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45 Cards in this Set

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diuresis:
excess urine output
anuria:
no output
dyuria:
painful urination
oliguria:
less than normal urine output
polyuria:
more than normal output
pyuria:
wbcs in urine
glycosuria:
glucose in urine (from diabetes mellitus)
proteinuria:
more than 150 mg of protein a day excreted
azotemia:
renal failure only manifested in lab results and no symptoms
uremia:
blood in urine, is renal failure with clinical signs
normal urine excreted per day
3L
renin-angiotensin system:
angiotension II > increase in renin which causes increased pressure in capillary loop
ADH:
antidiuretic H
stored in and released in posterior lobe of pituitary gland
-absorbs water
glomerular symptoms:
hematuria, proteinuria
tubular symptoms:
oliguria, anuria
creatine clearance:
130 ml>min
measures GFR
cystogram/IV pyelogram:
inject dye to see kidneys
cystoscopy:
see kidneys with scope
agenesis:
one kidney
polycystic kidney disease:
kidneys have cysts with no functioning parts
-common cause of kidney failure
-autosomal dominant (common)
-autosomal recessive (rare)
cystitis:
-more in women
-symptoms: pain, frequency
-involves kidney infection up ureters to kidney
pyelonephritis:
-see PMNs in urine
-usually ascending: begins in bladder and travels to kidney
-more than 100,000 colonies of bacteria/mL urine
-papillae in kidney pelvis act to protect kidney from reflux
-normally at poles of kidney
obstructive uropathy:
congenital or acquired obstruction (stone, prostate, malignancy)
acute tubular necrosis:
reversible
-signs: normal glomeruli, large lumen in tubules, no epithelial cells
-oliguria
-symptoms: oliguria, urine not concentrated
-from: trauma, cocaine use, pre-renal failure
-types: ischemic and toxic
ischemic acute tubular necrosis:
-hypotension: low pressure
-hypovolemic: low volume
glomerular disease:
-most autoimmune
-signs: nephrotic syndrome and nephritic syndrome
nephrotic syndrome signs
signs of glomerular disease
-proteinuria >3.5g/day, hypoalbuminemia, edema, hyperdipidemia
nephritic syndrome signs
signs of glomerular disease
-active urinary sediment (RBC, WBC, Casts present
-associated with hypertension
-results in renal failure
casts:
protein from in lumen of kidney tubules
nephrotic syndrome diseases
minimal change disease
focal segmental glomerulosclerosis
membranous glomerulopathy
membranoproliferative glomerulopathy
amyloidosis
diabetes mellitus
nephritic syndrome diseases
post-infectious glomerulonephritis
IgA nephropathy
systemmic lupus erythematosus
renal vasculitis
goodpasture's syndrome
minimal change disease:
nephrotic syndrome
-in kids
-non-immune
-steroid responsive
-hematuria
-selective proteinuria (large amts of albumin)
-use electron microscope-->see fused foot processes of BM fused
focal segmental glomerulosclerosis:
nephrotic syndrome
-non-immune
-hypertension
-non-selective proteinuria
-hematuria
-gradual decline in GFR
-more in males
-steroid resistant
membranous glomerulopathy
nephrotic syndrome
-immune complex mediated (IgG deposits)
-poorly responsive to steroids
-spontaneous remission
-more in men
-proteinuria
membranoproliferative glomerulopathy:
nephrotic syndrome
-in late childhood
-hematuria
-hepatitis C
-immune deposits in BM (not in capillary loops)
-C3 complement decreased
amyloidosis:
nephrotic syndrome
-amyloid deposits in glomerluous
-proteinuria
-kidneys enlarged
-types: primary and secondary
diabetes mellitus
nephrotic syndrome
-microalbuminuria
-type 1: proteinuria (reversible)
-presence of kimmelstiel wilson nodules
diabetic retinopathy:
amount of proteinura correlates with prognosis
(part of diabetes mellitus)
post-infectious glomerulonephritis:
aka: glomerulonephritis
nephritic syndrome
-from strep infection
-immune complex mediated
-cell proliferation in glomeruli
-hematuria
-hypertension, peripheral edema
-spontaneous remits
-good prognosis
IgA nephropathy:
most common form of glomerulonephritis
-immune or metabolic mediated
-IgA deposits in mesangium
-hematuria and proteinuria
-hypertension
-in young adults (males)
-unresponsive to treatment
lupus:
nephrotic syndrome
-immune complex mediated
-complexes in glomerulus
renal vasculitis:
nephrotic syndrome
-non-immune mediated
-cause hep B
-wegener's granulomatosis (antibodies act against oweints in kidney)
-giant cell arteritis
-fast progression to renal failure
-
goodpasture's syndrome:
nephritic syndrome
-antibody mediated to GBM
-antibodies react with BM
-rapid progression
-treat early
-affects kidney and lungs
neoplastic disease in bladder
-hematuria
-transitional cell carcinoma
-older
-cause: smoking
renal neoplasm:
-renal cell carcinoma
-middle-old age
-cause smoking