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Renal

Renal Terminology

TermDefinition
acute renal failure clinical syndrome characterized by a rapid decline in renal function with progressive azotemia and increasing levels of serum creatinine
acute tubular necrosis a type of intrarenal acute renal failure affecting the renal tubules caused by renal ischemia and nephrotoxic injury
artertiovenous grafts (AV) synthetic material surgically anastomosed between an artery and a vein to provide vascular access for hemodialysis; used in place of an arteriovenous fistula for a patient with a history of severe hypertension, diabetes, prolonged IV drug use, or previous
azotemia an accumulation of nitrogenous waste products such as blood urea nitrogen (BUN) and creatinine
automated peritoneal dialysis dialysis machine that controls the fill, dwell, and drain phases and cycles four to eight exchanges per night with one to two hours per exchange
continuous peritoneal ambulatory dialysis dialysis carried out manually by exchanging 1.5 to 3 L of peritoneal dialysate usually four times daily with dwell times of 4 to 10 hours
continuous renal replacement therapy provides a means by which solutes and fluids can be removed slowly and continuously in the hemodynamically unstable patient; usually used to treat acute renal failure
costovertebral angle landmark useful in locating the kidneys, formed by the rib cage and the vertebral column
creatinine a waste product produced by muscle breakdown
cystitis inflammation of the bladder wall
cystoscopy inspection of the interior of the bladder with a tubular lighted scope
dialysis technique in which substances move from the blood through a semipermeable membrane and into a dialysis solution; used to correct fluid and electrolyte imbalances and to remove waste products in renal failure
end-stage renal disease last stage of kidney disease; occurs when the GFR is less than 5% to 10% of normal or when creatinine clearances are less than 5 to 10 ml/min
glomerular filtration rate amount of blood filtered by the glomeruli in a given time; average is 125 ml/min with 1 ml/min excreted as urine
glomerulonephritis an immune-related inflammation of the glomeruli characterized by proteinuria, hematuria, decreased urine production, and edema
glomerulus a component of the nephron that is a tuft of up to 50 capillaries where blood is filtered across the semipermeable membrane into Bowman's capsule
hemodialysis dialysis that uses an artificial membrane (usually made of cellulose-based or synthetic materials) as the semipermeable membrane through which the patient's blood circulates
hydronephrosis dilation or enlargement of the renal pelves and calyces resulting from obstruction in the lower urinary tract with backflow of urine to the kidney
interstitial cystitis chronic, painful inflammatory disease of the bladder characterized by severe bladder and pelvic pain, urinary frequency, and urgency
intravenous pyelogram (IVP) a diagnostic study using an IV contrast media that is excreted through the urinary system, allowing for visualization of the urinary tract
nephron the functional unit of the kidney
nephrosclerosis a vascular disease of the kidney characterized by sclerosis of the small arteries and arterioles of the kidney resulting in renal tissue necrosis
nephrotic syndrome an abnormal condition of the kidney characterized by peripheral edema, massive proteinuria, hyperlipidemia, and hypoalbuminemia; may occur in a severe primary form or secondary to many systemic diseases
oliguria less than 400 ml of urine in 24 hrs
peritoneal dialysis dialysis with the use of the peritoneal membrane as the semipermeable membrane
polycystic kidney disease a genetic kidney disorder in which the cortex and the medulla are filled with thin-walled cysts that enlarge and destroy surrounding tissue
renal arteriogram a diagnostic study performed by injecting contrast media into a renal artery to visualize the renal blood vessels
renal artery stenosis a partial occlusion of one or both renal arteries and their major branches; a major cause of abrupt onset hypertension
renal biopsy a procedure to obtain renal tissue for examination to determine renal disease; usually performed percutaneously with a biopsy needle
renal vein thrombosis unilateral or bilateral thrombus formation in the renal vein caused by trauma, extrinsic compression (e.g., tumor, aortic aneurysm), renal cell carcinoma, pregnancy, contraceptive use, and nephrotic syndrome
retrograde pyelogram an x-ray visualization of the kidneys, ureter, and bladder after direct injection of a contrast material into the kidney via a ureteral catheter introduced through a cystoscope
transitional cell carcinoma a malignant, usually papillary tumor derived from transitional stratified epithelium, occurring most frequently in the bladder, ureter, urethra, or renal pelvis
uremia the condition in which renal function declines to the point that symptoms develop in multiple body systems
urinary calculi formation of stones in the urinary tract
Created by: ebadger
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