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55 Cards in this Set
- Front
- Back
White blood cells in the urine would be indicative of?
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UTI
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Red blood cells in the urine would be indicative of?
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Kidney stone, renal cancer, bladder cancer, acute infection
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White blood cell casts in urine?
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Kidney infection
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Red blood cell casts in urine?
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Glomerulonephritis
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Protein in the urine?
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Renal disease
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Causes of glucose in urine?
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Diabetes
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What is azotemia?
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Failure to clear nitrogenous waste
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Causes of high BUN?
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Kidney not filtering nitrogen properly or lack of resorption
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Creatinine is the breakdown of what?
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Protein
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What is the best test of glomerular filtration BUN or creatinine?
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Creatinine
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Why is creatinine the best test of glomerular filtration?
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Because it is only filtered not reabsorbed
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What is the most common pathogen of a UTI?
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E. coli
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What is uncomplicated UTI?
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First documented infection in a young woman
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What would be the typical age of a patient with a complaint of an uncomplicated UTI?
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Young and female, sexually active, E. coli most common organism
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What is complicated UTI?
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It occurs in patients with abnormalities or obstruction
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What would be the typical age of a patient with a complaint of a complicated UTI?
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Older patient, not necessarily female, very young, organism is usually uncommon and not E. coli
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What makes you think a patient has pyelonephritis?
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Flank pain, fever, chills, nausea, vomiting, usually starts out as cystitis
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What is the most common way to get pyelonephritis?
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Ascending infection, obstruction
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How does a person with kidney stones present?
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Red blood cells in urine, flank pain, colicky pain
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What are kidney stones made of?
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Calcium oxalate
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What is the most common cause of acute renal failure?
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Pre-renal azotemia
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How might a renal cancer patient present?
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Male, over 50, hematuria
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What is the most common type of renal cancer?
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Adenocarcinoma
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When you think of renal cancer in a child you think of?
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Nephroblastoma
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What is a Wilms tumor?
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Nephroblastoma
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What are athe hallmarks of renal failure
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oliguria, azotemia, uremia
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Prerenal failure takes place ------ the kidneys
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before
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What causes prerenal failure
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lack of blood flow, hypovolemia
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Renal failure takes place ---- the kidneys
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in the kidneys
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What are causes of renal failure
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hypertension, diabetes, lupus, sickle cell
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Postrenal failure takes place ---- the kidneys
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after
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What are causes of postrenal failure
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hypervolemie, urethral destruction, bladder dyfunction / obstruction in men BPH is the most common cause
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What are the hallmarks of nephritic syndrome
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RBC and WBC in urine, RBC casts
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What are the hallmarks of nephrotic syndrome
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proteinuria, hypoalbuminemia
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What is poststreptococcal glomerulonephritis
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glomerular injury caused by antigens due to streptococcal infection, getting lodged in the glomerulus
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what is the most common cause of glomerulonephritis
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poststreptococcal glomerulonephritis
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How might a man with BPH present
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hesitancy, increased frequency, urgency, nocturia, decreased stream
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How do you check for urinary retention in the clinic setting
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catheterization of pt
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What is the difference between acute and chronic bacterial prostatitis
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acute baacterial prostatitis, tender prostate, no urethral discharge, fever, chilld, dysuria, chronic bacterial prostatitis-asymptomatic, possible lower back px, elevated PSA
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How would a man with urethritis present
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urinary symptoms such as px with urination, penal discharge
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What might be the cause of urethritis
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gonorrhea or chlamydia
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How does epididymis present
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unilateral px all along the posterior side of the testes, scrotal px, with possible discharge
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What is the most common cause of epididymitis
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chlamydia
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How does testiculr torsion present
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acute onset of excruciating px
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How do you diagnose testicular torsion
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ultrasound
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Why is testiculr torsion a surgical emergency
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ischemia of the testes
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How does testicular cancer present
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painless nodule on testicle, young males 20-35
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How does prostate cancer present
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hard nodules felt duing prostate exam, elevated PSA
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How might you tell the difference between a prostate cancer nodule and an enlarged prostate due to BPH
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prostate cancer nodule is hard, enlarged prostate due to BPH would be soft and tender
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How does bladder cancer present
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older male, gross hematuria
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What is the risk factor for bladder cancer
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cigarettes
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What are the risk factors for breast cancer
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early menses, late onset of menopause, not having kids, fam hx, if mom had premenopausal bilateral breast CA as opposed to postmenopausal unilateral breast CA, not breast-feeding, having kids after the age of 35, increased risk, genetic mutations (BRCA1-2)
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Who do we screen for breast cancer
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every year after age 50, screening between age 40 and 50 is contraversial
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What should younger women (20-40) do for screening
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clinical breast exams every 2-3 years, self breast exams
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MALE GU, MORE RENAL, BREAST CANCER
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MALE GU, MORE RENAL, BREAST CANCER
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