diabetes |
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Puddy Kidney
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Autonephrectomy from TB
Corkscrew and Pipestem Ureter |
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Bladder Mass
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Leukoplakia / Malacoplakia
Cystitis Cystica / Cystitis Glandularis Cystitis: Eosinophilic, Hemorrhagic Schistosomiasis TCC> SCC > Adeno > Mesenchymal Tumor = Leiomyoma, Pheo Ureterocele Calculi Hematoma Prostatic Enlargement |
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Cystitis Cystica / Cystitis Glandularis
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Chronic Inflammation -> Fluid Filled Cystic Lesions in Bladder Wall
Hyperplastic uroepithelial cell clusters (Brunn nests) form in bladder submucosa Fluid accumulation → pseudocysts = cystitis cystica Transformation into glands → cystitis glandularis |
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Malacoplakia
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Bladder wall thickening
Recurrent bacterial infection Associated with E. coli infection Granulomatous inflammatory process Caused by deficient function of lysosomes in macrophages |
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Leukoplakia
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White patches on foci of squamous metaplasia
Premalignant Squamous metaplasia: Transformation of urothelium into keratin producing squamous cells |
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Bladder Wall Calcification
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SCRITT
Schistosomiasis Cytoxan Radiation Interstitial Cystitis TB TCC |
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Small Bladder
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Infiltrating TCC
Cystitis (Eosinophilic, Hemorrhagic) Neurogenic Bladder ( “Christmas tree”) Extrinsic Compression Schistosomiasis TB |
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Pyeloureteritis Cystica
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hyperplastic lesion of uroepithelium
Subepithelial 2-3 mm cysts in ureter wall Proximal 1/3 of ureter In renal pelvis = pyelitis cystica In urinary bladder = cystitis cystica Unilateral or bilateral, symmetric or asymmetric Not premalignant |
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Ureteral Filling Defect
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Pyeloureteritis Cystica
Varices Malacoplakia / Leukoplakia Ureteral Polyps Suburothelial Hemorrhage Mets (Melanoma, Breast, Lung) Tuberculosis (“Corkscrew” and “Pipestem” Ureter) Endometriosis Ureteral Pseudodiverticula Calculi, Blood Clots, Fungus Ball, TCC Goblet, Champaign Glass” Sign = Localized Expansion of the Ureter at the Level of the Tumor Bergman’s Sign = Dilation of the Ureter Distal to the Mass |
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Solid Ovarian Mass
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Fibroma / Thecoma: Us. B9,
if Ascites and Pleural Effusion = Meig’s Syndrome Germ Cell Tumor- Dysgerminoma Mets Granulosa Cell Tumor: Secretes Estrogen, Ass.with Endometrial Hyperplasia and Carcinoma Solid Ovarian Epithelial Neoplasms |
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Acute Urticaria
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Benadryl 50 mg IV
Epi 1:1,000 0.1-0.3 mL IM if severe/diffuse |
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Facial or Laryngeal Edema
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O2
Epi 1:1,000 0.1-0.3 mL IM If hypotensive - Epi 1:10,000 1 mL slow IV (may repeat x 10) |
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Bronchospasm
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O2
Epi 1:1,000 0.1-0.3 mL IM If hypotensive - Epi 1:10,000 1 mL slow IV (may repeat x 10) Albuterol Inhaler or Aminophylline IV |
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Hypotension with Tachycardia
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O2
Epi 1:10,000 1 mL slow IV (may repeat x 10) |
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Hypotension with Bradycardia
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O2
Atropine0.6-1 mg slow IV (may repeat to total 2-3 mg) |
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Retroperitoneal Fibrosis
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Meds: Methylsergide, Methyldopa, ergots
Radiation s/p surgery Desmoplastic tumors |
