Renal
Missed Concepts
- Starting dialysis requires shared decision making and consideration about quality of life factors.
- No need for urine culture in non-pregnant women with UTI symptoms. Treat empirically.
- Management of pregnant patients with UTI, get a urine culture, treat empirically with fosfomycin, augmenting, or cefpodoxime (3rd gen)
- Lupus nephritis is diagnosed with renal biopsy.
- Thiazide diuretics decrease the risk of calcium oxalate stones and calcium phosphate stones by increasing renal reabsorption of calcium (thereby lowering the concentration of calcium in the urine.