KEKE
What genders urethra is longer?
Male
What is the name of the cancerous renal tumor in children?
Wilms tumor
Main s/s of UTI in children and also older population
fever with both children and elderly
elderly- new onset of confusion-> risk for falls
Tx for renal calculi
stones excreted in 2-4 weeks; or lithotripsy if stone is too large to pass
Stress UI vs. Urgency UI
Stress UI (coughing, sneezing- increase intra abdominal pressure). Urgency UI involuntary loss of urine associated with urgency
Where is a berrys aneurysm located
brain
Where is renal calculi pain (2 different areas)
Renal stone pain is fixed, ureteral stone pain radiates to groin
What can reduce the risk of bladder cancer by 50%
excessive fruit consumption
Patients with renal cystic disease commonly have cysts in the ____?
liver
Prevention of UTI
8 eightozglasses of water,urination after coitus, wiping front to back, Catheter care- keeping the tube free of kinks, collecting bag below the level of the bladder at all times, do not rest the bag on the floor
Main s/s of bladder cancer
PAINLESS hematuria
main s/s of pyelonephritis
murphy’s sign(pain at costovertebral angle)
Most common renal cystic disease
Autosomal dominant Polycystic kidney disease (ADPKD)
What muscles are affected in UI?
involuntary detrusor spasms,weakness in tone of PFM
relaxation of smooth mm at internal urethral sphincter and skeletal mm of external sphincter
What does Renal Cystic disease affect
Affects nephron and it cannot function correctly
Causes of Chronic Kidney Disease
overuse of NSAIDS, Diabetes, HTN, glomerulonephritis, PKD, repeated infection, SLE
What is a lithotripsy & what does it treat
a treatment, typically using ultrasound shock waves, by which a kidney stone or other calculus is broken into small particles that can be passed out by the body.
renal calculi
3 things renal calculi can be formed of
calcium 70%, uric acid stones 5% -10%, cysteine stone 1%
difference in 4 stages of renal cell carcinoma
1- less than 7 cm, localized, only within kidney
2- more than 7 cm, localized, only within kidney
3- any size, regional, within kidney parenchyma, blood vessels, or surrounding lymph nodes or fatty tissue
4- any size, metastatic, beyond kidney to adrenal glands or other organs
main s/s of renal calculi
colicky flank pain radiating to the groin or perineal area
Classic Triad for Renal Cancer
Flank pain, hematuria, and palpable mass
Difference between Nephrotic and Nephritic Syndrome in Glomerular Disease
Nephrotic syndrome : proteinuria( DM, amyloidosis)
Nephritic syndrome : hematuria( nephropathy IGA, lupisnephritis)
Difference between Acute and chronic pyelonephritis
Acute pyelonephritis- infection ascending from the bladder or other UTI or blood borne pathogens (endocarditis,milaryTB).
Chronic pyelonephritis- urinary obstruction, reflux nephropathy (vesicourethralreflux)
tx of Neurogenic Bladder
catheterization and medications.Botox injections, surgery to the detrusor, bladder training, biofeedback.
Cause of Glomerular Disease
antigen antibody complex attaches to the basement membrane in the glomerulus followed by inflammatory response