Podcast
Questions and Answers
What is the primary cause of acute tubular necrosis?
What is the primary cause of acute tubular necrosis?
- Ischemia
- Nephrotoxins
- Both Ischemia and Nephrotoxins (correct)
- None of the above
Which of the following is the most common cause of prerenal AKI?
Which of the following is the most common cause of prerenal AKI?
- Liver Failure
- Heart Failure
- Volume Depletion (correct)
- Dehydration
What are the three main types of acute kidney injury?
What are the three main types of acute kidney injury?
The three main types of acute kidney injury are prerenal, postrenal, and intrinsic/intrarenal.
What is the most common cause of acute tubular necrosis?
What is the most common cause of acute tubular necrosis?
What is the most common cause of ischemic ATN?
What is the most common cause of ischemic ATN?
What is the most common cause of prerenal AKI?
What is the most common cause of prerenal AKI?
What is the most common cause of postrenal AKI?
What is the most common cause of postrenal AKI?
Acute pyelonephritis is most commonly caused by hematogenous spread.
Acute pyelonephritis is most commonly caused by hematogenous spread.
What are the hallmark symptoms of acute pyelonephritis?
What are the hallmark symptoms of acute pyelonephritis?
What are the common causes of chronic pyelonephritis?
What are the common causes of chronic pyelonephritis?
Which of the following is NOT a type of incontinence?
Which of the following is NOT a type of incontinence?
Match the following types of incontinence with their descriptions:
Match the following types of incontinence with their descriptions:
What is the most common cause of interstitial cystitis?
What is the most common cause of interstitial cystitis?
Autosomal dominant polycystic kidney disease is a more common type than autosomal recessive polycystic kidney disease.
Autosomal dominant polycystic kidney disease is a more common type than autosomal recessive polycystic kidney disease.
Benign prostatic hyperplasia is a premalignant condition.
Benign prostatic hyperplasia is a premalignant condition.
Testicular torsion is a medical emergency.
Testicular torsion is a medical emergency.
What is the most common cause of epididymitis in men older than 35 years?
What is the most common cause of epididymitis in men older than 35 years?
What is the most common type of renal cancer?
What is the most common type of renal cancer?
Which of the following is NOT a risk factor for renal cell carcinoma?
Which of the following is NOT a risk factor for renal cell carcinoma?
Glomerulopathies are the most common cause of ESRD.
Glomerulopathies are the most common cause of ESRD.
Which of the following is NOT a cause of secondary glomerulopathies?
Which of the following is NOT a cause of secondary glomerulopathies?
Vesicoureteral reflux is a serious congenital anomaly.
Vesicoureteral reflux is a serious congenital anomaly.
What is the most common cause of obstructive uropathy?
What is the most common cause of obstructive uropathy?
Which of the following is a hallmark feature of chronic pyelonephritis?
Which of the following is a hallmark feature of chronic pyelonephritis?
Acute pyelonephritis is usually unilateral.
Acute pyelonephritis is usually unilateral.
Chronic pyelonephritis is generally caused by bacterial infection.
Chronic pyelonephritis is generally caused by bacterial infection.
Acute pyelonephritis is a more severe form of pyelonephritis than chronic pyelonephritis.
Acute pyelonephritis is a more severe form of pyelonephritis than chronic pyelonephritis.
Which of the following is NOT a common cause of urinary tract infections (UTIs) in women?
Which of the following is NOT a common cause of urinary tract infections (UTIs) in women?
What is the most common cause of Wilms tumor?
What is the most common cause of Wilms tumor?
Nocturnal enuresis
Nocturnal enuresis
What is the main factor that causes the basement membrane to degrade in acute glomerulonephritis?
What is the main factor that causes the basement membrane to degrade in acute glomerulonephritis?
Chronic glomerulonephritis is generally caused by lesions and sclerotic injury.
Chronic glomerulonephritis is generally caused by lesions and sclerotic injury.
Prostatitis is an inflammation of the prostate gland.
Prostatitis is an inflammation of the prostate gland.
What is the most common cause of acute bacterial prostatitis?
What is the most common cause of acute bacterial prostatitis?
Which of the following is NOT a common symptom of chronic prostatitis?
Which of the following is NOT a common symptom of chronic prostatitis?
What is the most common cause of Peyronie's disease?
What is the most common cause of Peyronie's disease?
Cryptorchidism is a condition in which one or both testicles fail to descend into the scrotum.
Cryptorchidism is a condition in which one or both testicles fail to descend into the scrotum.
Which of the following is NOT a risk factor for testicular cancer?
Which of the following is NOT a risk factor for testicular cancer?
What is the most common type of endometrial cancer?
What is the most common type of endometrial cancer?
Which of the following HPV types is MOST associated with cervical cancer?
