Renal Artery Dumbnosis
The ultimate reason for HTN seen in renal artery stenosis is this cascading effect.
What is activation of RAAS leading to secondary hyperaldosteronism?
This is the stroke that can present with aphasia (L) or hemineglect (R)?
What is an MCA stroke?
This heart murmur is best heard at the RUSB, but can radiate into the carotids.
What is aortic stenosis?
These occupations increase your risk for lead poisoning.
What are battery manufacturing, gun bearing, stained glass work, construction, and plumbing?
This organization is responsible for funding Dr. Wendell Tully’s research and ultimately exiling him.
What is Ominent?
These are 3 symptoms that could clue a doctor in that a patient has renal artery stenosis.
What are:
1. Refractory HTN
2. Early onset HTN
3. Flash pulmonary edema
4. Abdominal bruit
5. Unexplained AKI after starting ACEi/ARB
This is the stroke that presents with contralateral leg weakness, personality changes, and urinary incontinence.
What is an ACA stroke?
This diastolic heart murmur is best heard at the LLSB, commonly caused by rheumatic heart disease.
What is tricuspid stenosis?
These 2 non-occupational hazards increase your risk for lead poisoning.
What are homemade booze and imported cosmetics?
This insect, found in the Upper Yard, is weak to salt and drops Tough Gunk when defeated.
What is the black ox beetle?
These radiographies are the top choices for evaluating renal artery stenosis.
What are US --> CTA/MRA --> renal arteriography (gold standard)?
This is the stroke that presents with ipsilateral facial pain and temperature loss, but contralateral body pain and temperature loss.
What is a PICA stroke (Wallenberg syndrome)?
This holosystolic murmur tends to radiate into the axilla.
What is mitral regurgitation?
These 3 symptoms are potentially concerning for lead poisoning.
What are:
1. Abdominal pain & constipation
2. Peripheral neuropathy
3. Microcytic anemia w/ basophilic stippling
4. Hyperuricemia
5. Arthralgia
This rare item is required to craft the Mint Mace and is dropped only by specific tier 3 bugs.
What is tough gunk?
These are the reasons to undergo revascularization of the renal artery.
What are recurrent flash pulmonary edema, refractory HTN, and/or progressive renal dysfunction?
This stroke is the main cause of "Locked-in Syndrome".
What is a basilar stroke?
This diastolic murmur is classically recognized by its "opening snap".
What is mitral stenosis?
Treatment of lead poisoning is based on what the patient's lead levels are. This treatment option is reserved for those with lead levels between 45-69 ug/dl.
What is DMSA?
This armor set grants the "Barbarian" mutation, increasing damage with clubs and hammers.
What is roly poly armor?
This the treatment of renal artery stenosis caused by fibromuscular dysplasia.
What is percutaneous transluminal angioplasty (PTA)?
This stroke classically causes contralateral homonymous hemianopia.
What is a PCA stroke?
This systolic murmur is indirectly caused by pulmonary HTN and characteristically increases with inspiration.
What is tricuspid regurgitation?
Lead causes a microcytic anemia due to inhibition of these 2 enzymes.
What are ferrochelatase and ALAD?
This daughter of Dr. Tully has audio logs scattered across the yard that reveal her growing concern.
Who is Abby Tully?