Diuretics
Loop diuretic without sulfa component
Ethacrynic acid
This cells are involved in secretion of H
Alpha Intercalated Cell
Na: 120
Serum osmolality: 250
Urine osmolality: 85
Urine Na: 25
Please mention two causes:
Primary Polydipsia
Beer Potomania Syndrome
Dr. Robert Cade is famous for inventing...
Gatorade. Created in UF.
In a human born with 2 kidneys, if one of the kidneys is taken out, the body loses 45% of kidney function.
False. The body loses 25% of kidney function. Due to hypertrophy the remaining kidney sustain the body.
Hyperglycemia
Orthostatic hypotension
Hyponatremia
Hyperuricemia
Hypercalcemia
Thiazide diuretic
Insulin use
Vomiting
Diarrhea
Diuretic use
Bartter syndrome
What these have in common
Na: 120
Serum Osm: 255
Urine sodium: 40
Urine Osm: 250
Euvolemic
Please mention 3 situations to have this results
SIADH
Hypothyroidism
Adrenal Insufficiency
This famous nephrologist has been involved in clinical trials, medical education and is famous for leading as PD in a internal Medicine program in what some call the "Harvard of Central Florida"
Dr. Abdo Asmar
For children born with renal agenesis (i.e. one kidney), the lone kidney grows till it has the combined weight of two.
True. Each kidney weights around 80-160 grams
You want to keep diurising a patient but the patient has a bicarb of 36. What diuretic can you add...
Acetazolamide. It causes a hyperchloremic metabolic acidosis.
AKI
Uric acid: 15
K: 5.7
Ca: 6.5
Alb: 4.0
Phos: 8
Etiology:
Tumor Lysis Syndrome
Co2: 18
Urine Na: 100
Urine K: 25
Urine Cl: 180
Please mention to etiologies
Proximal RTA (Type II)
Diarrhea
Dr. Belding Scribner, a professor of medicine at the University of Washington, opened the first...
Dialysis clinic and created the first dialysis portable machine.
The kidneys receive more blood than all other organs except the liver.
True
60 yo patient with gfr of 22 comes to the clinic for BP control. His average BP is 150/85. His current medications are: Lisinopril 40mg, amlodipine 10mg, carvedilol 25mg BID and furosemide 40mg BID. Patient is euvolemic.
Would you add: clonidine, minoxidil, spironolactone, chlorthalidone or hydralazine?
Chlorthalidone
Initial correction of Na in a 24 hr period
4-6 mEq
Tell me 4 causes of red color urine
Gross hematuria
Medications
Beets
Rhabdomyolysis
Dr. Jean Hamburger is famous for...
For performing the first temporarily successful transplantation of a human kidney, in France, in 1953.
If the nephrons in the 2 kidneys are removed and laid end-to-end, they cover a distance of approximately 5 miles.
False. The distance is approximately 10 miles.
Maximum dose of lasix in a day
Maximum dose of metolazone for edema
600 and 20mg
Aldosterone causes Na to be absorbed and K to be excreted into the lumen by
Principal Cells
HCO2: 18
Serum K: 5.5
Urine pH: 5.0
UAG: +
Diagnosis
Type 4 RTA
Dr. Jayme lock is the lead transplant physician that…
transplanted a gene-edited pig’s two kidneys into the body of a person who had undergone brain death (the irreversible loss of all brain function) in a procedure designed to fully simulate clinical transplantation. Once inserted, the new kidneys sustained blood flow and even produced urine until the study ended 77 hours later.
A dutch doctor used sausage casing, orange juice cans, and a washing machine to invent an "artificial kidney" that predated dialysis.
True