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Patho - Module 5
Ch. 7, 8
Question | Answer |
---|---|
What are the 2 types of renal failure? What is the MAIN difference? | Acute & Chronic. Acute= fast loss of function & generally reversible. Chronic= gradual loss of function & irreversible. |
Acute renal failure | Fast loss of function; Generally reversible; Most common in critically ill, hospitalized patients; Risk factors include advanced age, autoimmune disorders, & liver disease; Causes are prerenal, intrarenal, & postrenal. |
Chronic renal failure | Gradual loss of function; Irreversible; Causes include diabetes mellitus, hypertension, urine obstructions, renal diseases, renal artery stenosis, ongoing exposure to toxins & nephrotic meds, sickle cell, systemic lupus, erythematosus, smoking, & advanced age. |
What is pre-renal? | Before kidneys; Decreasing blood flow to kidneys (bleeding, low BP, sepsis, dehydration); Can be short term; Not long before kidney damage. |
What is intra-renal? | Directly damage structure of kidney; Reduced blood supply, infection, inflammation, toxic injury (NSAIDS & contrast dye are VERY toxic) |
What is post-renal? | Interference with urine secretion; Tumors or BPH; Remove the obstruction!! |
The 4 phases of acute renal failure. | Asymptomatic phase, Oliguric phase, Diuretic phase, & Recovery phase. |
Asymptomatic phase of acute renal failure. | 1st phase of acute renal failure; no symptoms. |
Oliguric phase of acute renal failure. | 2nd phase of acute renal failure; Daily urine output decreases to approx. 400 mL or less & waste products begin to accumulate in blood. |
Diuretic phase of acute renal failure. | 3rd phase of acute renal failure; Daily urine output increases to as much as 5 L. |
Recovery phase of acute renal failure. | 4th/final phase of acute renal failure; Glomerular function gradually returns to normal. |
The 5 stages of chronic renal failure. | I, II, III, IV, V |
Stage I of chronic renal failure. | 1st stage of chronic renal failure; Kidney damage present, but GFR is >90. |
Stage II of chronic renal failure. | 2nd stage of chronic renal failure; Kidney damage worsens as the GFR falls (60-89). |
Stage III of chronic renal failure. | 3rd stage of chronic renal failure; Kidney damage is significantly impaired as GFR is between 30-59. |
Stage IV of chronic renal failure. | 4th stage of chronic renal failure; Kidney function barely present with GFR dropping between 15-29. |
Stage V of chronic renal failure. | 5th/final stage of chronic renal failure; Kidney failure; GFR drops <15 or patient begins dialysis. |
What is hypospadias? | Urethral meatus being on ventral surface of the penis & extending the length of penis. |
What is epispadias? | Urethral meatus occurs on the dorsal surface of the penis & may extend the entire length of penis. |
Cryptorchidism | Disorder of male reproductive system; 1 or both testes not descended from abdomen to scrotum prior to birth; May not require treatment, but if it does options include manual manipulation, hormones, surgery, orchiectomy, implants. |
Phimosis | Disorder of male reproductive system; Foreskin cannot be retracted over glans; Treatment includes foreskin stretching or circumcision. |
Priapism | Disorder of male reproductive system; Prolonged painful erection; Treatment includes needle aspiration. |
Hydrocele | Disorder of male reproductive system; Fluid accumulation between layers of tunica & cord; Treatment includes sitz baths & scrotal elevation. |
Spermatocele | Disorder of male reproductive system; Sperm containing cysts between testes & epididymis; Treatment includes surgery if they become large. |
Variocele | Disorder of male reproductive system; Dilated vein in spermatic cord; Treatment includes possible surgery. |
Testicular torsion | Disorder of male reproductive system; Twisted testes on cord; Treatment include manual manipulation or surgery. |
Prostatitis | Disorder of male reproductive system; Inflammation of the prostate (acute or chronic); Treatment organism-specific antibiotics, analgesics, antipyretics, adequate hydration, sitz baths, & prostatic massages. |
Epididymitis | Disorder of male reproductive system; Inflammation of the epididymis; Treatment includes antibiotics, analgesics, bed rest, scrotal support, elevation, cold application, & screen/treat sexual partners. |
What is amemorrhea? | ABSENCE of menstruation. |
What is dysmenorrhea? | PAINFUL menstruation. |
Cystocele | Disorder of female reproductive system; Bladder protrudes into anterior wall of vagina; Treatment includes pessary device, surgery, & estrogen. |
Rectocele | Disorder of female reproductive system; Rectom protrudes through posterior wall of vagina; Treatment includes surgery, estrogen. |
Uterine prolapse | Disorder of female reproductive system; Descent of the uterus or cervix into the vagina (1st, 2nd, & 3rd degree); Treatment includes surgical repair. |
Endometriosis | Disorder of female reproductive system; Endometrium grows in areas outside the uterus (most commonly in the fallopian tubes, ovaries, and peritoneum, but can be anywhere); Treatment includes analgesics, hormones, & surgical repair. |
Ovarian cyst | Disorder of female reproductive system; Benign, fluid-filled sacs on the ovary; Treatment may not be required, but if it is includes hormones, analgesics, manage metabolic & other disorders, and surgery. |
Fibrocystic breast disease | Disorder of female reproductive system; Numerous benign nodules in breasts; becomes more prominent & painful during menstruation; Treatment not usually required, but in some cases needle aspiration, heat/cold, surgery, analgesics. |
Mastitis | Disorder of female reproductive system; Breast tissue inflammation associated with infection and lactation; Treatment includes antibiotics, hydration, rest, analgesics, needle aspiration, milk expression, |
Candidiasis | Disorder of female reproductive system; Yeast infection caused by common fungus candida albicans, can mimic other infections; thick white cottage cheese-like discharge; Treatment includes antifungal agents, perineum care, safe sex, not douching, resist scratching, eat yogurt. |
Pelvic Inflammatory Disease (PID) | Disorder of female reproductive system; Infection of the female reproduction system; Treatment includes antibiotics, screen/treat sex partners, safe sex, avoid douching, infertility eval, treat abscesses. |
1st degree uterine prolapse | Cervix dropped into vagina. |
2nd degree uterine prolapse | Cervix apparent at vaginal opening. |
3rd degree uterine prolapse | Cervix & uterus bulge through vaginal opening. |