Renal papillary necrosis
High Yield Notes
10 pages
Flashcards
Renal papillary necrosis
de completadas
Preguntas
Preguntas del estilo USMLE Step 1
de completadas
| Laboratory value | Results | |
| 4 weeks ago | Today | |
| Serum chemistry | ||
| Sodium | 138 mEq/L | 137 mEq/L |
| Potassium | 4 mEq/L | 4.1 mEq/L |
| Bicarbonate | 24 mEq/L | 25 mEq/L |
| Chloride | 96 mEq/L | 94 mEq/L |
| Creatinine | 1.1 mg/dL | 1.6 mg/dL |
| Urinalysis | ||
| Protein | 100 mg/day | 102 mg/day |
| Cast | None | None |
| Blood | negative | negative |
Changes to which of the following anatomic regions is most likely accountable for this patient’s rise in creatinine?
External References
First Aid
2024
2023
2022
2021
Acute pyelonephritis p. 619
renal papillary necrosis and p. 619
Diabetes mellitus p. 350-358
renal papillary necrosis and p. 619
Hematuria p. 614
renal papillary necrosis p. 621-NaN
Nonsteroidal anti-inflammatory drugs (NSAIDs) p. 495
renal papillary necrosis p. 620
Proteinuria p. 613
renal papillary necrosis and p. 620
Renal papillary necrosis p. 619
pyelonephritis and p. 619
sickle cell anemia p. 415
Sickle cell disease
renal papillary necrosis p. 621
Resumen
Renal papillary necrosis is a condition in which impaired blood supply to the kidneys leads to diffuse ischemia and subsequent necrosis of the renal papilla. Risk factors for renal papillary necrosis include diabetes, sickle cell anemia, and certain medications such as non-steroidal anti-inflammatory drugs (NSAIDs). Symptoms may include fever, flank pain, and blood in the urine. Treatment may include antibiotics, pain management, and in severe cases, surgery.
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