Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
23 Cards in this Set
- Front
- Back
|
A red supernatant that is negative for heme is a rare finding that can be seen in several conditions (3)
|
porphyria
Phenazopyridine Beets in susceptible subjects |
|
|
A red supernatant that is positive for heme is due to ____
|
myoglobinuria or hemoglobinuria
|
|
|
Hematuria is responsible if the red color is seen only in the urine sediment, with the supernatant being -_____.
|
clear
|
|
|
If you find blood with the dipstick, is it hematuria?
|
no, need microscope to see RBCs.
|
|
|
Hematuria itself is not dangerous unless extraglomerular bleeding is so brisk that it causes clots that obstruct the _______
|
ureter(s).
|
|
|
Transient hematuria is common and almost always benign in young patients and the cause is ______
|
a cause is often not identified
|
|
|
Hematuria may be a symptom of an underlying serious condition, particularly in patients over age 50. What conditions?
|
cancers involving the urinary tract
medical disorders requiring immediate treatment |
|
|
Sterile pyuria with hematuria, which may occur with renal _______, analgesic nephropathy and other interstitial diseases
|
tuberculosis
|
|
|
Post-infectious GN
Lupus Nephritis RPGN HUS-TTP are all associated with ______ syndrome |
nephritic
|
|
|
Hereditary renal disease
3 of them. Only bleeding. No protein. |
IgA nephropathy
Alport’s (hereditary nephritis) Thin Basement Membrane Disease |
|
|
When you see mickey mouse ears in the urine, what do you know?
|
glomerular bleeding
|
|
|
Extraglomerular or glomerular bleeding?
red or cola colored or smoky brown |
glomerular
|
|
|
Extraglomerular or glomerular bleeding?
red or pink |
extraglomerular
|
|
|
Extraglomerular or glomerular bleeding?
RBC casts |
glomerular
|
|
|
urethral lesion is most likely if the hematuria primarily occurs in the_____ tube of the 3 tube test
|
first
|
|
|
lesion near the bladder trigone is most likely with ______ tube of the 3 tube test
|
last tube
|
|
|
Renal, ureteric, and diffuse bladder lesions result in ______ degrees of hematuria in each of the three specimens
|
equivalent
|
|
|
Persistent hematuria in whom there is no obvious cause from the history and no clear evidence of glomerular disease, such as red cell casts-THINK ______!!!!!
|
malignancy
|
|
|
When persistent hematuria is essentially the only manifestation of glomerular disease, one of three disorders is most likely
|
1) IgA nephropathy
Hematuria is gross, and sometimes (+) family history 2) Alport syndrome (hereditary nephritis) (+) family history of renal failure, and sometimes deafness, or corneal abnormality. 3) Thin basement membrane nephropathy gross hematuria is unusual and the family history may be positive for microscopic hematuria but not for renal failure |
|
|
risk for bladder cancer:
|
Men over the age of 50
Prolonged heavy phenacetin use heavy smoking, exposure to certain dyes (Aniline) long-term administration of cyclophosphamide Analgesic abusers |
|
|
Hypercalciuria and hyperuricosuria
Both are often associated with a positive family history (as high as 40 to 75 percent) of ______ disease |
stone
|
|
|
The most serious disorder in the patient with unexplained hematuria is _____
|
the presence of an undiagnosed carcinoma of the urinary tract.
|
|
|
to exclude malignancy in the urinary tract, what do you do?
|
The combination of negative radiologic examination(s) (which may include IVP, ultrasonography, and/or helical CT scan alone or in combination), negative cytology, and negative cystoscopy is usually sufficient
|
