Elizabeth Shared "renal final exam" - 22 Picmonics
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renal final exam
Wilms' Tumor (Nephroblastoma)
- Cause
- Malignant Renal Tumor
- Assessment
- Abdominal Mass
- Hematuria
- Fever
- Hypertension
- Interventions
- Nephrectomy
- Chemotherapy
- Radiation
- Considerations
- Do Not Palpate Abdomen
- Children Under 5 Years Old
2 mins
Benign Prostatic Hyperplasia (BPH) Disease
- Mechanism and Characteristics
- DHT-induced Growth Factors
- Common in Men > 50 Years Old
- Smooth, Symmetric, Firm Enlargement
- Affects Lateral and Middle (Periurethral) Gland
- Urethra Compression
- Symptoms and Complications
- Increased Urinary Frequency
- Nocturia
- Dysuria
- Urinary Tract Infection
- Hydronephrosis
1 min
Benign Prostatic Hyperplasia (BPH) Diagnosis and Treatment
- Diagnosis
- Digital Rectal Exam
- Urinalysis to Detect Infection or Blood
- Treatment
- Alpha-1 Antagonists
- Tamsulosin
- 5 Alpha Reductase Inhibitors
- Finasteride
- TURP (Transurethral Resection of Prostate)
1 min
Pyelonephritis Assessment
- Cause/Mechanism
- Ascending Urethral Bacteria
- Assessment
- Dysuria
- Fever
- Fatigue
- Flank Pain
- Costovertebral Tenderness
- Nausea and Vomiting
1 min
Pyelonephritis Interventions
- Urinalysis
- NSAIDs
- Antibiotics
- Increase Fluid Intake
- Avoid Catheterization
- Consideration
- Urosepsis
1 min
Distal Renal Tubular Acidosis (Type I)
- Pathophysiology
- Distal Tube
- Defect in H+ Secretion
- Labs
- Increased Urinary pH
- Urinary pH >5.5
- Hypokalemia
- Causes
- Amphotericin B Toxicity
- Autoimmune Disease
- Lithium
- Obstruction Of The Urinary Tract
- Complication
- Kidney Stones
- Treatment
- Bicarbonate
3 mins
Type 2 Renal Tubular Acidosis
- Proximal Tubule
- Pathophysiology
- Inability To Reabsorb Bicarbonate
- ETIOLOGY
- Fanconi Syndrome
- Sporadic Type
- Familial Types
- Autosomal Recessive
- Acetazolamide
- Characteristics
- Decreased Urinary pH
- Hypokalemia
- Treatments
- Treat Underlying Disorder
- Alkali Therapy
4 mins
Renal Tubular Acidosis Type 4
- Characteristics
- Aldosterone Resistance
- Decreased Aldosterone Production
- Causes Of Hypoaldosteronism
- Addison’s Disease (Primary Adrenal Insufficiency)
- Hyporeninism
- Causes Of Aldosterone Resistance
- Trimethoprim-Sulfamethoxazole
- Potassium Sparing Diuretics
- Labs
- Hyperkalemia
- Low Urine pH
- Diminished Ammonium (NH4) Urinary Excretion
- Treatment
- Furosemide
- Fludrocortisone
5 mins
Transitional Cell Carcinoma
- Most Common Cause Of Lower Urinary Tract Cancer
- Risk factors
- Cyclophosphamide
- P-SAC
- Cigarette Smoke
- Azo Dyes, Alcohol, Anilines (Dyes, Rubber)
- Older Adult
- Signs and Symptoms
- Painless Hematuria
3 mins
Fanconi Syndrome Characteristics
- Pathophysiology
- Resorption Defect in Proximal Tubule
- Signs and Symptoms
- Hypophosphatemia
- Rickets
- Osteomalacia
- Hypokalemia
- Metabolic Acidosis
- Type 2 Renal Tubular Acidosis
- Treatment
- Treat Underlying Disorder
- Bicarbonate
1 min
Fanconi Syndrome Causes
- Hereditary Causes
- Cystinosis
- Dent's Disease
- Wilson's Disease
- Oculocerebrorenal (Lowe) Syndrome
- Galactosemia
- Hereditary Fructose Intolerance
- Glycogen Storage Diseases
- Tyrosinemia
- Acquired and Medication Causes
- Tenofovir
- Heavy Metals
- Expired Tetracyclines
- Cisplatin
- Gentamycin (Aminoglycosides)
- Valproate Sodium
- Multiple Myeloma
2 mins
Syndrome Of Apparent Mineralocorticoid Excess (SAME)
- Pathophysiology
- 11 Beta-Hydroxysteroid Dehydrogenase Deficiency
- Elevated Cortisol
- Low Renin
- Low Aldosterone
- Causes
- Autosomal-Recessive
- Licorice (glycyrrhetinic acid) Ingestion
- Signs & Symptoms
- Hypertension
- Hypokalemia
- Metabolic Alkalosis
- Treatment
- Potassium-Sparing Diuretics
4 mins
Gitelman Syndrome
- Pathophysiology
- Autosomal Recessive
- Defective Sodium-Chloride Cotransporter in Distal Tubule
- Mechanism Mimics Thiazide Diuretics
- Clinical Presentation
- Cramping and Tetany
- Severe Fatigue
- Polyuria
- Diagnosis
- Hypokalemia
- Metabolic Alkalosis
- High Urine Chloride
- Treatment
- Electrolyte Supplements
- Spironolactone
4 mins
Varicocele
- Pathophysiology
- Dilation of Pampiniform Plexus Veins
- Signs and Symptoms
- Soft Left-Sided Scrotal Mass
- Bag of Worms
- Increased Size with Standing or Valsalva
- Decreased Size while Supine
- Testicular Atrophy
- Subfertility
- Diagnosis
- Ultrasound
- Retrograde Venous Flow
- Treatment
- Surgical Gonadal Vein Ligation
- Scrotal Support
3 mins
Hydrocele
- Mechanism
- Impaired Lymphatic Drainage
- Signs and Symptoms
- Large Scrotum
- Painless
- Considerations
- Needle Aspiration or Surgery
- Scrotal Support
- Monitor for Bleeding and Infection
1 min
Yolk Sac Tumor
- Germ-cell tumor
- AFP
- Aggressive Malignancy
- Yellow, Friable Solid
- Schiller-Duval Bodies
43 secs
Choriocarcinoma
- Germ-cell tumor
- Trophoblastic tissue
- Hematogenous spread to lungs
- Malignant
- Theca-lutein cysts
- Hydatidiform Mole
- hCG
59 secs
Teratoma
- Germ-cell Tumor
- Dermoid Cyst (Benign and Mature Teratoma)
- Immature Teratoma (Malignant)
- Struma Ovarii
2 mins
Testicular Carcinoma Assessment
- Cause/Mechanism
- Seminoma Germ Cells
- Non-Seminoma Germ Cells
- Assessment
- Painless Scrotal Mass
- Testicular Swelling
- Acute Pain Rare
- Elevated Serum Tumor Markers
- Considerations
- Males Between 15-35 Years Old
- Cryptorchidism
- Testicular Self Exam
2 mins
Prostatitis
- Chronic Bacterial Prostatitis
- Acute Bacterial Prostatitis
- Types
- Sexually Transmitted Organisms
- E. Coli Infection
- Assessment
- Flu-Like Symptoms
- Perineal Pain
- Dysuria
- Sexual Dysfunction
- Recurrent UTIs
- Urinalysis
- Tender Boggy Prostate
- Management
- Antibiotics
- Considerations
- Chronic Prostatitis
3 mins
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