Nephrology

Question 1

Pattern for dx: 3mo with respiratory distress, hx of poor feeding and vomiting. BP 150/100

Answer 1

ask: NICU course UAC/UVC

BP in upper/lower extremity BP: coarctation

Question 2

Pattern for dx: 8yo with BP 130/85. PE significant for scoliosis and cafe-au-lait spots

Answer 2

RAS in NF

Serum renin and aldosterone levels high

Question 3

Pattern for dx: 8yo urine is dark with cast, recent history of sore throat, BP 150/75

Answer 3

Post-infectious acute glomerulonephritis

Hospitalize for HTN, treat with diuretics

Question 4

Pattern: 14yo BP 135/85, obese, acanthosis, hypertiglyceridemia

Answer 4

Metabolic syndrome

Question 5

Pattern for workup: 14yo with bp 160/90

Answer 5

Check urine tox, look for signs of lupus