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09 CAC Urology
Chapter 36 Urology, The Paramedic Will Chapleau
| Question | Answer |
|---|---|
| Acute Renal Failure | Deterioration of renal function over a period of hours or days, results in accumulation of metabolic waste products(notrogenous compounds in blood) |
| Etiologies of ARF, Pre-renal | Most common cause of ARF,any condition that decreases perfusion before blood reaches the kidneys such as shock.Fluid can also be lost if pooling in confined spaces aka Third Spacing.Causes(Hemorrhage,Sespsis,Stenosis) |
| Etioologies of ARF,Intrinsic | Diseases of Kidneys themselves,(HIV,Diabetes,Wegeners granulomatosis) |
| Etiologies of ARF,Post-reneal | Obstructive Renal Failure, caused by obstruction of urinary tract at any level(Kidney Stones,Prostate Cancer,Clots,Trauma,Polyps) |
| Organs of Genitourinary tract | Kidneys,Ureters,bladder,uretha,prostate,testicles. |
| Chronic Renal Failure | Disease by gradual permanent and irreversable loss of kidney function due to destruction of of the nephrons. |
| End Stage Renal Disease | Irreversable loss of reneal function |
| Rhabdomyolysis | Disintegration of the muscle when injured,can break down and release myoglobin into bloodstream which has a devastaing effect on the kidney and may cause renal failure. |
| Most common cause of death in ARF | Hyperkalemia |
| Signs of Hyperkalemia | Peaking T wave and shortening of QT interval and ST depression. As Serum rises changes may be followed by bundle branch block,flat p waves and increse PR interval. |
| Peritoneal Dialysis (Most common Type) | Silicone rubber catheter inserted into peritoneal cavity in abd wall. Dialysate fluid is ciculated and waste and fluids diffuse across peritoneum which acts as a filter. |
| Hernia | Protusion of an organ or other bodily structure through the wall that normally contains it. |
| Inguinal Hernia | Occurs in the inguinal or in your ball sack.. |