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