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115 Cards in this Set

  • Front
  • Back
Pain in groin + blood in urine + dehydration + hypercalciuria
Calcium oxalate stone
radiolucent stones + acidic urine
Uric acid + cystine
stones in UTI (proteus)
magnesium ammonium P stones
nephritic + urobilinogen + RBC casts + crescents
RPGN
Goodpasture causes
RPGN
non responsive to steroids
FS GN
Intermittent hematuria
IgA nephropathy
inc serum Ig + back pain + immunosuppression + recurrent infections + amyloid deposition
Multiple myeloma
Analgesics cause
Tubulointerstitial nephritis & papillary necrosis
wire loop thickening of glomerular capillaries
SLE
small, granular kidneys + sclerotic glomeruli + fibrotic interstitum + tubular atrophy + aterial thickening
End stage renal disease (HTN)
Ulcerated mass from uretrhat + bleeding + warty + older women
Squamous cell carcinoma
fluid filled cyst in kidney + severely dilated cystic kidney (UL)
Hydronephrosis
URI (days ago) + red-brown urine + recurring + nephritic syndrome
IgA nephropathy (Berger's)
Mesangial deposition
IgA nephropathy (Berger's)
Impetigo + dark brown urine + antisterptolysin O titer
Poststreptococcal GN
red urine + hematuria + abdominal pain + calcium oxalate stone
Idiopathic hypercalciuria
back pain + dark urine + R CVA tender + hematuria + polycythemia + UL tumor
Renal cell carcinoma
dark urine + BL hearing loss + corneal erosions + nephritic+ foam cells in tubules + BM attenuation + splitting/lamination of lamina densa
Alport syndrome
fever + maculopapular rash +nephritic + LE positive + eosinophils
Drug-induced interstitial nephritis
sulfonamides + penicillins + cephs + quinolones + anti-TB
Drug-induced interstitial nephritis
cimetidine, ranitidine, thiazides, loops, omeprazole, NSAIDS cause
Acute tubulointerstitial nephritis
dark stool + dark urine + scattered petechiae on extremities + thrombi in glomerular caps + food poisoning
HUS (E.coli O157:H7)
Child with nephrotic syndrome
Minimal change disease (lipoid nephrosis)
nephritic + glomerular hepercellularity + IgG granular deposition + C3 in BMs + subepithelial HUMPS
Postinfectious GN
nephritic + linear AB deposition
Goodpasture
nodular + diffuse glomerulosclerosis
Diabetic nephropathy
cant pee + nasty looking bladder
Prostatic enlargement
DBM nephropathy + dysuria + suprapubic pain + hematuria + soft, yellow, raised mucosal plaques + foamy macs + mineralized concretions (Michaelis-Gutman bodies)
Malacoplakia
Causes of malacoplakia?
E. coli & proteus
Causes of acute cystitis?
E.coli
Painless hematuria + older adult + fever/weakness
Renal cell carcinoma
NSAIDS?
reduce GFR
Renal stenosis + ibuprofen + decreased urine output
Renal aterial atheroscleerosis (losing PG's)
Chronic inflammation and bladder scarring
schistosomiasis
Aldosteroe?
reduced sodium excretion
Fever + pain + temp + LE positive + PMN's + WBC casts
UTI => E.coli
Sterile pyuria?
TB
microalbinuria + <3 g protein
Nodular/ diffuse glomerulosclerosis
C3 nephritic factor in?
Type II membranoproliferative disease (dense deposit)
Hepatitis B in?
Membranous glomerulonephritis
Pregnant + oligohydramnios + liver cysts + stillborn + pulmonary hypoplasia
ARPKD
Mutated PKHD2 gene (fibrocystin) in child?
ARPKD
mutated PKD1 and 2 gene mutations for polycystin in adult?
ADPKD
MC cystic disease in babies?
Multicystic dysplastic kidney
LE/ nitrite positive + shrunken kdineys + asymmetrical + surface scars + blunted calyxes
Chronic pyelonephritis (from reflux)
BL shrunken granular kidneys?
Chronic GN; benign nephrosclerosis; SLE
GAS + fever/rash + nephritic
Ampicillin inudced interstitial nephritis
tender mass + hematuria + child
Wilms tumor (nephroblastoma)
Tuberous sclerosis?
Angiolipomas
tumors that are <1cm and incidiental finding
medullary fibroma
clear cell, papillary, chromophobe?
Renal cell carcinoma
Defective glomerular BM?
hereditary nephritis
Connection from bladder to umbilicus
Persistant urachus
Failure of bladder muscle formation or outlet obsturction
Congenital diverticula
Failure of lower abdominal wall to develop?
