CMN 568 UNIT 5
What is the clinical presentation of IgA nephropathy in children? How is it tx?
When does it usually occur? - ANSWERS-asymptomatic hematura; no tx; following
minor acute febrile illness or other stressful occurrence
What does + antinuclear antibodies (detects autoimmune reaction) and varying
degrees of hematuria and proteinuria indicate? - ANSWERS-lupus
glomerulonephritis
What is first-line tx for lupus glomerulonephritis? - ANSWERS-prednisone
What is acute interstitial nephritis? - ANSWERS-diffuse or local inflammation and
edema of the renal interstitium and tubules
What are physical characteristics of acute interstitial nephritis? - ANSWERS-
fevers, rigors, and abd. or flank pain
What does a UA reveal in acute interstitial nephritis? - ANSWERS-leukocytes and
hematuria
If the cause of acute interstitial nephritis is not caused by meds or toxic exposure,
what diagnostic test may be preferred? - ANSWERS-renal biopsy
,What med is used to tx acute interstitial nephritis? - ANSWERS-corticosteroids
How do UTIs in newborns and infants present? - ANSWERS-fever, poor feeding,
hypothermia, jaundice, and vomiting
CVA tenderness may be seen in what age group of children with UTI? - ANSWERS-
school-aged children (not young children)
What is a good indicator in a UA of UTI? However 70% of children with UTI does
not have - ANSWERS-+ nitrates
What is the gold standard of diagnosis of UTI in children? - ANSWERS-CX
At what age is immediate hospital admission required in children with UTI? -
ANSWERS-<3 months old
What meds are used to tx uncomplicated cystitis in children? - ANSWERS-
Amoxicillin or Bactrim for 7-10 days
Sexually mature adolescents can be tx with what abx for UTI? - ANSWERS-fluoros
How is acute pyelo tx? - ANSWERS-10 days with a cephalosporin
, How is pyelo usually distinguished from cystitis? - ANSWERS-fever in pyelo;
generally abrupt; CVA and flank pain
What type of headache is associated with smoking? - ANSWERS-Cluster
What are major complications of cryptorchidism? - ANSWERS-Infertility and
malignancy
What tests can determine whether testes are present b/w 2 months and 6
months? What about after 6 months? - ANSWERS- What is necessary if the testes
have not deceased by 6-12 months LH, FSH, and testosterone; HCG stimulation
test
of age? - ANSWERS-Surgery
What should be considered in a bilateral cryptorchidism? - ANSWERS-Fully
virilized female with potentially fatal salt-losing CAH
What is the most common risk factor for pseudo tumor cerebri in children? -
ANSWERS-Obesity
What meds are associated with psuedotumor cerebri? - ANSWERS-Tetracycline,
steroids, and retinal
What is the clinical presentation of IgA nephropathy in children? How is it tx?
When does it usually occur? - ANSWERS-asymptomatic hematura; no tx; following
minor acute febrile illness or other stressful occurrence
What does + antinuclear antibodies (detects autoimmune reaction) and varying
degrees of hematuria and proteinuria indicate? - ANSWERS-lupus
glomerulonephritis
What is first-line tx for lupus glomerulonephritis? - ANSWERS-prednisone
What is acute interstitial nephritis? - ANSWERS-diffuse or local inflammation and
edema of the renal interstitium and tubules
What are physical characteristics of acute interstitial nephritis? - ANSWERS-
fevers, rigors, and abd. or flank pain
What does a UA reveal in acute interstitial nephritis? - ANSWERS-leukocytes and
hematuria
If the cause of acute interstitial nephritis is not caused by meds or toxic exposure,
what diagnostic test may be preferred? - ANSWERS-renal biopsy
,What med is used to tx acute interstitial nephritis? - ANSWERS-corticosteroids
How do UTIs in newborns and infants present? - ANSWERS-fever, poor feeding,
hypothermia, jaundice, and vomiting
CVA tenderness may be seen in what age group of children with UTI? - ANSWERS-
school-aged children (not young children)
What is a good indicator in a UA of UTI? However 70% of children with UTI does
not have - ANSWERS-+ nitrates
What is the gold standard of diagnosis of UTI in children? - ANSWERS-CX
At what age is immediate hospital admission required in children with UTI? -
ANSWERS-<3 months old
What meds are used to tx uncomplicated cystitis in children? - ANSWERS-
Amoxicillin or Bactrim for 7-10 days
Sexually mature adolescents can be tx with what abx for UTI? - ANSWERS-fluoros
How is acute pyelo tx? - ANSWERS-10 days with a cephalosporin
, How is pyelo usually distinguished from cystitis? - ANSWERS-fever in pyelo;
generally abrupt; CVA and flank pain
What type of headache is associated with smoking? - ANSWERS-Cluster
What are major complications of cryptorchidism? - ANSWERS-Infertility and
malignancy
What tests can determine whether testes are present b/w 2 months and 6
months? What about after 6 months? - ANSWERS- What is necessary if the testes
have not deceased by 6-12 months LH, FSH, and testosterone; HCG stimulation
test
of age? - ANSWERS-Surgery
What should be considered in a bilateral cryptorchidism? - ANSWERS-Fully
virilized female with potentially fatal salt-losing CAH
What is the most common risk factor for pseudo tumor cerebri in children? -
ANSWERS-Obesity
What meds are associated with psuedotumor cerebri? - ANSWERS-Tetracycline,
steroids, and retinal
