Kidney Disease CU dental
Terms
undefined, object
copy deck
- _______ kidney diseases include ectopic, horseshoe, agenisis, polycystic and cystic.
- developmental
- Nephrotic syndrome is characterized by ______ proteinuria, lipiduria and hypolbuminemia due to increased glomerular pereability resulting in severe edema.
- massive >3.5 g/day
- Nephritic syndrome is characterized by oliguria, ______ hematuria, uremia and ______
- gross, Hypertension
- Ag Ab complexes form due to a strep infection causing inflamation and increased numbers of mesangial cells and PMN's. This reaction compresses the GBM making it more permiable (nephritic syndrome) in this type of glomerulonephritis?
- Acute
- __________ glomerulonephritis is caused by injury resulting in increased glomerular pressure due to macrophage exudate --> nephritic syndrome
- Crescentic
- Goodpasture's syndrome, SLE, IgA nephropathy and Wegener's granulomatosis are examples of _____ _______
- Crescentic GN
- Which type of GN is noninflammatory, caused by a thickening of the GBM due to granular immune complex deposition --> nephrotic syndrome?
- Membranous
- ________ is the most common cause of nephrotic syndrome in s and is non responsive to therapy.
- Membranous GN
- Lipoid nephrosis is the most common cause of nephrotic syndrome in children and is caused by the fusion of podocyte ______.
- processes
- Type of syndrome? Acute and Crescentic GN and Goodpasture's
- nephritic (oligo/hematuria, hypertension)
- ________ and ______ are nephrotic (massive proteinuria).
- Membranous GN and Lipid nephrosis
- IgA nephropathy, Lupus nephritis and Membranoproliferative GN are _______ syndromes.
- mixed nephritic/nephrotic
- This is the term used for multiple disease processes which: chronic --> end stage kidney disease, nephrotic/nephritic, do not respond to Tx and cause kidney shrinkage.
- Chronic proliferative GN
- Berger's nephropathy (IgA deposits) and Membranoproliferative GN (duplicate GBM = "tram track") are both examples of ____ _______ _______.
- Chronic proliferative GN
- Berger's nephropathy is the most common cause of GN in s T/F?
- TRUE
- Signs of end stage Gn include: uremia, renal/tubular atrophy, hyalinized _______.
- glomeruli
- Acute, cerescentic, chronic proliferative and membranous GN, lipoid nephrosis and end stage glomerulopathy are all _________ kidney diseases.
- Immunological
- _________ and _____ _____ are example of metabolic kidney diseases.
- diabetes, urinary stones
- Diabetes causes a thickening of the GBM which increases permiability (proteinuria) resulting in _______ syndrome.
- nephrotic
- Increase mesangial matrix --> nodular glomerulosclerosis (Kimmelsteil-Wilson disease) is due to this disease?
- diabetes
- Pathological complications due to diabetes include ischemia (atrophy, arteriosclerosis, papillary necrosis) and a predispostion to _____.
- pyelonephritis (infection)
- T/F kidney stones are usually found in the renal pelvis or bladder.
- TRUE
- Kidney stones hematuria and renal colic and are more commonly found in men/women?
- MEN
- Acute tubular necrosis, Nephroangiosclerosis and Hypertension are all forms of _______ kidney infections.
- Circulatory
- The most common cause of sudden onset renal failure is ATN due to MI's and _____.
- shock (hypovolemic, toxic)
- Which circulatory kidney disease is caused by atherosclerotic plaques which cause infarcts, scaring and fibrosis?
- Nephroangiosclerosis
- Hypertension stimulates arteriole contraction leading to thickening and hyalinization of the vessel walls causing reduced perfusion. _____ is released due to perfusion contributing to further hypertension.
- Renin
- Polynephritis and Cystitis are kidney diseases caused by _______.
- Infection (UTI's)
- Bacteria can reach the UT through ________ or through the urethra (ascending inf.)
- blood (hematogenous)
- Acute pyelonephritis affects the entire kidney while chronic forms abcesses usually durring childhood, pregnancy or in the elderly. T/F
- False - chronic = entire kidney, acute = abscess
- Women are affected with UTI's more than men. T/F
- TRUE
- Predisposing facors to UTI's include: stones, surgery, pregnancy, prostate hyperplasia and ______.
- tumors
- Cystitis is more common in women young and old infection of the _____.
- bladder
- Cranberry juice is a must for newlyweds (Chase) to avoid ______ ______ caused by being "naughty". Infections are also related to pregnancy, urinary stones and cystoscopy.
- honeymoon cystitis
- Acute csytitis shows visible conjestion and mucosal hemorrhaging. T/F
- TRUE
- Chronic cystitis causes ulceration and thickening of the bladder. _____ _______ causes soft yellowish plaques.
- renal malakoplakia
- Renal cell carcinoma, Wilms tumor and Transitional cell carcinoma are kidney diseases due to _______.
- neoplasms/cancer
- Kidney neoplasms are usually benign. T/F
- FALSE malignant (common in older men)
- _______ tumors are the most common in the urinay tract.
- Bladder
- 55 year old male presents with hematuria, flank pain and a palpable mass (yellow invading renal vein) with increased EPO levels. He was later diagnosed with ______.
- renal cell carcinoma
- 3 year old presents with a multinodular renal mass replacing his kidney. Surgery and chemo are the treatment for this tumor.
- Wilms
- This hematuria causing tumor of the urinary collecting duct is twice as common as renal cell carcinoma.
- Transitional cell carcinoma