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| Question | Answer |
|---|---|
| what are other loops besides furosemide? | torsemide, ethacrynic acid (non sulfa), bumetanide |
| Other K+ sparing diuretics beside spironolactone? | amiloride, triamterene [these don't have anti-androgen affects] |
| ca wasting diuretics? ca sparing? | ca wasting= loops (high risk of stones). ca sparing= thiazides |
| chlorthalidone & metolazone are ______ diuretics | thiazides |
| how many bacteria in urine are needed for pyelonephritis diagnosis? | 10^5 bacteria/ml |
| pyelonephritis treatment? | cipro (oral)....if no improvement in 72h, use USG to look for cause, give IV amp/gent |
| How does bowel dz cause Ca Oxalate stones? | increased fat in gut binds the calcium. this leaves oxalate unbound, so it is reabsorbed. |
| Rx of Ca stones? | Hydration (not low Ca diet...in fact you can give increased Ca!) |
| How do you alkalanize urine for uric acid stone Rx? | NaHCO3 or NaCitrate |
| staghorn calculi = ? | UTI stone (proteus/klebsiella), give cipro |
| Diagnostic test for cystinuria stones | cyanide nitroprusside test |
| 1-2 cysts in kidney? | normal (more can be ADPKD) |
| Why are TTCs given in ADPKD? | they are vasopressin antagonists |
| unilateral varicocele (veins in scrotum) should alert you for suspicion of.... | RCC |
| What cancers cause raised EPO | RCC and HCC |
| AIN is a precursor to _____ | ATN or papillary necrosis (ATN=tubular necrosis, papillary= parenchymal necrosis) (duh, inflammation precedes necrosis) |
| AIN is associated with raised levels of what blood cell | eosinophils (one of the A's from NAAACP) |
| classic 4 features of AIN | fever, raised eosinophils, rash, raised Cr |
| AIN causes? | drugs (NSAIDS, thiazides, phenytoin, penicillins, allopurinal, Cd/Pb) |