Renal Jeopardy

Urine Trouble

100

Red Cell casts are associated with this type of renal disorder

Glomerulonephritis

200

3+ urine dipstick heme

No red cells seen on spun urine

Rhabdomyolysis or hemolysis

300

Definition of oliguria

Less than 400mL/d or less than 0.5ml/kg/hour.

400

2 conditions associated with WBC casts

AIN

Pyelonephritis

(Cholesterol Atheroemboli)

500

Trace dipstick protein, but 4 grams of protein on a 24hr urine

Likely overflow proteinuria from a paraproteinemia, such as Multiple Myeloma

Under Pressure

100

SBP 140-145 on three separate measurements.

Do this intervention first.

Lifestyle Modification (weight loss, salt restriction, excercise, EtOH moderation, tobacco cessation)

200

Classic presentation of mineralcorticoid excess.

Hypertension, Hypokalemia and _______

Metabolic alkalosis

300

Definition of stage two hypertension

 SBP > 160 or DBP > 100

400

Screening test for pheo

Plasma free metanephrines

(must have a result 2-5 times the ULN to warrant a 24hr urine test)

500

Genetic disorder that mimicks the effect of loop diuretics

Barrter Syndrome

Say No To Drugs

100

Class of drugs that act on the Na-K-2Cl transporter

Loop Diuretics

200

Most common cause of AIN

Proton Pump Inhibitors

300

Drug induced Type B lactic acidosis in a diabetic with renal failure

Metformin Toxicity

400

Emergency dialysis is used for which toxicity

       Digoxin

       Lithium

       Methamphetamine

Lithium

500

Drugs that cause proximal RTA

Renal K and Phos wasting

Glucosuria without hyperglycemia

Amino aciduria

Tenofovir

Aminoglycocides

Cisplatin

(and others)

Bonus:  Name of the syndrome

I See You

100

Obtunded patient with osmolar gap, anion gap metabolic acidosis and calcium oxalate crystals in the urine

Ethylene Glycol toxicity

200

Obtunded patient with osmolar gap, anion gap metabolic acidosis and vision loss (white out of vision)

Methanol toxicty

300

Respiratory Alkalosis, metabolic acidosis and tinnitus

Salicylate poisoning

400

The three translocational therapies from hyperkalemia

Insulin/Glucose

Bicarbonate

B agonists

500

Components of Lactated Ringers

Na

K

Ca 

Mg

Chloride

Lactate

Salt and Water

100

Urinary test that is a biomarker for ADH

Urine Osmolarity

200

Max recommended 24hour correction for chronic hyponatremia

8 mEq/L

300

Name of the oral V2 receptor antagonist.

Tolvaptan

400

SNa 118

Uosm 125

SOsm 245

Low solute to water intake

           Beer potomania

           Tea and toast

           Psychogenic polydipsea

500

(UNa + UK)/(SK + SNa) x Urine Volume 

Electrolyte Free water clearance