Notes in 27 PE of Urinary System

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Status	Last Update	Fields
Published	07/30/2024	T or FInspection is not performed during PE of kidneys {{c1::True}}
Published	07/30/2024	Indication for presence of renal bruit {{c1::Renal artery stenosis}}
Published	07/30/2024	Use the {{c1::bell}} of the stethoscope to auscultate for bruit
Published	07/30/2024	Renal arteries are {{c1::3-4::measurement}} cm lateral, {{c2::inferior::Superior or inferior}} to epigastric area
Published	07/30/2024	QC. More palpable 1. Right kidney 2. Left kidney {{c1::A}}
Published	07/30/2024	QC. Located inferiorly 1. Left kidney 2. Right kidney {{c1::B}}
Published	07/30/2024	Causes of Enlarged Kidneys{{c1::CystsTumorsHydronephrosisPolycystic kidney disease}}
Published	07/30/2024	Ideal position of patient during PE exam, state knees placement {{c1::Place patient in supine position with knees flexed}}
Published	07/30/2024	During palpation of left kidney, place supinated right hand behind the patient just below and parallel to {{c1::12th::number}} rib with the fingertips…
Published	07/30/2024	Instruct the patient to {{c1::inhale::action}} upon palpation of kdiney to capture the edge of kidney
Published	07/30/2024	During palpation of right kidney, place supinated left hand behind the patient just below and parallel to {{c1::11th or 12th::number}} rib
Published	07/30/2024	Region to assess for kidney tenderness{{c1::Costovertebral Angle}}
Published	07/30/2024	Two structures that form the costovertebral angle {{c1::Lower boder of 12th rib Transverse process of upper LV}}
Published	07/30/2024	Positive CVA tenderness is indicative of {{c1::pyelonephritis}}
Published	07/30/2024	Two methods to perform CVA palpation {{c1::Strike CVA with ulnar surface fistStrike CVA with right hand while ball of the other hand on CVA}}
Published	07/30/2024	Suprapubic tenderness is indicative of {{c1::bladder infection}}
Published	07/30/2024	Bladder volume must be {{c1::400 to 600}} mL for dullness to appear
Published	07/30/2024	Percussion sound of distended bladder{{c1::Dull}}
Published	07/30/2024	Percussion sound of no bladder distention{{c1::Tympanitic}}
Published	07/30/2024	T or FNormally urinary bladder cannot be examined{{c1::True}}
Published	07/30/2024	Medications that can cause bladder obstruction {{c1::Anticholinergics (atropine)AnestheticsAnalgesicAntidepressants}}
Published	07/30/2024	Neurologic disorders that may cause bladder obstruction {{c1::Cerebrovascular accident (stroke)Multiple sclerosisSpinal cord injury}}
Published	07/30/2024	How to elicit Chvostek's sign?{{c1::Tapping facial}}
Published	07/30/2024	How to elicit Trousseau's sign?{{c1::Inflate a sphygmomanometer cuff above SBP (usually >20 mmHg systolic) for 3 to 5 minutes}}
Published	07/30/2024	Positive sign from Chvostek’s Sign{{c1::Twitching of ipsilateral facial muscle due to hypocalcemia}}
Published	07/30/2024	Positive sign of Trousseau's sign {{c1::Muscle contraction including wrist flexion and MCP joints, hyperextension of the fingers}}
Published	07/30/2024	QC. Sensitive and specific for hypocalcemia tetany1. Chvostek’s Sign2. Trousseau’s Sign{{c1::B}}
Published	07/30/2024	Hepatic pathology associated with Asterixis{{c1::Hepatic encephalopathy}}
Published	07/30/2024	Renal pathology associated with Asterixis{{c1::uremia}}
Published	07/30/2024	Positive sign for Asterixis{{c1::involuntary flapping of wrist, making hand go up and down}}
