Читать книгу Primary Care for COMLEX Level 1 - Dr. Jahan Eftekar - Страница 12
9. KIDNEY AND URINARY SYSTEM
ОглавлениеAdult Polycystic Kidney
•Autosomal dominance
•15-30 years age
•Berry Aneurysm
•Hematuria
•Polycystic liver disease
•Hypertension
•Chromosome 16
•Mitral prolapse
Infantile Polycystic Kidney
•Autosomal recessive
•Hepatic fibrosis
•Closed cysts
Post-Streptococcal Glomerulonephritis
•Elevated ASO
•Intense inflammation
•Lumpy-bumpy immunofluorescence
Goodpasture’s Syndrome
•Men mid-20’s
•Glomerulonephritis
•Linear IgG at basal membrane
•Pulmonary hemorrhage
•Hematuria
Lipoid Nephrosis
•Very young children
•Fusion of foot processes
•Normal glomerulus (light microscopy)
•Lipid-laden renal cortices
Nephrotic Syndrome
•Edema
•Hypoalbuminemia
•Hypercholesterolemia
•Hyperlipidemia
•Hypoproteinemia
•Severe proteinuria
Nephritic Syndrome
•Oliguria
•Hypertension
•Azotemia
•Smoky-brown urine
•Urinary Blood Cell Casts (Hematuria)
Membranoproliferative Glomerulonephritis
•Immune complex nephritis; Type I
•Dense deposit disease; Type II
•Tram-track-like membrane
Diabetic Glomerulonephritis
•IDDM
•Edema, hypertension
•Kimmelstiel-Wilson nodule in kidney glomeruli
•Increased BUN, cholesterol
•Low albumin
•Papillary necrosis
•Retinopathy
Benign Nephrosclerosis
•60+ age
•Hyaline arteriosclerosis
•Diabetes and hypertension
Malignant (Hypertension) Nephrosclerosis
•Onion-skinning
•Flea bitten kidney
•Necrotizing lesions
Renal Cell Carcinoma
•Most common renal malignancy
•Men 50-70
•Polygonal Clear Cells
•Hematogenous spread
•Smoking
•Renal vein pathology
•Hypercalcemia
Papillary Necrosis
•Diabetes
•Sickle Cell disease
Transitional Cell Carcinoma
•Most common tumor of collecting ducts
•Hematuria
•Benzidine, smoking, cyclophosphamide, and aniline
•Local dissemination
•Schistosoma
Squamous Cell Carcinoma of Bladder
•Sequel of inflammation
•Schistosomiasis
•Renal calculi
Other Keywords
•Myoglobinuria ⇔ Trauma
•Potter’s syndrome ⇔ Bilateral renal agenesis
•Milk-Alkali syndrome ⇔ Nephrocalcinosis
•Wilm’s Tumor ⇔ Childhood, Nephroblastoma, flank mass
•Pre-renal Azotemia ⇔ decreased renal flow, Oliguria, High BUN/Creatinine ratio
•Fanconi Syndrome ⇔ Glycosuria, Systemic acidosis, proximal tubule, hypophosphatemia
•Hartnup’s Disease ⇔ Tryptophan mal-absorption
•Alport Disease ⇔ Male, red urine, visual disturbance, proteinuria