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 (B)</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 (C)</p> Signup and view all the answers

Which of the following conditions is associated with epididymitis?

<p>hydrocele (D)</p> Signup and view all the answers

What is the effect of metabolic acidosis on urinary acidity?

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

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

<p>paraphimosis (A)</p> Signup and view all the answers

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

<p>metabolic acidosis (B)</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 (C)</p> Signup and view all the answers

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

<p>priapism (D)</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 (C)</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 (C)</p> Signup and view all the answers

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

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

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

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

What is associated with chronic renal failure and anaemia?

<p>chronic renal failure (B)</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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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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