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12 Cards in this Set
- Front
- Back
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pt is in the hosptial beting treated w/ vancomycin plus gentamicin. after two days the patient c/o of abdominal pain. went for CT abdomen plus contrast. In the evening found to have a high BUN creatinie. which of the following is the most likely cause of this renal failure.
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Contrast nephropathy, b/c it begins immediately. aminoglycoside induced nephropathy starts after 3-5 days. the patient had only been taken gentamicin for two days.
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A pt w/ h/o chronic HA came w/ c/o noctuira, weakness. found to have BUN/Cr 30/3.5, hemoglobin of 9, urine analysis has 20-30 WBCs, no bacteria. UCx is neg. what's the diagnosis?
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analgesic nephropathy
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pt w/ chronic HA or low back pain. w/ sterile pyuria (WBCs in urine) and polyuria. what's the likely diagnosis?
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analgesic nephropathy, develop pyuria b/c they lose the concentrating ability.
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pt w/ analgesic nephropathy comes w/ c/o sudden onset of flank pain, feel like something passed in the urine. what's the diagnosis?
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papillary necrosis, they passed sloughed papilla.
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anemia of kidney disease is what type of anemia. how do you treat?
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causes normochromic, normocytic anemia, erythropoitein (sp?)
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a patient w/ anemia of kidney disease is taking erythropoeitin and not responding to it? what do you do next?
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check iron levels!
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a patient is on dialysis for more than 10 years comes w/ tingling and numbness of right hand. frequently wakes up in the night w/ pain. O/E has atrophy of thinner prominence of his hand. what's the diagnosis?
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carpal tunnel syndrome secondary to deposition of beta 2 microglobulin.
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patient w/ hematuria abdominal pain, weight loss, increased calcium, h/o smoking, urinalaysis has RBCs
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Renal cell carcinoma, calcium levels are high due to increased production of PTHrp
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pt on peritoneal dialsysis comes w/ fever, chills, cloudy peritoneal fluid, and is found to have increased WBC in peritoneal fluid. WBC <100. what's the diagnosis? what's the most common organism causing peritonitis in these patients? how do you treat?
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peritonitis caused by staph aureus and staph epidermidis. Give vancomycin plus gentamicin given intraperitoneally
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a pt admitted to hospital after car accident in which he suffered severe head injury, has polyuria, polydyspsia, serum sodium of 155, urine specific gravity of less than 1.006, Urine osm of 60, what's the diagnosis?
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diabetes insipidus
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75 y.o. man came for nursing home w/ change of mental status, serum sodium of 160, BUN/Cr is high, started on D5W. After 10 hours the patient develops seizure. what's the cause of seizure?
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rapid correction of hypernatremia
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pt comes w/ serum sodium of 110. patient was confused at time of admission. started on 3% salide. after twelve hours pt develops quadriplegia. what's the diagnosis?
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central pontine myelinolysis
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