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RENAL - Coggle Diagram

- - - - sudden, overwhelming, freq need to urinate
    - - lifestyle modification
      - bladder training
      - anitmuscarinic meds
  - - - constant dribbling of urine
      - incomplete bladder emptying
    - - intermittent cath
      - correct underlying etiology
  - - - leakage w/ cough, sneeze, laugh, lift
    - - pelvic floor exercises
      - pessary
      - urethral sling surgery
      - lifestyle
- - - - Hematuria
      - Recurrent UTI
      - Stress incontinence
    - - Tender ant vag mass
      - Mass expresses bloody purulent fluid with manipulation of urethra
    - - UA/UCx
      - MRI pelvis
      - Transvag US
    - - Manual decompression
      - Needle aspiration
      - Surgery
  - - - Recurrent UTIs
      - Incontinence
      - Strained voiding
      - B/L hydronephrosis
      - Dilated ureters
- - - - AKI shortly after starting ACEi/ARB
    - - recipient
        
        any cause of essential HTN
      - txp renal dysfx
        
        rejection
        
        calcineurin inhib toxicity
        
        recurrent glomerular dz
        
        obstruction
        
        thrombotic microangiopathy
      - immunotherpy
        
        calcieurin inhib
        
        cyclosporin
        
        tacrolimus
      - txp renal artery stenosis
        
        causes
        
        delayed allograft fx
        
        surg anastomosis
        
        CMV infx
        
        consider
        
        resistant HTN
        
        flash pulm edema
        
        progressive loss of renal fx
        
        pathophys
        
        activates RAA system
        
        ACEi --> dec Angiotensin II activity --> dec GFR --> AKI
  - - - risks
        
        perioperative
        
        hemorrhage
        
        death
        
        infx
        
        thromboembolic event
        
        long term
        
        ESRD
        
        HTN
      - absolute contraindications
        
        DM
        
        HTN with end organ dysfx
        
        can't consent
        
        <18
        
        intellectual disability
        
        untreated psych disease
        
        BMI > 35
        
        malignancy
    - - ABO compatibility
      - HLA matching
    - - living donor
      - transplant performed before need for dialysis
- - - - initial eval
        
        B12, folate
        
        FOB
        
        iron studies
        
        Ferritin
        
        TIBC
        
        Fe
        
        transferrin saturation
        
        reticulocyte count
      - findings
        
        normal
        
        Fe deficiency
        
        Fe supplementation
        
        erythropoeitin stimulating therapy
        
        return to regular testing
        
        abn NOT Fe deficiency
        
        treat as indicated
      - Hgb <11 (W), <12 (M)
    - - not making enough EPO