Chapter 27

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Questions and Answers

Which of the following is a characteristic of renal colic pain associated with kidney stones?

  • Mild discomfort relieved by over-the-counter pain medication
  • Sudden, severe pain that may radiate (correct)
  • Dull, constant ache in the lower back
  • Sharp pain localized to the point of obstruction

Kidney stones always present with noticeable symptoms, regardless of their location or size.

False (B)

What is the term for the presence of blood in the urine, a common sign of kidney stones?

Hematuria

The term for excessive sweating, often experienced alongside nausea and vomiting in individuals with kidney stones, is called __________.

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

If a kidney stone is stationary, what term describes the state where the patient does not experience any symptoms?

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

What are the 5 signs of ureteral stones

<p>intense renal colic pain, N/V, diaphoresis, hematuria</p> Signup and view all the answers

What is the most common type of renal calculi?

<p>calcium stones (calcium oxalate or calcium phostphase)</p> Signup and view all the answers

Besides calcium stones, what other types of renal calculi are there? (Select all that apply)

<p>Struvite (B), Cystine (C), Uric acid (A)</p> Signup and view all the answers

The three risk factors for renal calculi are supersaturation of solutes, high urine volume, and abnormal pH

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

What is the primary characteristic of Polycystic Kidney Disease (PKD)?

<p>Formation of fluid-filled cysts in the kidneys (C)</p> Signup and view all the answers

Autosomal recessive Polycystic Kidney Disease typically manifests with symptoms appearing later in life.

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

Name three common symptoms associated with Polycystic Kidney Disease.

<p>Hypertension, pain, decreased urine concentration ability</p> Signup and view all the answers

Autosomal __________ Polycystic Kidney Disease is the most common type, with symptoms appearing later in life.

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

Match the type of Polycystic Kidney Disease with its characteristics:

<p>Autosomal Recessive = Evident at birth, causes enlarged kidneys, respiratory distress, severe hypertension. Autosomal Dominant = Most common, symptoms appear later in life, causes multiple cysts in the kidneys and possibly the liver.</p> Signup and view all the answers

Polycystic Kidney Disease is never genetically transmitted.

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

What is a common symptom associated with autosomal recessive Polycystic Kidney Disease?

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

What is the primary cause of glomerulonephritis?

<p>Immune response to triggers, leading to inflammation in the glomeruli (B)</p> Signup and view all the answers

Inflammation in glomerulonephritis leads to an increase in the glomerular filtration rate (GFR).

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

List five common clinical manifestations/symptoms of acute glomerulonephritis.

<p>Proteinuria, oliguria, edema, azotemia, hypertension</p> Signup and view all the answers

Post-infectious acute glomerulonephritis often follows throat or _____ infections and is most common in ____.

<p>skin, kids</p> Signup and view all the answers

What change in urine color might be indicative of glomerulonephritis?

<p>Smoky or coffee-colored (C)</p> Signup and view all the answers

Chronic glomerulonephritis is a rapidly resolving condition that does not typically lead to long-term kidney damage.

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

Name three common symptoms associated with chronic glomerulonephritis.

<p>Proteinuria, hematuria, declining kidney function</p> Signup and view all the answers

What is the end-stage consequence of progressive chronic glomerulonephritis?

<p>End-stage renal disease characterized by sclerosis and fibrosis of the kidney (A)</p> Signup and view all the answers

Inflammation from glomerulonephritis results in lysosomal degradation of the basement membrane.

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

Which of the following is the most common type of renal cancer?

<p>Renal cell carcinoma (A)</p> Signup and view all the answers

What 3 specific symptoms related to urine are often associated with later stages of renal cancer?

<p>Hematuria, CVA tenderness, palpable abdominal mass</p> Signup and view all the answers

The surgical procedure involving the removal of the kidney is called a ______.

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

Which symptom is associated with CVA tenderness?

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

Match the following terms with their descriptions:

<p>Hematuria = Blood in urine Nephrectomy = Kidney removal CVA tenderness = Flank pain Renal Cell Carcinoma = Most common type of kidney cancer</p> Signup and view all the answers

Which of the following are risk factors for renal cancer? (select all that apply)

<p>smoking (A), obesity (B), hypertension (C), genetics (D)</p> Signup and view all the answers

What is the primary cause of acute pyelonephritis?

