2004-10-15 20:24:02暈炫
Teaching round in nephro
solitary Kidney = Horseshoe Kidney
Non-infectious dysuria
--Interstitial cystitis, Endoxon induced hemorrhagic cystitis
Hemoblobulinuria
--OB+, RBC-, 離心後尿乃是紅色
Myoglobulinuira
--OB+, RBC-, 離心後是橘黃色
proteinuria
Adult > 150 mg/D adolescent > 250 mg/D (因為正值生長發育)
Microalbumineia
指 daily urine albumin 30 ~ 300 mg/D
Daily Bun = 7 ~ 16 gm/D
Daily UA = 300 ~ 800 mg/D
Daily Ca = 100 ~ 240 mg/D
Renin secreting adenoma = Hemangio-pericytoma
Urine 酸or鹼 → 以5.5為界
鹼化尿液 → 降低Calcium oxalate, Uric acid
會讓nitrite (+)的細菌:PEcK, Enterobacter
Dipstick
--Ketone body是用Nitroprusside測,只能測Acetoacetate, acetone
Cast
--RBC Cast : GN, TI bleeding
--Eosinophilic : AIN
--Fatty cast : nephrotic syndrome
--Broad cast : Chronic RF
會讓GFR算起來降低的藥物
--trimethoprime, Cimetidine
Non-infectious dysuria
--Interstitial cystitis, Endoxon induced hemorrhagic cystitis
Hemoblobulinuria
--OB+, RBC-, 離心後尿乃是紅色
Myoglobulinuira
--OB+, RBC-, 離心後是橘黃色
proteinuria
Adult > 150 mg/D adolescent > 250 mg/D (因為正值生長發育)
Microalbumineia
指 daily urine albumin 30 ~ 300 mg/D
Daily Bun = 7 ~ 16 gm/D
Daily UA = 300 ~ 800 mg/D
Daily Ca = 100 ~ 240 mg/D
Renin secreting adenoma = Hemangio-pericytoma
Urine 酸or鹼 → 以5.5為界
鹼化尿液 → 降低Calcium oxalate, Uric acid
會讓nitrite (+)的細菌:PEcK, Enterobacter
Dipstick
--Ketone body是用Nitroprusside測,只能測Acetoacetate, acetone
Cast
--RBC Cast : GN, TI bleeding
--Eosinophilic : AIN
--Fatty cast : nephrotic syndrome
--Broad cast : Chronic RF
會讓GFR算起來降低的藥物
--trimethoprime, Cimetidine