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.
- 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.