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Flashcards in GIGU Cases Deck (23)
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1

UTI encompasses what 4 things?

Asymptomatic Bacteriuria
Cystitis
Prostatitis
Pyelonephritis

2

A complicated UTI will have what that an uncomplicated UTI will not have?

Systemic problems - fever, flank pain, CVA tenderness
History of abnormal voiding
Foreign body - catheter, stone

3

Why is it important to distinguish between a complicated and uncomplicated UTI?

It determines the duration of treatment

4

Pyelonephritis

Symptomatic infection of the kidneys

5

For pyelonephritis, what basic labs should you get?

BMP, urinalysis, urine microscopy

6

For a severe case of pyelonephritis, what scan should you order?

CT

7

What muscle is commonly in spasm with an acute and chronic renal patient?

Iliopsoas

8

For pyelonephritis, what vertebral levels are somatic dysfunctions commonly found?

T10-L2

9

2 categories of bowel obstructions?

Mechanical
Functional

10

Most common cause of a mechanical bowel obstruction?

Adhesion

11

From worse to worser, what are the levels of bowel obstructions?

Partial
High-grade
Complete

12

Most common cause of a functional bowel obstruction?

Ileus

13

Ileus

Dysmotility that prevents intestinal content from moving

14

When is an Ileus common?

Post-intra-abdominal surgery

15

Ileus, transient or permanent?

Transient

16

What is the gold standard scan for a bowel obstruction?

CT

17

Anterior colon chapman point?

Anterior IT band

18

AKI

Impairment of renal filtration that results in retention of waste products

19

AKI is a _____ not a structural injury to the kidney

Clinical diagnosis

20

For a pre-renal AKI, what is very common finding in the history?

FLUID LOSS - vomiting, diarrhea, etc.

21

Physical exam findings of volume depletion?

Poor skin turgor
Dry mucous membranes (tongue)
Hypotension

22

What are the labs to obtain on all patients with an AKI?

BMP
Urinalysis with urine microscopy

23

Treatment for pre-renal AKI?

Give fluid