Renal Diseases PDF

Renal and Urogenital System Diseases Karen Gil MD, MHSN Congenital anatomical abnormalities Double collecting system (1: 150) Horseshoe kidney joined together Usually occurs in association of other genetic disease as 47;+18 Edward’s Syndrome HTN Mental retardation ↑ problems Duplication anomalies Su...

Renal and Urogenital System Diseases Karen Gil MD, MHSN Congenital anatomical abnormalities Double collecting system (1: 150) Horseshoe kidney joined together Usually occurs in association of other genetic disease as 47;+18 Edward’s Syndrome HTN Mental retardation ↑ problems Duplication anomalies Supernumerary collecting appear multiples systems usually functional functional unilateral or bilateral may involve the renal pelvis and ureters (accessory renal pelvis, double or triple pelvis and ureter), calyx, or ureteral functional orifice usually failing multiple Duplex kidneys maspositioned kidnap fused kidneys Surgery could are if not ~ , will be removed o 2 ureters , some can both or ~ ~ be one is ureters ~ surgery is difficult to separate Fusion Anomalies Horseshoe kidney difficult separate the most common the kidneys are joined, but the ureters enter the bladder on each side generally drain well functional surgery plc cannot Dic their easier to separate Cystic diseases of the kidney Simple cyst (acquired non significant) Polycystic disease of the newborn (AR)appears early recessive assoc To. ~ oliginia ~ notices hereditary lless when diseases quantity of baby not mind minating often Polycystic disease of the adult (AD) ~ ~ oliguia easies to dx autosomal dominant in life Common Symptoms of Renal Disease Urinary frequency? freg Urgency? Systemic conditions/diseases ? Pain? Hesitance Abnormal discharge? History of infections? History of STD?.? increased decreased - HiN - kidney can be assoc To. diseases /proteins can accumulate & ~ to not go blc present in Mine of pain sexual diseases can Dysmia white discharge-secution UTs , cystitis , pts from kidneys w/smaller bladdens stenosis Curetha small) of what so be cause careful in dx type of discharge Symptoms (KIDNEY) Dysuria Nocturia minatinge night Hematuria (macro & micro) analysis Obstruction Enuresis infection) Polyurea Anuria Oliguria painful glucose I uncontrolled DM) bi kidneys cannot filter all glicoll gurose will be minated Retones can also appear i n wine highes levels of glucos >400) X DM can also t : eschemia to tissues due to ~ - freg.? mination (commen in UMs) (assoc visible. to prostate problems / (bloodinmine) Z only dx by wine in Kidneys (diquia) in wethial change in mination white cold in bladde is a smooth muscle complete absence of wine patterns wine (severe - amia) (a) elevated leukocytes in cuine analysis Laboratory tests U/A mine analysis U/C urine culture (not allpts will get this common bacteria CMP of Creatinine clearance independent ~ frequent levels uis - oder minally culture it could show which organism is : causing E Coli. symptoms /susceptiblebala creatinine , albumin test L in HiNdiseases (commonto ask creatinine clearance a Urinalysis don't have to memorize the #S (SG) Specific gravity= between 1.002 and 1.035 pH = 4.5 – 8 Color = clear / yellow Proteins = 10mg/100cc or