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ACUTE PAPILLARY NECROSIS hematuria. (MCQ) THE MEDULLA IS MORE LIKELY TO BE AFFECTED IN SCA (causes of nephrogenic DI)
DEFINITIONS:
1) AZOTEMIA only lab finding(no clinical manifestations) 2) UREMIA lab & clinical 3) ESRF???? 4) CHRONIC RENAL DISEASE >6 MONTHS ****REMEMBER:ANY CASE OF A FEMALE WITH CRF..DON'T FORGET TO ASK ABOUT THE 11 CITERIA OF SLE. (very important for the long case)
B A D S H I P
DD OF ARF + JAUNDICE:
1) MALARIA 2) G6PD 3) HU$ 4) DISMATCHED BL. Transfusion 5) hepatorenal $ 6) BILIRUBIN nephropathy
INVESTING OF ATN:
BUN/Cr <20(MCQ)since it's renal causes p.38:add to the polyuric phase (UREA RETENTION =NATRIURETIC $)
NIL $...REMEMBER:
N = NSAIDS I = idiopathic L = lymphoma
HBV PAN - IgA nephropathy - SLE(type III) analgesics. enlarged kidneysDD???? Add IgA nephropathy - SLE (TYPE 4) ARF
NEPHRITIC:
CL./P. Addbilateral renal angle pain & tenderness. (esp. in children) CAUSES Add Bilharziasis
M/C presentation of chronic pyelonephritis is ASYMPTOMATIc. VUR isn't usually seen in adults.
cervical carcinoma hematuria pain STONES: REMEMBER:uric acid PPT also in renal parenchyma(MCQ)
ADPKD:
ALPORT'S:
AR or XLR degeneration in GBM mutation in genes coding IV COLLAGEN remember FANCONI $ CAUSES RICKETS
RVT (P.72)
CAUSES CL. /P
nephritic (membranous) - hypercoagulable state - abdominal trauma. loin pain hematuria - HEAVY PROTEINURIA. (MCQ) U/s-duplex-MRA of the cause =anticoagulants
TTT
GLOMERULO-SCELROSIS IN: HTN-DM-F & S GN RAS: young femaleHTN ??? 1st line search for 2ry cause (SLE-RAS) 1) ATHEROSCLEROTIC:
Old male. Total occlusion is common. Ischemic renal atrophy. Bad prognosis. Proximal stenosis.
2) FIBROPLASIA:
young female
total occlusion is rare ischemic renal is rare good prognosis middle or distal with beading appearance in U/s REMEMBER:DD OF hypokalemic HTN???
DRUGS THAT BP
RENAL Diruetics.
ANALGESIC NEPHROPATHY
ADD TO C/P nephritic. DRUGS CAUSING IDIOSYNCRACY??? NSAIDS gold - penicillins peniciilamin
HYPER-NEPHROMA:
ADD TO C/P presistant fever-disturbia in liver functions(MCQ) REMEMBER CAUSES OF POLYCYTHEMIA in kidney??? REMEMBER PARAMALIGNANT $ HCC hypernephroma - lung cancer-stomach cancer
THE UPCOMING DATA IS FOUND IN LANGE & DAVIDSON"S MCQ BUT THEY WEREN'T TAUGHT NEITHER IN ROUNDS NOR LECTURES:
1) PROSTATIC CANCER:
1st preg / hydatiform mole in 1st trimester / twin preg. extremes of age. DM. NOT HIV. (MCQ)
TTT radiotherapy.
SPREAD early local but late metastasis.
Androgens.
normal serum acid phosphatase.
TESTICULAR TUMORS:
AGE SEMINOMA TTT. TERATOMAS