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Renal
Renal Everything
| Question | Answer |
|---|---|
| What type of kidney stones form acidic urine? | Uric acid and cysteine stones |
| What type of kidney stones occur in context with UTI caused by Proteus? | Triple phosphate (magnesium, ammonia phos) occur with urease positive species like proteus |
| 70% of all kidney stone, neutral urine pH are what? | Calcium oxalate |
| What type of glomerularsclerosis is not responsive to steroids? | Focal segmental |
| Older man with back pain, pneumonia several times, pitting edema, proteinuria, normal albumin levels. Biopsy shows amorphous pink material in glomeruli, intertitium and arteries. What is it? | Multiple Myeloma. Back pain from lytic lesions, immunosuppression and amyloid deposition enlarging the kidneys |
| Elevated serum urea nitrogen, creatinine, small kidneys, coarsly granular appearance, sclerotic glomeruli, fibrotic interstitium and scattered lymphocytic infiltrates describes what? | End stage renal disease |
| An older woman has a mass on her urethra that is slowly enlarging, warty and ulcerating. What is it? | Squamous cell carcinoma |
| A young adult with celiac disease has red-brown urine then returns to normal color. A month later, it reoccurs with RBCs, and 200 mg protein in 24 hrs. What is it? | IgA nephropathy (Berger's disease). Recurrent hematuria in a young adult. Mesangial IgA deposition is present. |
| A young kid recovering from impetigo culures strep pyogenes. One week post tx with antibiotics he passes dark brown urine and elevated anti-streptolysin titer. What is the outcome? | Complete recovery. Post streptococcal glomerulonephritis is from Group A strep (different from rhumatic fever), most kids recover but 1% develop rapidly progressive glomerulonephritis. |