Which of the following HPV types is MOST associated with cervical cancer?
All cases of cervical cancer are caused by HPV infection.
All cases of cervical cancer are caused by HPV infection.
Cervical cancer is the most common type of cancer in women.
Cervical cancer is the most common type of cancer in women.
What is the most effective way to prevent cervical cancer?
What is the most effective way to prevent cervical cancer?
Which of the following is a common symptom of endometriosis?
Which of the following is a common symptom of endometriosis?
What is the most common site of endometriosis?
What is the most common site of endometriosis?
What is the most common cause of dysfunctional uterine bleeding (DUB)?
What is the most common cause of dysfunctional uterine bleeding (DUB)?
Endometriosis is a common cause of infertility.
Endometriosis is a common cause of infertility.
Leiomyomas are a type of cancer.
Leiomyomas are a type of cancer.
Uterine fibroids are hormonally sensitive.
Uterine fibroids are hormonally sensitive.
Fibroadenomas are a type of cancer.
Fibroadenomas are a type of cancer.
Fibroadenomas are more common in women in their 20s and 30s.
Fibroadenomas are more common in women in their 20s and 30s.
Cervicitis is an inflammation of the cervix.
Cervicitis is an inflammation of the cervix.
Lactobacilli play a role in preventing vaginal infections.
Lactobacilli play a role in preventing vaginal infections.
Polycystic ovary syndrome (PCOS) is the most common cause of dysfunctional uterine bleeding.
Polycystic ovary syndrome (PCOS) is the most common cause of dysfunctional uterine bleeding.
Which of the following is NOT a characteristic of PCOS?
Which of the following is NOT a characteristic of PCOS?
Pelvic inflammatory disease (PID) is an infection of the fallopian tubes and ovaries.
Pelvic inflammatory disease (PID) is an infection of the fallopian tubes and ovaries.
PID is most commonly caused by sexually transmitted infections.
PID is most commonly caused by sexually transmitted infections.
Endometriosis is a common cause of pelvic pain.
Endometriosis is a common cause of pelvic pain.
Endometriosis is more common in women who have never had children.
Endometriosis is more common in women who have never had children.
Lichen sclerosus is a premalignant condition.
Lichen sclerosus is a premalignant condition.
Endocervical polyps are always benign.
Endocervical polyps are always benign.
The menstrual cycle is regulated by hormones.
The menstrual cycle is regulated by hormones.
Ovulation occurs on day 14 of the menstrual cycle.
Ovulation occurs on day 14 of the menstrual cycle.
The corpus luteum produces progesterone.
The corpus luteum produces progesterone.
Metrorrhagia is abnormal bleeding between menstrual periods.
Metrorrhagia is abnormal bleeding between menstrual periods.
Oligomenorrhea is infrequent menstruation.
Oligomenorrhea is infrequent menstruation.
Dysmenorrhea is painful menstruation.
Dysmenorrhea is painful menstruation.
Primary dysmenorrhea is caused by a underlying medical condition.
Primary dysmenorrhea is caused by a underlying medical condition.
Secondary dysmenorrhea is caused by an underlying medical condition.
Secondary dysmenorrhea is caused by an underlying medical condition.
Ovarian cysts are always cancerous.
Ovarian cysts are always cancerous.
Follicular cysts are the most common type of ovarian cyst.
Follicular cysts are the most common type of ovarian cyst.
A luteal cyst is a type of ovarian cyst that forms after ovulation.
A luteal cyst is a type of ovarian cyst that forms after ovulation.
Polycystic ovary syndrome is a common cause of infertility.
Polycystic ovary syndrome is a common cause of infertility.
Which of the following is NOT a characteristic of polycystic ovary syndrome (PCOS)?
Which of the following is NOT a characteristic of polycystic ovary syndrome (PCOS)?
Fibroadenomas are more likely to be found in women who are taking hormone replacement therapy.
Fibroadenomas are more likely to be found in women who are taking hormone replacement therapy.
Fibroadenomas typically grow rapidly.
Fibroadenomas typically grow rapidly.
Fibroadenomas are always benign.
Fibroadenomas are always benign.
Most cases of cervical cancer are caused by HPV infection.
Most cases of cervical cancer are caused by HPV infection.
HPV vaccination is a very effective way to prevent cervical cancer.
HPV vaccination is a very effective way to prevent cervical cancer.
Regular cervical cancer screenings can help to detect early signs of cervical cancer.
Regular cervical cancer screenings can help to detect early signs of cervical cancer.
Endometriosis is a condition in which the lining of the uterus grows outside of the uterus.
Endometriosis is a condition in which the lining of the uterus grows outside of the uterus.
Endometriosis is a common cause of pelvic pain.
Endometriosis is a common cause of pelvic pain.
