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31 Cards in this Set

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Dx:

Bilateral renal Agenesis, limb deformities, facial deformities, pulmonary hypoplasia, oligohydraminos
Potter's syndrome

[Potters can't Pee in utero]
where does a horseshoe kidney fuse?

what does it get trapped under?
Fuse: Inferior poles

trapped under:
Inferior Mesenteric Artery
Cast in urine:

RBC cast
(3)
Nephritic syndromes,

Ischemia,

Malignant HTN
Cast in urine:

WBC casts
Acute Pyelonephritis
Cast in urine:

Granular casts
Acute Tubular Necrosis
Cast in urine:

Waxy cast
Chronic Renal Failure
what is seen in urine w/ acute cystitis?

Bladder CA?
Cystitis = WBCs


Bladder CA = RBCs
Definition:

Hypoalbuminemia, Edema, Hyperlipidemia, massive Proteinuria
Nephrotic syndrome
(6) Nephrotic syndromes
Membranous Glomerulonephritis,
Minimal change,
Focal Segmental Glomerular sclerosis,
Diabetic Nephropathy,
Renal amyloidosis,
SLE nephropathy
Definition:

Oliguria, Azotemia, HTN, hematuria, RBC casts
Nephritic syndromes
Nephritic syndrome:

"lumpy-bumpy" LM, subepithelial humps, granular pattern
Acute Poststrep Glomerulonephritis
Nephrotic syndrome:

granular pattern w/ "spike and dome" on EM
Membranous GN
Nephritic syndrome commonly seen in children w/ pre-orbital and peripheral edema
Acute Poststrep GN
MC type of kidney stone
Calcium
Radiopaque Kidney stone caused by infection and cause staghorn calculi
(3) bugs causing stones
Ammonium Magnesium Phosphate
(Struvite stones)

Bugs:
Proteus,
Staph,
Klebsiella
Kidney stone seen w/ leukemia and myeloproliferative disorders
Uric acid stone
Dx:

nephritis, nerve deafness, lens dislocation or cataracts
Alport syndrome
Nephritic syndrome:

splitting of the lamina densa
Alport syndrome
(3) causes of renal Papillary Necrosis
Diabetes

Acute Pyelonephritis

Chronic Phenacetin/NSAID use
when is the most critical time for Acute Tubular necrosis?

why?
Initial Oliguric phase

can cause cardiac arrest from HyperK
(3) causes of Acute Tubular Necrosis
Renal Ischemia

Crush injury

Toxins
Dx:

PCT reabsorption defect leading to protein and glucose in the urine w/ systemic acidosis
Falconi syndrome
Definition:

Impaired tubular reabsorption of Tryptophan leading to Pellagra-like symptoms
Hartnup Dz
Dx:

coarse and asymmetric corticomedullary scarring of kidney, interstitial fibrosis, tubular atrophy, thyroidization, eosinophilic casts
Chronic Pyelonephritis
(3) tests to look for to determine patient has Pre-Renal ARF
(and results)
Urine Osmolality
(>500)

Urine Na
(<10)

FeNa
(<1%)
What test is good to Dx Intrarenal ARF?
BUN/creatinine ratio < 15
(2) tests to help Dx Post-renal ARF
Urine Na
(>40)

FeNa
(>4)
Dx:

flank pain, palpable mass, hematuria
Renal cell CA
what cell has cancer in Renal cell CA?

what ectopic hormones can be produced?
(4)
Polygonal Clear Cell

hormones:
EPO, ACTH, PTH, Prolactin
(4)* causes of Transitional cell CA of bladder
Pee SAC:

Phenacetin,

Smoking,

Anline dyes,

Cyclophosphamide
Pee SAC
Dx:

child with Aniridia, GU malformation, Retardation, flank mass
Wilms Tumor - MC kidney tumor of kids

(WT1 on chrom 11)

WAGR complex