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临床知识必知题(鸿博系列)(The clinical knowledge must know questions (Hongbo Series))
临床知识必知题(鸿博系列)(The clinical knowledge must know questions (Hongbo Series))
Hongbo series
Urinary system:
1, proteinuria is greater than 3.5g/d nephropathy, less than 3.5g/d nephritis,
If the onset of hematuria is nephritis, the onset of proteinuria is nephropathy
2, upper respiratory tract infection + hematuria - acute nephritis
Laboratory tests for acute nephritis - C3 decreased and returned to normal within 8 weeks. Renal biopsy was performed if 8 weeks were not normal
3, RPGN -- Based on acute nephritis oliguria, anuria, deterioration of renal function, there are more than 50%
Greater crescent formation
4, when frequent micturition, urgency and dysuria (bladder irritation), the answer will get rid of nephritis.
Single bladder irritation is cystitis
Fever and lumbago are pyelonephritis
Chronic bladder irritation sign with terminal hematuria is renal tuberculosis
5, the largest feature of the kidney itself is tuberculosis in the kidneys and asymptomatic bladder
6, acute nephritis to chronic nephritis for one year
Acute pyelonephritis to chronic pyelonephritis is 6 months
Acute renal failure to chronic renal failure is 3 months
7, acute nephritis is a self limiting disease, can not use hormones and cytotoxic drugs;
8, acute radical into the renal pelvis Xiaohong; interstitial nephritis; epithelial tube type tubular wax tube type die; chronic renal failure; fat tube type nephrotic
9, chronic nephritis for more than 1 years, a low protein diet;
High protein diet in patients with cirrhosis
Hepatic encephalopathy patients diet no protein, afraid of alkali environment, caused by hepatic encephalopathy is ammonia poisoning theory, free ammonia can enter the blood brain barrier induced hepatic encephalopathy, conversion when ammonia ions encountered in alkaline environment into free ammonia (not in patients with hepatic encephalopathy with soapy water enema, must use acid, such as lactulose)
10, chronic nephritis control blood, medicinal ACEI class blood pressure control in
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