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

What causes chronic pyelonephritis?

<p>Reflux or obstruction causing urine stasis (A)</p> Signup and view all the answers

what is pyelonephritis?

<p>kidney infection</p> Signup and view all the answers

Acute pyelonephritis can lead to chronic kidney disease.

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

What are the 6 symptoms of acute pyelonephritis? CANVCF

<p>CVA tenderness, anorexia, N/V, chills, fever</p> Signup and view all the answers

what are the 4 symptoms of chronic pyelonephritis? MAFA

<p>malaise, abdominal/flank pain, fever, anorexia</p> Signup and view all the answers

Pregnancy is a risk factor for acute pyelonephritis.

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

Flashcards

Renal Colic Pain

Sudden, severe pain caused by kidney stones, may radiate.

Hematuria

Blood in the urine.

Nausea, Vomiting, Diaphoresis

Feeling sick, throwing up, and sweating.

Kidney Stone Symptoms

Kidney stones may not cause symptoms when stationary, but do when moving.

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Polycystic Kidney Disease (PKD)

A genetically transmitted renal disorder where fluid-filled cysts develop, possibly localizing in one area.

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Autosomal Recessive PKD

A type of PKD evident at birth, causing enlarged kidneys, respiratory distress, and severe hypertension.

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Autosomal Dominant PKD

A common type of PKD where symptoms appear later in life, leading to multiple cysts in kidneys and possibly the liver.

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PKD Symptoms

Elevated blood pressure, pain, and decreased ability to concentrate urine.

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Glomerulonephritis

Inflammation of the glomeruli in the kidney, often triggered by an immune response.

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Glomerular Inflammation Results In

Lysosomal degradation of the basement membrane, leads to a reduced GFR.

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Acute Glomerulonephritis Symptoms

Proteinuria (protein in urine), oliguria (low urine output), azotemia (waste buildup), edema, hypertension.

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Post-infectious Acute Glomerulonephritis

Often follows throat or skin infections, common in children.

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Chronic Glomerulonephritis Progression

A progressive condition leading to end-stage renal disease (sclerosis and fibrosis of the kidney).

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Chronic Glomerulonephritis Symptoms

Persistent proteinuria, hematuria, and declining kidney function.

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Chronic glomerulonephritis

Progressive condition that leads to end-stage renal disease, causing sclerosis and fibrosis of the kidneys.

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Urine Appearance in Glomerulonephritis

Smoky or coffee-colored.

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Renal Cell Carcinoma

The most prevalent form of kidney cancer.

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Renal Cancer Risk Factors

Factors such as smoking, obesity, hypertension, and genetics elevate the likelihood of developing kidney cancer.

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Hematuria (in Renal Cancer)

Blood present in the urine, a common sign of renal issues.

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CVA Tenderness

Tenderness upon touching the area between the ribs and hip, indicating potential kidney problems.

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Palpable Abdominal Mass

An abnormal lump that can be felt in the abdomen, potentially indicative of a tumor.

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Nephrectomy

Surgical removal of the kidney, a primary treatment for renal cancer.

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Study Notes

  • Renal Cancer (CSlides 13-140)
  • Most common type: Renal Cell Carcinoma

Risk Factors

  • Smoking
  • Obesity
  • Hypertension
  • Genetic factors

Symptoms (often late-stage)

  • Hematuria (blood in urine)
  • CVA tenderness (flank pain)
  • Palpable abdominal mass

Treatment

  • Nephrectomy (kidney removal)
  • Glomerulonephritis CSlides 36-430
  • Glomerulonephritis is caused by an immune response that triggers inflammation in the glomeruli
  • Inflammation results in lysosomal degradation of the basement membrane and decreased glomerular filtration rate (GFR)

Acute Glomerulonephritis Symptoms

  • Clinical manifestations: proteinuria, oliguria (low urine output), azotemia (waste buildup), edema, and hypertension
  • Post-infectious acute glomerulonephritis often follows throat or skin infections and is most common in children
  • Urine may be smoky or coffee-colored

Chronic Glomerulonephritis

  • The progressive nature of chronic glomerulonephritis leads to end-stage renal disease (sclerosis and fibrosis of the kidney)
  • Symptoms include persistent proteinuria, hematuria, and declining kidney function

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