lecture 10

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Author:
LaurenFleming
ID:
156178
Filename:
lecture 10
Updated:
2012-05-28 20:45:45
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pathtest4
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Description:
renal disorders
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  1. What kind of pain manifests in Kidney disease??
    • Flank pain (back pain)
    • Scrotal pain in males
    • labial pain in females
  2. What are the sections of the spine that are affected with renal pain??
    btw T10 and L1 by sympathetic afferent neurons and throughout the dermatomes corresponding to T10-L1
  3. What does a Urinalysis provide us with in Kidney disease??
    Urinalysis provides a foundation for the differential diagnosis of renal dysfunction

    Dipstick and microscopic urinalysis results provide clues to intrarenal pathologies
  4. What are some other Diagnostic tests perfromed in Kidney Disease??
    • KUB (kidney, ureter, bladder)
    • X-ray (radiograph; cat)
    • CT Scan and MRI imaging


    Radiograph-position shape and size of kidney stone
  5. What is going to happen to the specific gravity in a person with Chronic kidney disease??
    Decreased specific gravity
  6. What are the things and cells we are looking for in the Urine w/ someone who has a Kidney disorder??
    • WBCs (upper UTI)
    • Casts (tine tube shape structure that formed in tubules)
    • Crystals ( lead to stones and what type)
  7. What are the Congenital Kidney Abnormalities
    • Renal Agenesis
    • Renal Hypoplasia
    • Cystic Kidney Disease
  8. Renal Agenesis
    Failure of one or both kidneys to develop

    Failure of both kidneys to develop is icompatible with life (usually still birth or short lived few days)
  9. Renal Hypoplasia
    failure of full kidney mass to develop, smaller size kidney is working overtime

    significant cause of end-stage renal disease in children
  10. What are the two types of Cystic Kidney Disease
    Autosomal Recessive Polycystic Kidney disease

    Autosomal Dominany Polycystic Kidney Disease
  11. Autosomal Recessive Polycystic Kidney Disease
    • often progresses to end-stage kidney disease by 15
    • Polycystic kidney and hepatic disease gene on chromosome 6
  12. Autosomal Dominant Polycystic Kidney Disease
    Associated w/ pathologies of other body systems (50% in other abdominal organs and 10-30% have berry aneurysms in cerebral Circle of Willis circulation

    • Hypertension is a common occurence
    • Pain is a frequent complaint
    • Causes 10% of end-stage kidney disease
  13. Why is Hypertension a common occurence in Autosomal Dominant Polycystic Kidney Disease??
    bc kidneys regulate BP, when not enough blood into kidneys, renin angeotension aldosterone system causes hypertension which increases fluid volume and vasoconstriction

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