Flashcards
Acute Kidney Injury (AKI)
Acute Kidney Injury (AKI)
Sudden decline in kidney function, causing waste buildup in the blood and fluid/electrolyte imbalance.
Prerenal AKI
Prerenal AKI
AKI caused by reduced blood flow to the kidneys, often due to low blood volume or severe dehydration.
Intrinsic/Intrarenal AKI
Intrinsic/Intrarenal AKI
AKI due to direct damage within the kidney itself; often from inflammation or obstructed blood vessels within the kidney.
Postrenal AKI
Postrenal AKI
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Acute Tubular Necrosis (ATN)
Acute Tubular Necrosis (ATN)
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Nephrotic Syndrome
Nephrotic Syndrome
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Nephritic Syndrome
Nephritic Syndrome
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Pyelonephritis
Pyelonephritis
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Polycystic Kidney Disease (PKD)
Polycystic Kidney Disease (PKD)
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Benign Prostatic Hyperplasia (BPH)
Benign Prostatic Hyperplasia (BPH)
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Testicular Torsion
Testicular Torsion
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Epididymitis
Epididymitis
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Phimosis
Phimosis
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Paraphimosis
Paraphimosis
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Wilms tumor
Wilms tumor
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Nocturnal enuresis
Nocturnal enuresis
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Glomerulonephritis
Glomerulonephritis
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Prostatitis
Prostatitis
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Peyronie's Disease
Peyronie's Disease
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Renal Cell Carcinoma
Renal Cell Carcinoma
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Glomerulopathies
Glomerulopathies
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Vesicoureteral Reflux (VUR)
Vesicoureteral Reflux (VUR)
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Obstructive Uropathy
Obstructive Uropathy
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Nephrolithiasis
Nephrolithiasis
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Breast Cancer
Breast Cancer
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Fibrocystic Breasts
Fibrocystic Breasts
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STI (Sexually Transmitted Infection)
STI (Sexually Transmitted Infection)
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Dysfunctional Uterine Bleeding (DUB)
Dysfunctional Uterine Bleeding (DUB)
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Endometriosis
Endometriosis
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Uterine Fibroids
Uterine Fibroids
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Cervical Cancer
Cervical Cancer
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Septate Vagina
Septate Vagina
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Dysmenorrhea
Dysmenorrhea
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PCOS (Polycystic Ovary Syndrome)
PCOS (Polycystic Ovary Syndrome)
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PID (Pelvic Inflammatory Disease)
PID (Pelvic Inflammatory Disease)
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Acute Kidney Injury (AKI)
Acute Kidney Injury (AKI)
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Prerenal AKI
Prerenal AKI
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Intrinsic/Intrarenal AKI
Intrinsic/Intrarenal AKI
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Postrenal AKI
Postrenal AKI
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Acute Tubular Necrosis (ATN)
Acute Tubular Necrosis (ATN)
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Nephrotic Syndrome
Nephrotic Syndrome
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Nephritic Syndrome
Nephritic Syndrome
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Pyelonephritis
Pyelonephritis
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Polycystic Kidney Disease (PKD)
Polycystic Kidney Disease (PKD)
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Benign Prostatic Hyperplasia (BPH)
Benign Prostatic Hyperplasia (BPH)
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Testicular Torsion
Testicular Torsion
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Epididymitis
Epididymitis
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Phimosis
Phimosis
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Paraphimosis
Paraphimosis
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Wilms Tumor
Wilms Tumor
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Nocturnal Enuresis
Nocturnal Enuresis
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Glomerulonephritis
Glomerulonephritis
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Prostatitis
Prostatitis
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Peyronie's Disease
Peyronie's Disease
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Renal Cell Carcinoma
Renal Cell Carcinoma
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Glomerulopathies
Glomerulopathies
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Vesicoureteral Reflux (VUR)
Vesicoureteral Reflux (VUR)
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Obstructive Uropathy
Obstructive Uropathy
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Nephrolithiasis
Nephrolithiasis
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Breast Cancer
Breast Cancer
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Fibrocystic Breasts
Fibrocystic Breasts
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Sexually Transmitted Infections (STIs)
Sexually Transmitted Infections (STIs)
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Dysfunctional Uterine Bleeding (DUB)
Dysfunctional Uterine Bleeding (DUB)
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Endometriosis
Endometriosis
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Uterine Fibroids
Uterine Fibroids
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Cervical Cancer
Cervical Cancer
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Septate Vagina
Septate Vagina
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Dysmenorrhea
Dysmenorrhea
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Polycystic Ovary Syndrome (PCOS)
Polycystic Ovary Syndrome (PCOS)
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Pelvic Inflammatory Disease (PID)
Pelvic Inflammatory Disease (PID)
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Endometrial Cancer
Endometrial Cancer
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Metrorrhagia
Metrorrhagia
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Hypomenorrhea
Hypomenorrhea
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Oligomenorrhea
Oligomenorrhea
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Polymenorrhea
Polymenorrhea
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Study Notes
Acute Kidney Injury (AKI)
- AKI (formerly ARF) is a sudden reduction in kidney function.