Exstrophy
Steroid responsive proteinuria + child
Minimal change disease (lipoid nephrosis)
neprhotic + no steroid relief + thick BM + granular IF
Idiopathic membranous glomerulopathy
Linear strations radiating into renal papillae + cystic dilation (BL)
Medullary sponge kidney
Eccentric lesion in upper pole of kidney
Simple cyst of kidney
Proteus causes?
Triple phosphate crystals => staghorn
E.coli + glucosuria
Necrotizing papillitis & papillary necrosis
nephrotic + IF granular
Membranous glomerulopathy
AIDS?
Focal segmental glomerulosclerosis (often collapsing)
MI + decreased urine output
ATN
expsure to aniline dyes (napthylamine)
bladder cancer
Radiation or cyclophosphamide?
Hemorrhagic cystitis
Klebsiella infection in kidney + uncontrolled DBM
Nodular/ diffuse glomerulosclerosis
arthralgia + myalgia + red-brown urine + malar skin rash + ANA/dsDNA positive
SLE nephritis
Myoglobinuria?
Severe crush injurys or rhabdomyolysis
Recurrent UTIs cause?
Chronic pyelo
Sexually active man + WBCs in urine?
urethritis ( chlamydia)
What kills someone with ADPKD?
Berry anyeurism
BL symettric small kidneys, no masses + healthy female?
Chronic GN
Linear IF + young male
Goodpastures
Friction rub + diffuse proliferative GN
SLE nephritis
small kidneys + finely granular + hyaline
Hyaline artheriolosclerosis (benign HTN)
Dilated tubules with amorphous blue/pink casts + multinucleated giant cells
Cast nephropathy
UL enlarged kidney + calyceal enlargement + cortical thinning + inflammatory infitrates + destruction/fibrosis
Chronic pyelonephritis (from reflux)
Staph aureus (IV drug use) causes?
Infective endocarditis => emboli => coagulative necrosis => wedgeshaped infarcts
previous breast cancer + bone pain + SIADH
Metastatic disease causes nephrocalcinosis
Cresent in a man
Rapidly progressive GN
AML + red urine
Hyperuricemia and uric acid stones
Bence Jones proteinuria?
Multiple myeloma
Sinusitis + lung infiltrates + CANCA + crescents + granulomatous vascultitis
Wegener granulomatosis (RPGN)
HTN + oxalate crystals + TIA
Hyaline artheriolosclerosis (benign HTN)
Diffuse scarring and shrinking of kidneys?
Hyaline artheriolosclerosis (benign HTN)
BL papilledema + headache/nausea/vomiting
Necrotizing arteriolitis & hyperplastic arteriolosclerosis (malignant htn)
child + nephrotic + no response to steroids
Focal segmental glomeruloscerlosis
What factor is most important for pyelonephritis?
Acquired / congenital vesicourteral reflux
Elevated D-dimer + schistocytes
HUS
Seeing spots + headache/nausea/vomiting
Myglobinemia => myoglobinuria => acute toxic tubular necrosis
Sessile, firable mass in bladder wall
Urothelial carcinoma
Tumor that invades renal vein + clear cytoplasm?
Clear cell carcinoma (VHL gene mutations)
Hypercholesterolemia?
Minimal change disease
Hodgkin lymphoma?
Minimal change disease
Hyperuricemia?
Blood cancers (urate nephropathy)
3 types of RPGN?
1) anti-GBM; 2) IC disease; 3) pauci-immune
IC RPGN?
SLE, HS purpura, infections
Type 3 RPGN (pauci-immune)?
Wegeners, microscopic polyangiitis
Anti-GBM RPGN?
Goodpasture
Waxy casts?
Dilated, damaged tubules
WBC casts?
Acute pyelonephritis
RBC & RBC Casts?
Crescentic GN
Fibrinoid necrosis?
Malignant HTN]
Increased cells in urine sediment?
Interstitial nephritis
Ischemic ATN causes?
Segmental tubular necrosis
Sclerosis of many glomeruli with no clear cause?
Chronic GN
BM thick + electorn dense deposits?
Membranous GN
Hypercellular Glom + inflitration of PMNS?
Postinfectious GN
Hypercellular glom + electorn dense deposits along lamina densa + C3 nephritic
Type II membranoproliferative disease (dense deposit)
MET gene mutation on chromosome 7?
Papillary renal cell carcinoma
Hipanic + corticosteroid resistant hematuria & proteinuria?
FSGS
MCC of nephrotic syndrome in uS?
FSGS
Mutated nephrin/podocin cause?
FSGS