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nephro package - revankar
#1
radiolucent stones--

diagnosis of ethylene glycol poisoning-
treatment

a patient is scheduled for radio contrast----which of the folowing medications
will u stop before he fgoes for the procedure--
digoxin
metformin
erythromycin
aspirin

other manifestations of wegners besides pulmonary and renal

which of the glomerular nephropathies is associated with hepatitis c

which is the commonest nephropathy in children and in adults

what is the characterstic finding in urine in myoglobuinuria

what is the method of diagnosis AND TREATMENT
RTA TYPE ONE
RTA TYPE TWO
RTA TRYE FOUR

HOW does one manage a case of hyponatremia---
hyponatremia and high serum osmolarit-
hyponatremia and normal osmolarity
hyponatremia and low osmalarity
ALLL THESE THREE R SEEN IN WHICH CONDITIONS

how doe sone calculate serum osmolarity
what is the management of
mild siadh
moderate
severe
chronic

management of hyperkalemia

administration of licorice causes what???35 year old male with sudden onset of flank pain
radiating ot the groin with nausea aand vomitting
what si the first step in diagnosis???

management of stage one
stage two and stage three
hypertension

MOST COMMON CAUSE OF SECONDARY HT IN KIDS????

a person is diagnosed with stage one hypertension-what will u do next
what r the invistagations to b one once a person is
daignosed with hypertension

drug on choice for
DIABETES
BLACK
HEART DISAESE
PREGNANCY
IN STAGE ONE HT
CALCIUM CHANNEL BLOCKERS
ALPHA BLOCKERS

CONTRAINDICATION OF DIURETICS
OF ACE INHIITORS
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#2
good questions


definitely solve after some hours
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#3
radiolucent stones-IVP
diagnosis of ethylene glycol poisoning-INCREASED AG METAB ACIDOSIS,OXALATE CRYSTALS IN URINE,URINE FLOURESCES BY WOOD LAMP
treatment-iv ETHANOL,DIALYSIS
a patient is scheduled for radio contrast----which of the folowing medications
will u stop before he fgoes for the procedure--aspirin?????

other manifestations of wegners besides pulmonary and renal-???sinusitis
which of the glomerular nephropathies is associated with hepatitis c-MPGN/membranous glomerulonephritis,PAN
what is the characterstic finding in urine in myoglobuinuria-microscopic hematuria


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#4
contraindication of thiazide diuretics---hypergluc--and electrolyte disturbance

hyper--hyperglycemia/ hyperlipidemia/ hyperuricemia/hypercalcemia


contraindictaion of loop diuretics

--hypokalemia/ hypontremia/hypocalcemia/ ototoxicity/ nephrotoxicity/ a

diuretic are good drug for dilated cardiomyopathy and systolic dysfunction but

contraindicated in diastolic dysfunction and restrictive and hypertrophic cardiomyopathy


contrin--of ace i

cough

c--cough

a-- angioedema

p --potassium excess

taste change

o -

pregnncy and girl who is growimg

r=rash

i=

l liver tooxicity

can not be given when-- cretinine is more than 2--

and also c/i in renal artery stenosis



alpha blocker --prostrate

ccb--for htn with a fib/ htn with pvd

stage 1 htn ==diuretics /betablocker

pregnancy --hydralazine/ labetalol/nitroprusside

heart disese --beta blocker

black --thiazide

diabetes --acei

stage one hypertension --recheck after 2 month

investigation-- look eyes/ examine heart/ see for peripheral edema
look for all peripheral pulses and bruit and

look for secondary causes of hypertension

urinalysis / chest xray/ ecg / urea cretinine electolyte blood glucose/

now after that depend furthr on above findings



most common cause of secondary htn in kids is----acute glomerulonephritis --not sure--

but cause of hypertension n kids are--neuroblastoma

gn

tuners syndrome

conn

renal disese

phaeochromocytoma



management of stage 2 hypertension that is more than 160 by more than 100 --is

na restriction / exercise/ and drugs weight control --betablocker diuretics/ccb


management of third stage htn is---180/110 ---

combined drugs and above therpy and always investigation to detect end organ damage


hypertensive urgency --very high bp without end organ damage--contol witin 24 hour --

hypertensive emergency --with evidence of end organ damge--kidney/eye/heart

with iv nitroprusside --monitor the dose and pt s bp















now further depends upon what u suspect


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#5
try
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