- It causes accumulation of waste in the blood (BUN), and a disruption of fluid, electrolyte, and acid-base balances.
- Increased serum creatinine and decreased GFR are also observed.
- Classified by pathophysiology: prerenal, postrenal, and intrinsic/intrarenal.
Causes of AKI
- Prerenal:
- Hypovolemia (most common)
- Heart failure
- Hepatorenal syndrome
- Decreased cardiac output
- Cardiogenic shock, dysrhythmias, heart failure, MI
- Renal artery occlusion (large or medium vessel)
- Renal vein thrombosis
- Postrenal:
- Bladder outlet obstruction, tumors
- Renal calculi (kidney stones)
- Papillary necrosis
- Retroperitoneal fibrosis
- Intrinsic/Intrarenal:
- Small vessel disease
- Thrombotic microangiopathy
- Renal atheroembolism
- Small vessel vasculitis
- Glomerular disease (Anti-GBM disease, Lupus nephritis, Postinfectious glomerulonephritis, Infective endocarditis, Membranoproliferative glomerulonephritis, Cryoglobulinemia, IgA nephropathy/Henoch-Schönlein)
- Acute tubular necrosis (ATN) – Ischemia, Nephrotoxins, Rhabdomyolysis, Radiocontrast agents
- Acute interstitial nephritis (AIN) – Drugs, Infection, Systemic disease, Intratubular obstruction (casts, drugs)
Acute Kidney Injury - Prerenal AKI
- Reduced blood flow to kidneys.
- Volume depletion is the most common cause (hemorrhage, dehydration, burns).
- Decreased cardiac output can also cause prerenal AKI (cardiogenic shock, dysrhythmias, heart failure, MI).
- Other causes include occlusion/stenosis of renal artery, renal vein thrombosis, and certain drugs.
Acute Tubular Necrosis (ATN/ATI)
- Most common cause of acute kidney injury.
- Caused by ischemia or nephrotoxic substances (e.g., sepsis, drugs, contrast, rhabdomyolysis).
- Manifestations include reduced urine output, increased BUN/Cr, and oliguria.
Chronic Kidney Disease (CKD)
- Gradual loss of kidney function over months or years, eventually resulting in end-stage kidney disease.
Pyelonephritis
- Infection of the kidney's renal pelvis and parenchyma.
- Typically caused by ascending urinary tract infections (UTIs) with bacteria (often E. coli) or other microorganisms.
- Predisposing factors include vesicoureteral reflux, urinary obstruction, and immunocompromised states.
Acute Pyelonephritis
- Symptoms include sudden onset, fever, chills, pain, urinary urgency, and frequency
Nephrotic Syndrome
- Damage to the glomeruli increasing glomerular permeability to proteins.
- Most common cause in adults is DM.
- Characterized by marked proteinuria, hypoalbuminemia, hyperlipidemia, and edema.
Nephritic Syndrome
- Most common causes are immunologic diseases impacting the glomeruli.
- Characterized by hematuria, proteinuria, reduced glomerular filtration, azotemia, and hypertension.
Other Renal Conditions
- Postrenal failure
- Polycystic kidney disease (PKD)
- Interstitial cystitis
- Wilms tumor (kidney cancer in children)
- Testicular torsion
- Epididymitis (inflammation of the epididymis)
- Phimosis (tight foreskin, difficult retraction)
- Paraphimosis (foreskin trapped behind the penis)
- Renal cell carcinoma
Incontinence
- Stress incontinence: urine loss with increased intra-abdominal pressure
- Urge incontinence: Sudden leakage of urine, often with a sensation of urgency
- Mixed incontinence: Combination of stress and urge incontinence
- Overflow incontinence: Fluid buildup in the bladder and spontaneous leakage
- Functional Incontinence: Inability to reach the toilet in time
Pyelonephritis
- Inflammation of the tubules and interstitium and renal pelvis.
- Can develop from a UTI or other urinary tract problems.
Prostate conditions
- Benign Prostatic Hyperplasia (BPH): Non-cancerous enlargement of the prostate, frequently leading to urinary obstruction.
- Prostatitis: Inflammation of the prostate, often caused by infection.
Additional Information
- The provided notes contain a mixture of acute and chronic kidney conditions, which suggests a broader study resource, potentially part of a medical curriculum or exam preparation.
- A more detailed understanding of these conditions may require additional review of specific cases, treatments, and diagnostic factors to better analyze individual patient data.
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