Published	07/30/2024	Liver parenchyma is {{c1::brighter::Darker or Brighter}} than kidney parenchyma
Published	07/30/2024	Measurement of normal kidneys{{c1::10 to 12 cm}}
Published	07/30/2024	Measurement of Cortical Thickness{{c1::1.5 to 2 cm}}
Published	07/30/2024	QC. Normal kidney: Hypoechogenic UTZ1. Medulla 2. Cortex{{c1::A}}
Published	07/30/2024	Possible indication of small kidney {{c1::CKD}}
Published	07/30/2024	Possible indication of < 1 cortical thickness{{c1::CKD}}
Published	07/30/2024	Possible indication of lighter cortex UTZ{{c1::CKD}}
Published	07/30/2024	Possible indication of darker cortex CKD {{c1::Acute pyelonephritisAcute renal vein thrombosis}}
Published	07/30/2024	Right kidney is {{c1::hypoechoic::hyperechoic or hypoechoic}} compared to the liver
Published	07/30/2024	QC. Severity of hydronephrosis 1. Renal pelvis dilated2. Renal calyces dilated{{c1::B}}
Published	07/30/2024	Lower and upper limit of pre-void vs post-void volummeLower limit: {{c2::> 50 mL}}Upper limit: {{c1::< 100 mL}}
Published	07/30/2024	Normal difference between pre- and post-void volume{{c1::<50 mL}}
Published	07/30/2024	Usual volume that is acceptable for urinalysis is between {{c1::25 to 50}} mL
Published	07/30/2024	Urine should be examined within {{c1::30 to 60}} minutes of voiding
Published	07/30/2024	T or FIf during menstrual period, urine collection should be postponed{{c1::True}}
Published	07/30/2024	CBA. Urine specimensContains greatest amount of dissolved substancesA. First morning B. Random C. 24-hour {{c1::A}}
Published	07/30/2024	CBA. Urine specimensAllows greater accuracy of measurement of urinary componentsA. First morning B. Random C. 24-hour {{c1::C}}
Published	07/30/2024	CBA. Urine specimensMeasures protein, creatinine, and urine calciumA. First morning B. Random C. 24-hour {{c1::C}}
Published	07/30/2024	Urine collection technique for px with significant obstruction {{c1::Percutaneous Bladder (Suprapubic Catheterization)}}
Published	07/30/2024	Urine collection technique for px with significant urinary retention{{c1::Urethral Catheterization}}
Published	07/30/2024	T or FClear urine color does not indicate likelihood of possible kidney pathology {{c1::False}}
Published	07/30/2024	Content of white urine color {{c1::Presence of pus, chyle, or pyrophosphate crystals}}
Published	07/30/2024	Bacterial infection assocaited with green urine {{c1::Pseudomonas}}
Published	07/30/2024	Urine content of red urine in pathologic condition {{c1::RBCHemoglobin Myoglobin}}
Published	07/30/2024	Urine content of brown/black urine in pathologic conditions {{c1::Biliary pigmentsMelaninHomogentisic acid}}
Published	07/30/2024	Urine content associated with foamy urine {{c1::Protein}}
Published	07/30/2024	Urine clarity associated with left standing for a long time{{c1::Turbid}}
Published	07/30/2024	Urine clarity associated with increased WBC and cast{{c1::Turbid}}
Published	07/30/2024	Urine clarity associated with gross bacteriuria or precipitated crystals{{c1::Cloudy}}
Published	07/30/2024	Urine content of smoky urine in pathologic conditions{{c1::RBCs}}
Published	07/30/2024	Urine content of milky urine in pathologic conditions{{c1::Fat}}
Published	07/30/2024	CBA. Urine odor Ammonia odor A. UTIB. DMC. PhenylketonuriaD. MSDL{{c1::A}}
Published	07/30/2024	CBA. Urine odor SweetA. UTIB. DMC. PhenylketonuriaD. MSDL{{c1::B}}
Published	07/30/2024	CBA. Urine odor MousyA. UTIB. DMC. PhenylketonuriaD. MSDL{{c1::C}}
Published	07/30/2024	Normal range of urine specific gravity {{c1::1.002 to 1.030}}
