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 Nephrology pearls for exam  



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Causes of sterile pyuria:
-Partially treated urinary tract infection (UTI)
-Urethritis e.g. Chlamydia, TB and ureaplasma urealyticum
-Renal tuberculosis
-Renal stones
-Appendicitis
-Bladder or renal cell cancer
-Adult polycystic kidney disease
-Analgesic nephropathy


In patient with 'Musty' odor to urine and sweat think of Phenylketonuria


Causes of blue greenish urine:
-Pseudomonas infection
-Blue diaper syndrome and Hartnup disease are autosomal recessive disorders in which tryptophan builds up in the GI tract, causing bacteria to metabolize it to indole, leading to a buildup of indican in the urine.
-Familial benign hypercalcemia, a rare inherited disorder, is sometimes called blue diaper syndrome because children with the disorder have blue urine.
-And some drugs
Drugs that may cause green urine are:
Cimetidine
Promethazine
Amitriptyline
Flutamide
Indomethacin
Methocarbamol
Methylene blue
Mitoxantrone
Propofol
Phenylbutazone
Triamterene


Drugs that may cause orang color urine:
Idarubicin
Ferrioxamine
Oxamniquine
Phenazopyridine
Rifampicin
Warfarin


For more nephrology pearls please visit:
bestmedicalpearls.blogspot...5/nephrology-pearls_8.html










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