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