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Chronic Renal Failure Case Study
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Chronic Renal Failure Case Study

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Questions and Answers

What is the term associated with which of the following urological conditions?

  • testicular torsion (correct)
  • paraphimosis
  • hydrocele
  • priapism
  • What is a common side effect of prescribing an alpha-adrenergic blocking agent to a patient with BPH?

  • stress incontinence
  • development of prostate cancer
  • postural hypotension (correct)
  • hydrocele
  • How long does it take for a spermatogonium to complete its maturation into a spermatozoa in the testis?

  • 70 days (correct)
  • 7 weeks
  • 7 days
  • 70 hours
  • What happens to bicarbonate reabsorption in the kidney during metabolic acidosis?

    <p>it is decreased</p> Signup and view all the answers

    What is the likely pathological basis for a presentation of oedema of the face and ankles with 4+ proteinuria?

    <p>a marked increase in cellularity of the glomerulus</p> Signup and view all the answers

    Which of the following conditions is associated with epididymitis?

    <p>hydrocele</p> Signup and view all the answers

    What is the effect of metabolic acidosis on urinary acidity?

    <p>it is increased</p> Signup and view all the answers

    What is the term associated with which of the following urological conditions?

    <p>paraphimosis</p> Signup and view all the answers

    What is the likely cause of the 41-year-old female's symptoms?

    <p>metabolic acidosis</p> Signup and view all the answers

    What is the most likely source of the 56-year-old woman's anaemia?

    <p>chronic renal failure</p> Signup and view all the answers

    What is the 27-year-old man with sickle cell anaemia at risk of developing?

    <p>priapism</p> Signup and view all the answers

    What is commonly seen in the urinary sediment of patients with urinary tract cancer?

    <p>transitional epithelial cells</p> Signup and view all the answers

    Which of the following requires immediate surgery as a differential diagnosis of a groin mass?

    <p>testicular torsion</p> Signup and view all the answers

    What is the likely cause of the 41-year-old female's fatigue?

    <p>chronic renal failure</p> Signup and view all the answers

    What is the likely cause of the 56-year-old woman's haematuria?

    <p>urinary tract cancer</p> Signup and view all the answers

    What is associated with chronic renal failure and anaemia?

    <p>chronic renal failure</p> Signup and view all the answers

    Study Notes

    Renal Failure Complications

    • A 41-year-old female with chronic renal failure presents with confusion, fatigue, and headache due to hyperkalemia (potassium level: 6.8 mmol/L).
    • Hyperkalemia is a likely cause of her symptoms.

    Anaemia in Diabetes

    • A 56-year-old woman with diabetes and chronic renal failure presents with fatigue and anaemia.
    • Chronic renal failure is the most likely source of her anaemia.

    Sickle Cell Anaemia Complications

    • A 27-year-old man with sickle cell anaemia is at risk of developing priapism.

    Urinary Tract Cancer

    • Large quantities of transitional epithelial cells in urinary sediment are seen in patients with urinary tract cancer.

    Groin Mass Differential Diagnoses

    • Incarcerated hernia requires immediate surgery.
    • Other differential diagnoses include cryptorchidism, epididymitis, hydrocele, and psoas abscess.

    Urological Conditions

    • "Bell clapper" deformity is associated with testicular torsion.

    Treatment of BPH

    • Alpha-adrenergic blocking agents can cause postural hypotension as a common side effect.

    Spermatogenesis

    • It takes approximately 70 days for a spermatogonium to complete its maturation into a spermatozoa in the testis.

    Renal Metabolism/Excretion

    • In metabolic acidosis, urinary acidity is increased and bicarbonate reabsorption is decreased.

    Oedema and Proteinuria

    • A 45-year-old woman presents with oedema and proteinuria due to an abnormality of the glomerular basement membrane.

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    Quiz Team

    Description

    A 41-year-old female with chronic renal failure presents to the emergency department with confusion, fatigue, and headache. What is the most likely cause of her symptoms?

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