CKD
phritic, phrotic
Crystal gems
In your genes
Miscellaneous
100
GFR 60-89 ml/min/1.73m2 is categorized as...
Stage G2
100
Hallmark features of the nephrotic syndrome include a urine protein excretion of > ________, as well as hypoalbuminemia, hypercholesterolemia, and edema.
3500mg/24h
or a urine protein-creatinine ratio >3500mg/g
100
Calcium oxalate
Envelope; dumbbell; needle
Associated with hypercalciuria, hyperoxaluria, ethylene glycol poisoning.
100
This most common inherited kidney disorder can involve intracranial cerebral aneurysm, MVP, hepatic cysts, and diverticulosis
Autosomal dominant polycystic kidney disease
100
With ambulatory blood pressure monitoring, normal BP includes a 24-hour average BP of...
<115/75mmHg
(daytime average <120/80; nighttime average <100/65)
200
CKD is defined as abnormal kidney structure or function present for greater than _______ months.
3
200
__________ is the most common form of the nephrotic syndrome in black patients.
FSGS
The prevalence in the US is more than 20,000 patients, with a yearly incidence of approximately 5,000 newly diagnosed cases per year.
200
Uric acid
Rhomboid; needle; rosette; barrels; hexagonal plates
Associated with hyperuricemia; gout; diabetes mellitus; obesity; tumor lysis syndrome; urine pH <6.0
200
This noncystic kidney disorder is associated with conical deformation of the lens, as well as sensorineural hearing loss.
Hereditary nephritis (aka Alport syndrome)
This is a collagen type IV-related nephropathy
200
True or False
The live attenuated Influenza vaccine should be administered annually to patients with ESRD
False
Patients with ESRD should only receive the inactivated influenza vaccine due to risks associated with the live vaccines in immunocompromised patients.
300
GFR 30-44 ml/min/1.73m2
G3b
300
__________ is the most common cause of the nephrotic syndrome in children.
Minimal change glomerulonephropathy (aka minimal change disease).
300
Calcium phosphate
Prism; needle; star-like clumps
Associated with distal renal tubular acidosis; urine pH >6.5; tumor lysis syndrome; acute phosphate nephropathy.
300
This X-lined recessive disorder is caused by an inborn error of glycophospholipid metabolism caused by deficiency of alpha-galactosidase A.
Fabry Disease
Progressive kidney disease, premature CAD, severe neuropathic pain, telangiectasias, angiokeratomas.
300
IV potassium can safely be infused peripherally at a rate of...
20mEq/h
Infusion through a central vein can be increased to 40mEq/h with close monitoring.
400
GFR 15-29 ml/min/1.73m2
G4
400
The diagnosis of glomerulonephritis is traditionally made by...
Kidney biopsy.
Serologic testing can aid in the diagnosis.
400
Cystine
Hexagonal morphology
Associated with cystinuria.
400
This autosomal dominant kidney disorder is characterized by tumors in many organs, primarily in the brain, eyes, heart, kidney, skin, and lungs. Renal angiomyolipomas occur in 75% of patients with this.
Tuberous Sclerosis Complex
400
Initial ECG manifestations with hyperkalemia include...
peaked precordial T waves and a shortened QT interval.
(With further progression, will see lengthening of the PR interval, loss of the P wave, widening of the QRS complex, a sine wave pattern, and then possible asystole)
500
G3a has a GFR range of...
45-59ml/min/1.73
500
Kidney biopsy in ___________ disease shows a crescentic glomerulonephritis on light microscopy and pathognomonic linear staining for IgG along the glomerular capillaries.
anti-GBM
Serologic testing for anti-GBM Abies is performed at time of diagnosis
500
Struvite (magnesium ammonium phosphate)
Coffin-lid morphology
Associated with alkaline urine due to chronic UTI with urease-producing organisms
500
This primarily autosomal dominant disorder is associated with type IV collagen variants causing GBM thinning, which results in hematuria without significant proteinuria or ensuing glomerulosclerosis.
Thin glomerular basement membrane disease (benign familial hematuria).
500
Gadolinium contrast used in MRI is associated with risk for ____________ and must be avoided in patients with an eGFR < ____________.
Nephrogenic Systemic Fibrosis (NSF); 30 ml/min/1.73m2