Published	07/30/2024	Normal range of urine pH{{c1::4.5 to 7.5}}
Published	07/30/2024	Normal range of urine protein daily {{c1::Less than 150 mg/day}}
Published	07/30/2024	{{c1::Unspun urine}} is the best specimen to check for chemical properties
Published	07/30/2024	Indication for <1.015{{c1::Diabetes InsipidusTubular damage}}
Published	07/30/2024	QC. Chronic renal failure 1. Acidic urine2. Basic urine{{c1::B}}
Published	07/30/2024	QC. Bacterial infection (UTI)1. Acidic urine2. Basic urine{{c1::B}}
Published	07/30/2024	QC. Diabetes mellitus1. Acidic urine2. Basic urine{{c1::A}}
Published	07/30/2024	{{c1::Proteinuria::Abnormal urine result}} is the first indication of renal disease
Published	07/30/2024	Physiologic cause of proteinuria{{c1::Strenous exerciseExposure to cold Fever}}
Published	07/30/2024	Pathologic cause of proteinuria {{c1::Glomerular or tubular damage}}
Published	07/30/2024	Urinary protein excretion in a normal adult: {{c1::<150}} mg/day
Published	07/30/2024	Normal rate of albumin excretion: {{c1::<20}} mg/day (
Published	07/30/2024	Type of urine collection best for quantitative protein {{c1::24-hour urine protein collection}}
Published	07/30/2024	Type of urine collection that give more accurate proteinuria {{c1::Random urine protein/creatinine ratio}}
Published	07/30/2024	More sensitive and accurate method of determining proteinuria{{c1::24-hour urine of a patient}}
Published	07/30/2024	Transient cause of proteinuria {{c1::FeverExerciseUTI}}
Published	07/30/2024	Heavy proteinuria measurement per day {{c1::>3 gm/day or >3.5}}
Published	07/30/2024	In patients with normal renal function, significant glucosuria does not occur until plasma glucose is {{c1::>180}} mg/dL
Published	07/30/2024	Indication asociated with nitrite in urine {{c1::Urinary Tract Infections}}
Published	07/30/2024	Indication associated to positive leukocyte esterase in urine {{c1::Urinary tract infections}}
Published	07/30/2024	Give normal range count of ff. cells/cast in urine Leukocytes: {{c4::1-4/hpf}}Erythrocytes: {{c3::1-2/hpf}}Tubular Cells: {{c2::1-10/hpf}}Hyaline…
Published	07/30/2024	QC. Isomorphic RBC1. Normal 2. Abnormal {{c1::A}}
Published	07/30/2024	QC. Isomorphic RBC1. intraglomerular lesion2. extraglomerular lesions{{c1::B}}
Published	07/30/2024	Glomerular disease associated with dysmorphic RBCs{{c1::Glomerulonephritis}}
Published	07/30/2024	Other urine content associated with UTI in presence of WBC {{c1::(+) leukocyte esterase(+) nitrite tests}}
Published	07/30/2024	Presence of these cells in urine indcate contamination {{c1::Epithelial cells}}
Published	07/30/2024	Pathologic indication of RBC cast{{c1::Acute glomerulonephritisAcute interstitial nephritis}}
Published	07/30/2024	Casts that result of degeneration of cellular casts and aggregation of serum proteins{{c1::Granular Cast}}
Published	07/30/2024	Casts that result of the degeneration of granular cast{{c1::Waxy Cast}}
Published	07/30/2024	Casts that indicate CKD{{c1::Broad Casts}}
Published	07/30/2024	Pathology associated with uric acid crystals{{c1::GoutRenal stones}}
Published	07/30/2024	Most common form of renal stone{{c1::Calcium Oxalate Crystals}}
Published	07/30/2024	Crystals associated with large doses of Vit C{{c1::Calcium Oxalate Crystals}}
Published	07/30/2024	Renal indication of calcium phosphate crystals{{c1::Renal calculi}}
Published	07/30/2024	What type of casts are Tamm-Horsfall Protein?{{c1::Hyaline cast}}
Status	Last Update	Fields