Akute tubuläre Nekrose: Diagnose und Behandlung – ANV
Über den Vortrag
Der Vortrag „Akute tubuläre Nekrose: Diagnose und Behandlung – ANV“ von Amy Sussman, MD ist Bestandteil des Kurses „Akutes Nierenversagen (ANV)“.
Quiz zum Vortrag
Which of the following would you expect to see on urine microscopy in a patient with acute tubular necrosis?
- Pigmented granular casts
- Rouleaux red blood cells
- White blood cell casts
- No cells or debris
A man fell and broke his hip during the night and was not able to access his phone to call for help until the morning. He was noted to have dark urine with a FeNa concentration of >2% on admission, and he reported generalized pain in the hip region. Which of the following is most likely present?
- Intrinsic renal disease
- Prerenal disease
- Postrenal obstruction
- Normal kidney function
A woman is admitted for sepsis, related to a urinary tract infection, and is found to have acute tubular necrosis. Fourteen days after discharge, she is complaining of significant urine output of more than 3 L a day. What is the most likely cause of this polyuria?
- Recovery of kidney function after the accumulation of solutes during intrinsic kidney disease
- The urinary tract infection resolving
- Serum creatinine levels stabilizing
- Protein in the proximal tubule that is reabsorbed after recovery
Which of the following patients is most at risk for acute tubular necrosis?
- A patient with spleen laceration requiring 4 units of packed red blood cells
- A patient with type 2 diabetes taking acetaminophen 500 mg for occasional headaches
- A patient with mild to moderate dehydration after running 5 km on a 32°C (90°F) day
- A patient with benign prostatic hyperplasia causing urinary retention
Which of the following can minimize the risk of acute tubular necrosis?
- Volume expansion before and after radiocontrast for computed tomography
- Giving packed red blood cells for fluid replacement in trauma
- Treatment of a bacterial infection with an aminoglycoside
- Treating chronic heart failure with diuretics
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Dozent des Vortrages Akute tubuläre Nekrose: Diagnose und Behandlung – ANV
Amy Sussman, MD
Dr. Amy Sussman is an Associate Professor of Medicine and the Vice Chair of Education in the Department of Medicine of the University of Arizona (UA), USA.
She obtained her MD from the University of Arizona in 2001 and completed residency and a Nephrology Fellowship at the University of Washington. Dr. Sussman was recruited back to the UA in 2009 and also serves as her department's clerkship director, and as the program director of the UA Nephrology Fellowship.
Because of her strong emphasis on medical student teaching, she has been distinguished with multiple teaching awards in the UA College of Medicine.
Within Lecturio, Dr. Sussman teaches courses on Nephrology.
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