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Renal Path (Goljan)
Question | Answer |
---|---|
Renal stone ass. with urease producers | Magnesium ammonium phosphate (Staghorn calculus) |
Horseshoe kidney trap under what artery? | Inferior Mesenteric Artery |
Oligohydramnios, Potter's facies, lung hypoplasia | Autosomal recessive Polycystic kidney disease |
Berry aneurysm, bilateral enlarged kidneys with cyst | Adult (Autosomal dominant) polycystic kidney disease |
Multiple cyst of collecting ducts, striations in medulla | Medullary sponge kidney |
Mitral valve prolapse, bilateral cystic kidneys | Adult PKD |
Episodic bouts of hematuria + GN | IgA glomerulopathy |
Subepithelial humps + GN | -Poststreptococcal GN -Diffuse membranous glomerulopathy |
Wire looping | Diffuse proliferative GN (SLE) |
Linear immunoflorescence | Goodpastures syndrome |
Cresent formation | Rapidly progreseive GN (Goodpastures, Wegeners, polyarteritis) |
Anti-basement membrane Ab | Goodpastures |
Nephrotic + Respond well to steroid | Minimal Change Disease |
Nephrotic + HIV | Focal Segmental Glomerulosclerosis |
Silver stain shows "spike and dome" beneath VEC | Diffuse membranous glomerulopathy |
Nephrotic + Hepatitis C | Type 1 MPGN |
Nephrotic + C3 nephritic factor | Type 2 MPGN |
Tram tracks | Membranoproliferative Glomerulonephritis |
Nodular masses in mesangial matrix | Diabetic glomerulopathy |
Fatty cast | Nephrotic syndrome |
RBC cast | Nephritic syndrome |
Waxy cast | Chronic Renal Failure |
Renal Tubular cell cast | Acute Tubular Necrosis (ATN) |
WBC cast | Acute pyelonephritis (APN), Drug-induced TIN |
Oval fat bodies | Nephrotic |
Fusion of podocytes | Minimal Change Disease |
Defect in alpha-5 subtype of type IV collagen in GBM | Alport's syndrome |
Hearing problem, eye problem, renal problem | Alport's syndrome |
List 4 causes of Chronic Glomerulonephritis | 1) RPGN 2) Focal Segmental GS 3) Type 1 MPGN 4) IgA GN |
Renal azotemia + aminoglycosides | Nephrotoxic ATN |
Fever + Flank pain + WBC cast | Acute pyelonephritis |
Grayish white abscess on cortex and medulla | Acute pyelonephritis |
Uniform dilation of calyces + Diffuse thinning of cortical tissues | Obstructive type Chronic Pyelonephritis |
U-shaped cortical scars above blunt calyx | Reflux type Chronic Pyelonephritis |
Thyroidization of Tubules | Chronic Pyelonephritis |
Drugs + fever, oliguria, rash | Drug induced TIN |
Eosinophiluria + Drugs | Drug induced TIN |
Acetaminophen + Aspirin What complication? | Causes Analgesic Nephropathy Complications : Renal papillary necrosis |
IVp : Ring defect | Renal Papillary Necrosis |
Prevention of urate nephropathy | Give Allopurinol before chemotherapy |
Small kidneys + Fine glanular cortical surface | Benign Nephrosclerosis (BNS) |
Flea bitten kidney | Malignant Hypertension |
Necrotizing arteriolitis in kidney | Malignant Hypertension |
Hyperplastic arteriolosclerosis in kidney | Malignant Hypertension |
BP >210/120 + Retinopathy | Malignant Hypertension |
Wedge-shaped pale infactions in cortex | Renal infarction |
Renal failure + pregnant woman | Diffuse cortical necrosis |
Colicky pain radiation to groin + hematuria | Renal stones |
Renal mass + von Hippel-Lindau Disease | Bilateral renal cell carcinoma |
Neutrophils in urine + Negative culture | 1) Chlamydia Trachomatis 2) Renal tuberculosis 3) ATN |
Michaelis-Gutmann bodies | Malacoplakia |
MCC of squamous cell carcinoma of bladder | Schistosoma hematobium |
MCC of Transitional cell carcinoma | 1) Smoking 2) Aniline dyes 3) Cyclophosphamide 4) Schistosoma hematobium |
Renal problem + undercooked beef + petechiae | Hemolytic-Uremic Syndrome |
Increased Mesangial Matrix | IgA Glomerulonephropathy + Diabetic Glomerulosclerosis |
Fever, flank pain, WBC cast Aetiological agent? | E.Coli |