Intro csbrp
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for Undergraduate Medical Students (MBBS)
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Intro csbrp
- 10. 50yo male with painless hematuria What is your first suspect?
- 18. Urine samples
- 19. Urine sample
- 20. Urine sample
- 21. Urine sediment showing RBCs
- 22. IMAGES IN CLINICAL MEDICINE URINE SAMPLE
- 23. Urinary crystals
- 24. Urinary casts
- 26. What are the causes for anemia in renal failure?
- 27. Terms • Oliguria • Anuria • Azotemia • Uremia • Glomerulonephritis • Pyelonephritis
- 28. Renal function tests • Serum creatinine • Blood urea nitrogen (Blood urea) • Serum Electrolytes
- 29. Clinical manifestations • Glomerular diseases • Tubulointerstitial diseases • Vascular diseases
- 30. Manifestations of renal diseases • Nephritic syndrome • Rapidly progressive GN • Nephrotic syndrome • Asymtomatic hematuria / proteinuria • Acute renal failure • Chronic renal failure • Renal tubular defects • UTI • Nephrolithiasis • Urinary tract obstruction • Tumors
- 31. END
Editor's Notes
- Nephrotic syndrome
- Facial puffiness – renal disease
- Upper-Aniridia Loer-Normal
- Burr cells of renal failure
- Kidney mass – pain is dull Kidney stone – pain is sharp
- Wilms tumor
- Wilms tumor-outlined
- RCC-Intern’s tumor – so easy to diagnose.
- Horse shoe kidney – commonly associated with trisomies
- Double ureter.
- Adult polycytic kidney disease
- Adult polycystic kidney disease and hepatic cysts.
- Nephrocalcinosis: Nephrocalcinosis extensively involving both kidneys, in an adult with renal tubular acidosis. There are numerous causes of nephrocalcinosis, with primary or secondary hyperparathyroidism, medullary sponge kidney, and advanced osteoporosis heading the list of possibilities.
- Stg horn calculus
- Renal calculi-urolithiasis.
- Urine from a person with rhabdomyolysis showing the characteristic brown discoloration as a result of myoglobinuria.
- Hematuria
- Normal and dysmorphic RBCs
- Green Urine Piero Stratta, M.D., and Maria Cristina Barbe, M.D. N Engl J Med 2008; 358:e12March 13, 2008DOI: 10.1056/NEJMicm065416 A 76-year-old man with renal failure from nephroangiosclerosis received a kidney transplant from a deceased donor. The transplant was functioning well when the patient underwent a radical laryngopharyngoesophagectomy, with colopharyngeal anastomosis, for esophageal carcinoma. He was transferred to the intensive care unit 5 days after surgery, where his urine was noted to be green (right-hand specimen, next to a normal urine specimen), with unremarkable sediment and a creatinine level of 1.4 mg per deciliter (123.8 μmol per liter). Owing to the presence of mucous drainage from the proximal surgical wound, the patient had received an injection of methylene blue (also called aniline violet and tetramethylthionine chloride) through his nasogastric tube, to look for a possible fistula; a fistula was found. Methylene blue is a water-soluble dye that can be used to assess whether a fistula is present or used as a medication. It is filtered by the kidneys and has no pathologic effects but may cause the urine to have a bluish or greenish hue. Once the dye has been passed (after 2 days, in this patient), the color. Piero Stratta, M.D.Maria Cristina Barbe, M.D.Amedeo Avogadro University, 28100 Novara, Italy [email_address]
- Oliguria: or hypouresis (both names from roots meaning "not enough urine") is the low output of urine.[1] In humans, it is clinically classified as an output more than 100 ml/day but less than 400ml/day Anuria means nonpassage of urine,[1] in practice is defined as passage of less than 100 milliliters of urine in a day Azotemiz=Elevated BUN and serum Creatinine levels Uremia=Azotemia is a word that refers to high levels of urea, but is used primarily when the abnormality can be measured chemically but is not yet so severe as to produce symptoms. Uremia is the pathological manifestations of severe azotemia.