Lisa Nephro 4 - Ucla 13

Front 1

most common cause of antenatal hydronephrosis: mass hematuria, pain; ~ horseshoe kidney

Back 1

uteteropelvic junction obstruction

Front 2

most common cause of chronic kidney disease

Back 2

PUV: posterior urethral valves: males only: prental US: b/l Hydronephrosis w/ big bladder and post urethra

Front 3

what's 95th % for SBP and DBP?

Back 3

SBP: (age x 3 ) + 100
DBP: (age x 1.5) + 100

Front 4

renal cell carcinoma, renal angiomyolipomas, cystic kidneys; adenoma sebacum; epilepsy,
CNS tubers retinal phakomas

Back 4

Tuberous sclerosis

Front 5

renal agensiss; hydronehprosis; UPJ obstruction, vertebral anomalies; radial dysplasia

Back 5

VATER

Front 6

dextrocardia, sinusisty,"", bronchiectasis;
membronproliferative GN

Back 6

Kartagener's: immotilie cilia

Front 7

hematuria, proeinturia, GN; lower limb palpable purpura, abd pain; arthralgia

Back 7

HSP

Front 8

pt w/ sz d/o ;on carbamezapine w/ Na 132; what's cause of hyponatremia?

Back 8

SIADH from carbamazepine:

Front 9

how do you treat microabluminuria in DM patient w/ milkd HTN?

Back 9

ACE I

Front 10

4 mo male; wt < 3%; febrile, abd mass midline; dribbles out urine; Cr 2.9; BUN 52; what's cause and prognosis?

Back 10

PUV: bladder drainage w/ small feeding tube will improve renal function tests; most common cz of obstructive uropathy
-renal failure in 1st yr of life
-only males; (top of T) under bladder ) ->b/l Hydonephrosis;
mass ~ big bladder?

Front 11

6 yo AAF blood in underpants; vaginal discomfort; hyperemic mass at vaginal orifice; ? Dx? and tx?

Back 11

urethral prolapse: due to increase in intrabdominal pressure: warm sitz baths and topical estrogen cream

Front 12

what is the leading cause of infertility in males?

Back 12

varicoceles

Front 13

what's most common hereditary kidney disease? and what cardiac lesion/other lesions ~?

Back 13

ADPKD; ~ mitral valve prolapse and intracranial aneursysms

Front 14

which kidney disease ~ many organ systems w/ cysts in liver, pancrease, spleen, ovaries?

Back 14

ADPKD
-later in childhood, more favorable prognosis
-may present in late childhood or adult w/ flank pain, hematuria, HTN, b/l flank masses

Front 15

presents in neonatal period: oligohydrnaminos, pum hypoplasia, resp distress, HTN;

Back 15

ARPKD; infantile polyctystic diz;

Front 16

3 yo habd mass; U/L; moderate hematuria; HTN;
neg proteinuria; what other associations?

Back 16

Wilms (nephroblastoma): most common: 2-5 yo: firm, smooth abd mass crosses midline;
~ hemturia; HTN;
~ WAGR: wilm's; aniridia; congenital abnl GU tract; hemihypertrophy;
~ mets to lungs, liver, bone and/or brain: worsen prognosis

Front 17

? Hi HCG in females ~ ?

Back 17

germ cell tumors, teratomas

Front 18

Hi AFP in males ~?

Back 18

testiculary tumors, liver tumors

Front 19

16 yo w/ severe scrotal pain x 2 hrs, no cremasteric reflex; swollen tender etsticle; decreased testicular blood flow on U/s: ? dx and prognosis/tx?

Back 19

testicular torsion;
-prognosis good if surgery w/in 6 hours;
-most common cause of testicular pain in boys > 12;
-surgery: need to examine contralateral testitis b/c inadequate fixation is often bilateral

Front 20

what does electrolytes look like in rhabdo?

Back 20

hi K, hi Phosphate, low ca ( from deposits in damaged muscle tissue)

Front 21

16 yo falls unconscious during football; episodic tremors, sweating w/o exertion in past;
-bp: 215/122; flame hemorrhages; loud S4; no bruits; boudning pulses; dx? and how?

Back 21

pheochromocytoma; 24 hour VMA and metanephrine ~ malignant hypertension

Front 22

what test most useful in documenting RESOLUTION of PIAGN?

Back 22

C3 ( low for 6-8wks) then normalizes, if not, needs biopsy
-cx, ASO titers dont correlate w/ GN activity

Front 23

when do testes usually descend, and f they don't; what do you do and when?

Back 23

descend by 1 yr, if not by then, then do eval @ 1 yr.
-orchiopexy best done before 2 YO;
-increased risk for seminoma in ectopic testicles;

Front 24

what do you do w/ retractile testes?

Back 24

nothing; watch

Front 25

What 4 renal diz cause HIGH Complements (vs low)?

Back 25

HIGH:
HSP
Idiopathic vasculitis
GN rapidly progressive
High: IGA nephropathy;
LOw: PMS: PIAGN, MPGN, SLE

Front 26

runner; no hemauria, but dark urine; what's dx?

Back 26

myoglobiulinuria

Front 27

How many rbc/ hpf need to call hematuria?

Back 27

3

Front 28

define hypercalciuria; what medication causes hi CA in urine?

Back 28

ca/cr > 0.25;
-Lasix/furosemide;
sx: abd pain, dysuria, even in absence fo kidney stones

Front 29

what causes, palpable flank mass, hydronephrosis on CT, ?

Back 29

UPJ obstruction

Front 30

most common palpated masses in infants are due to what 2 things?

Back 30

hydronephrosis and cystic dysplastic kidneys;
-U/L flank mass: clue to renal dysplasia

Front 31

kid < 10; B/L kidney mass in childhood, chronic portal htn; hemetemsis, palpalble liver, low plt and SPLM ~ ?

Back 31

ARPKD;infants present w/ B/L flank mass w/ oligo

Front 32

?inheritance and cause of pt w/ polyruia, enurises, polydipsia, hypostheniuria, short stature, eye probs, retitnits pigmentosa, anemia

Back 32

juvenile onset medullaary cystic diz: nephronophthisis

Front 33

dysuria, hematuria, abd pain; most common cause of urinary retention in females, can present as a mass protruding from urethral meatus or round filling defect on IVP

Back 33

ureterocele

Front 34

when do you treat VUR w/ prophylactic antbx?

Back 34

grade 1,2: no tx, periodic cultures;
grade 3: prophylactic antx w/ f/u VCUG
gr 4 or 5: surgical correction
* female pts w/ VUR: need to be started on prophylactic antbx