Lisa Nephro- Gu 4 Laughing

Front 1

neonate w/ palpable bladder, weak urinary stream, prenatal u/s: b/l hydronephrosis and reduced renal parenychma

Back 1

PUV: posterior urethral valves: ESRD w/in 5 yrs despite surg
**happens only in males

Front 2

what's the most common problem leading to dilated ureters in prune belly? what are other associ

Back 2

PUV; pruned belly; b/l undescended testes, distended bladder

Front 3

cause of : hypopreinemia, proteinuria, edema; low UOP, abd pain, diarrhea, wt gain; hypercoagable?

Back 3

nephrotic syndrome; most commonly due to minimal change nephrotic syndrome

Front 4

what's timeline of infections prior/during Post strep GN?
what happens w/ complements?
tx ?

Back 4

URI 8-14 days prior or skin infx 14-21 days prior.
-C 3 low, nL C4; C3 normalizes in 2 months, if not, need bx (vs SLE, MPGN - C3 remain low)
-supportive, fluid restriction

Front 5

kid < 10; gross painless hematuria, proteinuria during URI; or several days after; ? cause and bx? what's prognosis based on ?

Back 5

Ig A nephroapthy; berger's diz: Ig A depositis on bx
** prognosis based on persistent proteinuria: correlates w/ worsening/progressive diz

Front 6

causes of HTN w/ h/o of:
1) FH of htn:
2) prematurity
3) joint pain, swlling:

Back 6

HTN and
1) FH of htn: renal or endocrine that run in families
2) prematurity: renal infjury secondary to umbilical cath
3) joint pain, swelling: connective tissue d/o like lupus

Front 7

causes of HTN and h/o:
1) flushing, palpitations, F, wt loss:
2): m. cramps, weakness
3) onset w/ sexual development

Back 7

causes of HTN and h/o:
1) flushing, palpitations, F, wt loss: pheo
2): m. cramps, weakness: hypokalemia due to hyperaldosteronism
3) onset w/ sexual development: onve of enzyme deficiencies

Front 8

what's bladder capacity?
normal Urine output in infants?

Back 8

bladder capacit: age + 2
UOP infant: 1-2 cc/kg/day

Front 9

? who has increased fraction excretion of sodium?

Back 9

premies

Front 10

GFR in premies? compared to older infant?

Back 10

GFR is slower in premie due to an increase in glomerular cap surface area

Front 11

Nl Cr, K, Ur spec gravity and urine pH in 2 wk old

Back 11

cr: 0.2-0.4
K: 3-7
ur spec grav: 1.002-1.030
urine pH: 5-7
increased fractional excretion of sodium;
-serum phospate - higher; decreased capacity to reabsorb bicarb

Front 12

tense mass, wont reduce, vomiting, tender abd?

Back 12

incarcerated inguinal hernia

Front 13

painless, B/L swelling in scrotum, transilluminates

Back 13

hydrocele

Front 14

2 yo on peritoneal dialyses for progressive abd pain; afebrile; large mass on LLL; what's cause?

Back 14

hernia

Front 15

cyclical abd pain, midline abdominal mass, bluish bulging hymen in girl; no menarch

Back 15

imperforate hymen

Front 16

dysruia, vag irritation, pain, pruritus; what are causes?

Back 16

vulvovaginitis:
Non STD: pinworms, Gp a Beta hemolytic strep; staph, candida~recent antbx use/DM pt
* STD: gonorrhea (green d/c) - ceftriaxone, Chlamydia; tric, HSV

Front 17

soft masses, non red happen in absence of vag discharge or bleeding
-

Back 17

bartholin gland cysts

Front 18

conditions ~ hypospadias?

Back 18

SLOB: b/c peeing all over:
Silver Russel syndrome (grow adn stay small)
Laurence moon biedl sydnrome
Optiz
Beckwith Wiedemann: hemihypertophy, wilms, renal cell ca.

Front 19

micropenis, poor feeder initially, hypotonia at birth?
-~ with?

Back 19

prader willi ~ kallman: ~ hypoglycemia, septo-optic dysplasia, anosmia (no smell)

Front 20

?mean penile length for full term boy first 5 mo?

Back 20

3.9 cm; > 2.5 cm;
** workup needed if penis is < 2.5 cm (1 inch): endocrine/genetic

Front 21

U/L pain, dysuria, F; no testicular masses or urethral d/c? cause

Back 21

epidymitis; (vs orchitis: no dysuria)
in STD: chlamydia, N. gonorrhea

Front 22

16 yo male febrile from panama, 2 da testicular pain, swollen testicle, tender w/ redness; no urethral d/c; tanner 4-neg u/s; what's next?

Back 22

mumps serology; has orchitis

Front 23

elevation of testicle makes pain worse, cremaster reflex not mainatined, high testicle or retracted?

Back 23

testicular torsion

Front 24

15 yo sexually active dysuria, swelling of foreskin; 3+ WBC; neg gram stain, conjunctivitis, what other findings would u find? what's cause

Back 24

Reiter: autoimmune response to chlamydia: can't see, pee, climb a tree:
* conjunctivitis, urethritis, arthritis

Front 25

Whats conyldoma acuminata? vs condyloma lata?

Back 25

- acuminata: warts: flesh colored lesions caused by HPV; nontender, but bleed w/ minor trauma; if found > 3 yo: child abuse!!! (< 3yo, can be perinatal transmissioN)
-c. Lata: secondary syphilis: white gray papules coalesced in genital area

Front 26

pt + sexual contacts, vesicles on penis; whats best test?

Back 26

viral culture for HSV; tzanck test doesn't have good sensitivity

Front 27

red crusted suprapubic macules?

Back 27

pediculosis pubis: sexual abuse

Front 28

cervical motion tenderness, lower abd pain; fever, WBC; grm neg diploccoci

Back 28

PID

Front 29

female w/ RUQ pain, N, V; on OCP; next step

Back 29

cervical cx: fitz hugh curtis: perihepatitis: manifestatin of gonoccacal and chlaymdial infx

Front 30

? Management?
ovarian cysts < 6 cm; > 6 cm + sx

Back 30

< 6 cm: followup U/S;
> 6 cm w/ sx beyond discomfort: cyst aspiration

Front 31

sudden lower abd pain that radiates to back, side, leg/groin on same side w/ N/V; next step?

Back 31

doppler pelivic u/s: r/o ovarian torsion;
Tx: surgery