Renal

From Seth's Wiki
Jump to navigation Jump to search

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.
  • Treat acute prostatitis with empiric antibiotics and bladder decompression (usually suprapubic catheter)
  • Following renal transplant, there is an increased risk of diabetes (within months) and osteoporosis (later on).
  • Criteria for inpatient management of kidney stones: urinary infection, AKI, complete obstruction, intractable pain/nausea/vomiting.