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27 Cards in this Set
- Front
- Back
- 3rd side (hint)
URI Then two days later with the gross hematuria in young person |
IGA nephropathy |
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Young adult, palpable Purpura, Arthritis or arthralgia, abdominal pain, renal involvement (nephritic syndrome) |
IGA nephropathy. Bergers Immune complexes disease with normal complement |
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Differences between IgA Nephropathy & post infectious GN |
IgA normal complement, sx p 2d
PIGN low complement, sx p 7-10 d or up to 30d p skin infection |
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Purpuric rash, pseudo-Raynaud’s, C4 VERY LOW BUT C3 nl or low, renal dx May improve with treatment of hepatitis C |
Cryoglobulinemia |
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Which form of kidney disease and lupus is the most common in the most worrisome |
Type 4 Diffuse proliferative |
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Induction treatment for lupus nephritis |
Cyclophosphamide/MMF + steroids Maintenance is MMF/azathioprine |
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Membranoproliferative GN |
Associated with hepatitis A and hepatitis B The only syndrome that you might see nephritic and nephrotic syndromes |
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Glomerulonephritis with normal complement |
IgA ANCA ie Wegeners or microscopic polyangiitis EGPA or Churg-Strauss Anti GBM |
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Upper tract symptoms like sinusitis, epistaxis Lower tract symptoms like infiltrates, cavitary lesions |
Wegeners |
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c-ANCA+ Anti-PR3 |
Wegeners |
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P-ANCA+ anti-MPO |
Microscopic polyangiitis |
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Pulmonary hemorrhage Mononeuritis multiplex Palpable purpura |
Microscopic polyangiitis |
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Asthma/Atopy Eosinophilia |
EGPA formerly Churg Strauss |
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Minimal change disease clues Age of patient Drug association Toxin association Tumor Association |
Young patient NSAIDS MERCURY lead |
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Minimal change disease treatment for kids, adults |
Kids steroids, adults may need cytotoxic’s |
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Nephrotic syndrome in African Americans |
Focal segmental glomerulosclerosis Usu htn, 5-20 yrs progress to ESRD Tx |
ACE ARB steroids |
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MCC nephrotic syndrome in Caucasians |
Membranous High risk PE, might see renal v thrombosis |
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Flank pain, hematuria, high LDH |
Renal vein thrombosis. —think membranous nephropathy |
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Which nephrotic syndrome association w cancer |
Membranous nephropathy |
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Urine dipstick neg, but urine protein to creat ratio high |
MM light chains Dipstick only picks up albumin |
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Pearl Hypokalemia, hypertension, and high urine chloride i.e. higher than 10 suggest what |
Hyperaldosteronism |
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Which kidney disease is associated with cerebral aneurysm’s |
Polycystic kidney disease, familial, Autosomal dominant |
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Which RTA is associated with nephrolithiasis and hypercalciuria |
Type 1 |
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What type of kidney stone is more likely in a patient with Crohn’s disease |
Calcium oxalate. Enteric hyperoxaluria Can occur with a variety of malabsorption disorders. Free enteric calcium binds to fatty acids and is unavailable for binding to enteric oxalate, resulting in increased oxalate absorption. This leads to increased oxalate excretion in the urine |
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What medication will improve hematuria from BPH? |
Finasteride This will decrease microvessel density in the prostate, especially the sub urethral prostate |
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Which form of RTA can be associated with obstructive uropathy |
Type 4 |
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Which medication works faster for BPH and nocturia, Terazosin or finasteride |
Terazosin |
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