Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/20

Click to flip

20 Cards in this Set

  • Front
  • Back

When may proteinuria be present


-on UA


-as edema cuased by reduced oncotic presure from serum albumin loss

Lab results of proteinuria


-dipstick albumin in concentrations of 30 mg/dL


-300-500 mg of proteinuria per day

When may false positives of proteinuria be seen


-dehydration and hematuria (both can be detected on a dipstick **specific gravity and hemoglobin)


-when there is a low molecular weight tubular protein (not albumin)

Examples of low molecular weight tubular proteins


-immunoglobulin light chains in myeloma


-beta-2 microglobulin

How much proteinuria occurs in nephrotic syndrome

->3.5 grams er day

When should systemic disease be suspected in a person with proteinuria

-presence of fever, rash or arthritis

Clinical findings in diabetes


-microalbuminuria (early marker of nephropathy) & appears before urine dipstick can detect proteinuria


-glycosuria

What drugs/class of drugs can cause proteinuria or renal injury


-NSAIDS


-chronic acetaminophen


-contrast media


-ACE inhibitors


-heroin


-mercury


-bismuth


-gold and penicillamine

Clincial findings of acute tubular necrosis


-"dirty" casts on UA (large/pigmented/brown)


-tubular proteinuria occurs with acute illness

Clinical findings of glomerulonephritis


-urine sediment will show red cells or red cell casts


-marked proteinuria usually caused by glomerular injury

What is the most common cause of glomerulonephritis

-membranous glomerulonephritis most common cause

Clinical findings of systemic lupus erythematosus


-microscoic hematuria


-malar-distribution rash


-arthritis


-Raynaud phenomenon

Clinical findings of proteinuria in relation to orthostatic position


-transient orthostatic or exercise-induced proteinuria is benign


-proteinuria may be evanescent by changes in position or testing before and after exertion

Clinical findings of toxemia in regard to proteinuria


-typically occuring in 3rd trimester in a primigravida


-manifest w/ proteinuria, accelerated HTN & edema

Clinical findings of polycystic kidneys


-onset 3rd or 4th decade


-HTN, flank pain, hematuria, palpaple lumpy kidney


-Hx of renal stones

Clinical findings of interstitial nephritis


-hematuria


-fever


-maculopapular rash


-usually associated with the use of antibiotics


-urinary eosinophils occassionally found

what antibiotic is associated with interstitial nephritis

-methicillin

Clinical findings of renal vein thrombosis


-acute flank pain


-hematuria


-sudden appearance of a left varicocele

Clinical findings of multiple myeloma


-the dipstick will be negative or weakly positive


-bone pain (back and ribs)

Clinical findings of amyloidosis in the presence and absence of systemic disease

**if occuring in the absence of systemic disease


-enlarged palpable kidney


-benign sediment


**in the presence of systemic disease


-neuropathy


-macroglossia


-waxy hemorrhagic periorbital plaques