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HM2 renal diseases

HM2 lilk8tob Renal diseases

A bladder infection Cystitis
S&S: Frequency, urgency, dysuria, hesitancy, low back pain, nocturia Cystitis
Tests for Cystitis urinalysis, culture (if complicated), cytoscopy (if more than three / year)
Kidney stones Urolithiasis
Enlargement of ureter from stone blocking it Hydroureter
Stones in the ureter Urolithiasis
Enlargement of kidney from urine blockage Hydronephrosis
The major manifestation of stones (extreme pain) Renal colic
Tests for stones/blockage microscopic exam of urine, UA, C&S, pH, IVP, KUB, ultrasound
This is inherited; abd. pain, HTN, increased abd girth, constipation, bloody urine, risk of berry aneurysm, waste sodium PKD (polycystic kidney disease)
Tests if have hydronephrosis or hydroureter urinalysis (proteinuria, hematuria), BUN & Creatinine, CT, MRI of kidney
Infection of kidney caused by organisms ascending from the lower urinary tract Pyelonephritis
Tests if have pyelonephritis urinalysis (+leukocyte esterase + nitrate dipstick test), presence of WBC, Bacteria, fever
Renal disorders caused by an immunological reaction- results in proliferative and inflammatory changes within the glomerular structure Acute Glomerulonephritis (GN)
Tests for Acute Glomerulonephritis (GN) urinalysis (hematuria, WBC, proteinuria, casts), 24 hour urine collection for GFR & creat. clearance, Blood, skin and throat cultures
This infection commonly follows Strep Acute Glomerulonephritis (GN)
This develops over 20-30 years. Glomerular damage allows protein to enter the urine; acidosis Chronic Glomerulonephritis (GN)
Tests for Chronic Glomerulonephritis (GN) renal biopsy (in early stages when proteinuria or hematuria is 1st present)
Increased glomerular permeability that allows larger molecules to pass into urine- causes massive loss of protein, edema, and low plasma albumin. This is an immune or inflammatory process Nephrotic Syndrome (NS)
Tests for Nephrotic Syndrome (NS) Renal biopsy is crucial- Must ID problem and fix it so it doesn't lead to ESRD
The thickening of the nephrom blood vessels, leading to narrowing of the vessel lumen -> decreased blood flow -> ischemia & fibrosis. HTN, atherosclerosis & diabetes Nephrosclerosis
Microvascular disease- persistent albuminuria Diabetic nephropathy
Tests for Diabetic nephropathy Monitor blood glucose & have yearly eye exam
Loss of urine concentrating ability Hyposthenuria
This causes overflow UI. Frequency, nocturia, hesitancy, hematuria, low force of urine stream, postvoid dribbling, bladder distention Benign Prostatic Hyperplasia (BPH)
Tests for BPH DRE, WBC, Low hemoglobin, HCT, Increased PSA (if have prostate cancer), urodynamic studies, cytourethroscope, flow rate analysis, bladder scan
After this procedure, client excretes urine w/ bowel movements Sigmoidostomies
After this procedure, client has pouch w/ continent stoma- pt self-caths urine Ileal reservoir
After this procedure, urine is directed to skin surface. Must wear a bag Ureterostomies
After this procedure, collect urine in intestine, goes to pouch on outside Conduit
Created by: lilk8tob