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38 Cards in this Set

  • Front
  • Back
Pyelonephritis Acute: Affects _______ of kidney
cortex
Pyelonephritis Acute: Spares ____________
glomeruli/vessels
Pyelonephritis Acute: _______ _______ in urine are pathognomonic
WBC casts
Pyelonephritis Chronic: Tubules may contain __________ casts
Eosinophilic
Pyelonephritis Chronic: Coarse ________, _________ scarring
Asymmetric corticomedullary
Diffuse Cortical Necrosis: infarction of _________ of both kidneys
cortex (cortices)
Diffuse Cortical Necrosis: due to combination of _________ and _________
vasospasm and DIC
Diffuse Cortical Necrosis: associated with _________ and _________
obstetric catastrophes and septic shock
Acute Tubular Necrosis: Most common cause of
renal failure
Acute Tubular Necrosis: reversible or irreversible
reversible
Acute Tubular Necrosis: fatal or non-fatal
fatal, if left untreated
Acute Tubular Necrosis: associated with (3)
renal ischemia (shock)
Acute Tubular Necrosis: Death occurs most often during initial oliguric phase; T or F
TRUE
Renal Papillary Necrosis: Associated with (3)
Diabetes mellitus; Acute pyelonephritis; Chronic phenacetin use
Acute Renal Failure: Definition
abrupt decline in renal function over a period of days
Acute Renal Failure: Will see increase in _______ & _______
BUN & Creatinine
Acute Renal Failure: Prerenal is due to decreased ______
RBF
Acute Renal Failure: Renal is due to
ATN; Ischemia; toxins
Acute Renal Failure: Post renal is due to
outflow obstruction
Acute Renal Failure: 3 causes of postrenal failure
renal stones; BPH; neoplasia
Prerenal or postrenal: Urine osmolality > 500
prerenal
Prerenal or postrenal: Urine osmolality < 350
renal or postrenal
Prerenal or postrenal: urine Na < 10
prerenal
Prerenal or postrenal: urine Na > 40
postrenal
Prerenal or postrenal: urine Na > 20
renal
Prerenal or postrenal: FE(Na) >4%
postrenal
Prerenal or postrenal: FE(Na) <1%
prerenal
Prerenal or postrenal: FE(Na) >2%
renal
Prerenal or postrenal: BUN/Cr ratio <15
renal
Prerenal or postrenal: BUN/Cr ratio >15
postrenal
Prerenal or postrenal: BUN/Cr ratio > 20
prerenal
Chronic renal failure due to (2)
diabetes
Consequences of Renal Failure, why?: Anemia
lack of EPO
Consequences of Renal Failure, why?: Renal osteodystrophy
lack of active Vit D
Consequences of Renal Failure, why?: Arrythmia
hyperkalemia
Consequences of Renal Failure, why?: Metabolic acidosis
decreased acid secretion; decreased production of HC03
Consequences of Renal Failure, why?: Uremia
increase in BUN and Cr
Consequences of Renal Failure, why?: CHF/Pulmonary Edema
retention of Na and H20