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Questions and Answers
What personal history factor could indicate a chronic kidney condition?
Which ultrasound finding is associated with chronic kidney disease?
Which symptom is NOT commonly associated with chronic kidney disease?
What is a key consideration when administering fluids to a patient with suspected kidney issues?
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Which of the following is a false statement regarding the treatment of kidney lesions?
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Study Notes
Differential Diagnosis Clues
- Personal history is a key indicator.
- Timeline is crucial: elevated creatinine for over three months points to chronic kidney disease.
- Ultrasound findings for chronic kidneys: small, hyperechogenic, indistinct cortex and medulla, and lack of parenchyma.
- Anemia is common, usually normocytic and normochromic due to lack of erythropoietin.
- Hypocalcemia can occur due to vitamin D deficiency.
Treatment
- Fluid therapy is essential.
- Intravenous or oral fluids should be administered depending on severity.
- Early and correct treatment can often reverse lesions and restore normal renal function within 24-48 hours.
- Monitoring crucial vital signs during fluid administration:
- Blood pressure
- Heart rate
- Oxygen saturation (to prevent congestion and pulmonary edema)
- Pulmonary auscultation (for crackles)
- Urine output
- Weight
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Description
This quiz focuses on the differential diagnosis clues and treatment protocols in nephrology, particularly concerning chronic kidney disease. Key aspects include personal history indicators, essential timelines, ultrasound findings, and critical treatment measures such as fluid therapy. Test your knowledge on monitoring vital signs and treatment effectiveness.
