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