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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 |