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Gout: factors that can precipitate an attack of acute gouty arthritis
DARK:
Diuretics
Alcohol
Renal disease
Kicked (trauma)
· And, the attack occurs most often at night [thus "dark"].
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---Marc Miller Sackler School of Medicine
 
Renal failure: causes
AVID GUT:
Acute tubular necrosis
Vascular obstruction
Infection
Diffuse intravascular coagulation
Glomerular disease
Urinary obstruction
Tubulointerstitial nephritis
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---Daniel Clarke University of Queensland
 
Calculi: types
CAlCUli:
Calcium
Ammonium magnesium phosphate
Cystine
Uric acid
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---Robert O'Connor University College Dublin
 
Gout vs. pseudogout: crystal lab findings
Pseduogout crystals are:
Positive birefringent
Polygon shaped
· Gout therefore is the negative needle shaped crystals.
· Also, gout classically strikes great Toe, and its hallmark is Tophi.
Show Picture
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---Robert O'Connor University College Dublin
 
APKD: signs, complications, accelerators
11 B's:
· Signs:
Bloody urine
Bilateral pain [vs. stones, which are usually unilateral pain]
Blood pressure up
Bigger kidneys
Bumps palpable
· Complications:
Berry aneurysm
Biliary cysts
Bicuspid valve [prolapse and other problems]
· Accelerators:
Boys
Blacks
Blood pressure high
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---Robert O'Connor University College Dublin
 
Barter's syndrome: pathogenesis, major sign
Barter: "In exchange for giving away Na+,K+,Cl-, you can drop the blood pressure".
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---Samuel Atom Baek-Kim Tuckahoe, New York
 
Renal failure (chronic): consequences
ABCDEFG:
Anemia
-due to less EPO
Bone alterations
-osteomalacia
-osteoporosis
-von Recklinghausen
Cardiopulmonary
-atherosclerosis
-CHF
-hypertension
-pericarditis
D vitamin loss
Electrolyte imbalance
-sodium loss/gain
-metabolic acidosis
-hyperkalemia
Feverous infections
-due to leukocyte abnormalities and dialysis hazards
GI disturbances
-haemorrhagic gastritis
-peptic ulcer disease
-intractable hiccups
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---Plussind Siriraj Medical University, Thailand
 
Nephrotic syndrome: hallmark findings
"Protein LEAC":
Proteinuria
Lipid up
Edema
Albumin down
Cholesterol up
· In nephrotic, the proteins leak out.
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---Anonymous Contributor
 
Gout: major features
GOUT:
Great toe
One joint (75% monoarticular)
Uric acid increased (hence urolithiasis)
Tophi
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---Dr. Harsh Sharma BJ Medical College
 
Hematuria: urethral causes
NUTS:
Neoplasm
Urethritis
Tumour
Stone
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---Sushant Varma University of Sheffield, UK
 
 
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