medportal CDB | Taxonomy | Discipline / Nephrology

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Discipline

Nephrology

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Activities

All MF2 Renal tutorial problems
Tutorial

Part 2 / Medical Foundation 2 / Renal

Celia and Maria MF2 Renal
Tutorial

Part 2 / Medical Foundation 2 / Renal / Week 1

Matthew Clarke MF2 Renal
Tutorial

Part 2 / Medical Foundation 2 / Renal / Week 1

Introduction and Overview of Volume Status Exam
Clinical Skills Sessions

Part 2 / Medical Foundation 2 / Renal / Week 1

George Haycock MF2 Renal
Tutorial

Part 2 / Medical Foundation 2 / Renal / Week 1

Michelle Broyer MF2 Renal
Tutorial

Part 2 / Medical Foundation 2 / Renal / Week 1

Acid Base Disorders
Active Large Group Session

Part 2 / Medical Foundation 2 / Renal / Week 2

Maria Rossi MF2 Renal
Tutorial

Part 2 / Medical Foundation 2 / Renal / Week 2

Ivan Horvath MF2 Renal
Tutorial

Part 2 / Medical Foundation 2 / Renal / Week 2

Elena Christakos MF2 Renal
Tutorial

Part 2 / Medical Foundation 2 / Renal / Week 2

Amir Boutros MF2 Renal
Tutorial

Part 2 / Medical Foundation 2 / Renal / Week 2

Nancy Jones MF2 Renal
Tutorial

Part 2 / Medical Foundation 2 / Renal / Week 3

Yong Mun Park MF2 Renal
Tutorial

Part 2 / Medical Foundation 2 / Renal / Week 3

Renal Exam Practice Case - Renal Colic
Clinical Skills Sessions

Part 2 / Medical Foundation 2 / Renal / Week 3

Martin Barratt MF2 Renal
Tutorial

Part 2 / Medical Foundation 2 / Renal / Week 3

Renal Exam Practice Case - Hematuria
Clinical Skills Sessions

Part 2 / Medical Foundation 2 / Renal / Hematology / Week 1 / Week 4

Charlotte Bouchard MF2 Hematology
Tutorial

Part 2 / Medical Foundation 2 / Hematology / Week 4

Billy Elliot MF2 Hematology
Tutorial

Part 2 / Medical Foundation 2 / Hematology / Week 5

Introduction to the Kidneys (Archived)
Large Group Session

Part 3 / Medical Foundation 3 / Renal / Week 1

Anatomy - Renal and Male Reproduction (Archived)
Large Group Session

Part 3 / Medical Foundation 3 / Renal / Week 1

GFR (glomerular filtration rate), Structure of the Nephron (Archived)
Large Group Session

Part 3 / Medical Foundation 3 / Renal / Week 2

RAAS, Sodium (Na) and Water (Archived)
Large Group Session

Part 3 / Medical Foundation 3 / Renal / Week 2

Renal Histology (Archived)
Clinical Pathology Conferences (CPC)

Part 3 / Medical Foundation 3 / Renal / Week 4

Potassium (K) (Archived)
Large Group Session

Part 3 / Medical Foundation 3 / Renal / Week 2

Chronic Kidney Disease (Archived)
Large Group Session

Part 3 / Medical Foundation 3 / Renal

Acute Kidney Injury (Archived)
Large Group Session

Part 3 / Medical Foundation 3 / Renal / Week 3

Drug Use in Renal Dysfunction (Archived)
Large Group Session

Part 3 / Medical Foundation 3 / Renal / Week 4

David Tanaka MF3 Renal (Archived)
Tutorial

Part 3 / Medical Foundation 3 / Renal

Shortness of Breath: renal, cardiac, respiratory
Clinical Skills Sessions

Part 3 / Medical Foundation 3

Edema
Clinical Skills Sessions

Part 3 / Medical Foundation 3

Cindy Edsworth MF4 MSK
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 3

Claire McFadden Part 2 IF Maternal and Child Health Risks
Tutorial

Part 5 / Integration Foundation / Maternal Health Risks/Aging-Related Care / Week 1

Adrian Scholtz Part 2
Tutorial

Part 5 / Integration Foundation / Maternal Health Risks/Aging-Related Care / Week 4

Novak B. Part 4 IF Chronicity and Complexity
Tutorial

Part 5 / Integration Foundation / Complexity and Chronicity / Week 2

Susanna Green Part 2 IF Chronicity and Complexity
Tutorial

Part 5 / Integration Foundation / Complexity and Chronicity / Week 3

Pediatric Nephrology
Concept Integration and Review

Post-clerkship / Concept Integration and Review

Acute & Chronic Renal Failure
Concept Integration and Review

Post-clerkship / Concept Integration and Review / Week 5

Assessments

MF 3 Clinical Skills
Mid-Unit Clinical Skills Assessment

Part 3 / Medical Foundation 3

MF3 Clinical Skills
End-Unit Clinical Skills Assessment

Part 3 / Medical Foundation 3

Objectives

Explain the structure, function and physiology of the urinary tract, kidney, nephron and glomerulus
General Objectives

Part 2 / Medical Foundation 2 / Renal

Explain the concept of glomerular filtration rate and renal clearance of solutes, drugs and toxins.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Explain the possible underlying mechanisms of edema, hypertension, oliguria and renal insufficiency and apply them to clinical presentations.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Explain the primary mechanisms responsible for hypernatremia, hyponatremia, hyperkalemia, hypokalemia and metabolic acidosis and apply them to clinical presentations.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Elicit the relevant history for renal disease
General Objectives

Part 2 / Medical Foundation 2 / Renal

Conduct a physical examination appropriate to the clinical problem presented
General Objectives

Part 2 / Medical Foundation 2 / Renal

Devise hypotheses regarding the mechanisms responsible for the patient's complaint.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Choose and then analyze laboratory tests which would permit you to investigate systematically each of your hypotheses.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Upon completion of this problem, students should be able to discuss features and causes of urinary tract infection and types and etiology of kidney stones.
Global Objectives

Part 2 / Medical Foundation 2 / Renal

Upon completion of this problem, students should be able to explain fluid homeostasis in the human body and apply this to clinical problems, specifically how it is disrupted in nephrotic syndrome.
Global Objectives

Part 2 / Medical Foundation 2 / Renal

Upon completion of this problem, students should be able to explain how the renin angiotensin aldosterone system impacts blood pressure homeostasis and apply these principles to the development, manifestations, and treatment of acute hypertension in a young person.
Global Objectives

Part 2 / Medical Foundation 2 / Renal

Upon completion of this problem, students should be able to explain and apply the mechanisms which regulate blood pressure homeostasis as well as the pathophysiology and approach to essential hypertension.
Global Objectives

Part 2 / Medical Foundation 2 / Renal

Upon completion of this problem, students should be able to explain metabolic acid base equilibrium and be able to recognize the mechanisms leading to metabolic acid-base disorders.
Global Objectives

Part 2 / Medical Foundation 2 / Renal

Upon completion of this problem, students will expand on the material learned in the previous case to be able to use laboratory values to calculate patients’ compensatory responses to metabolic acid-base disorders.
Global Objectives

Part 2 / Medical Foundation 2 / Renal

Upon completion of this problem, students should be able to explain the impact of poor perfusion on kidney function and apply that to the development of acute kidney injury, and recognize the importance of Traditional Medicine Ceremonies for healing.
Global Objectives

Part 2 / Medical Foundation 2 / Renal

Upon completion of this problem, students should summarize the causes, presentations and renal manifestations of intrinsic causes of acute kidney injury particularly an allergic reaction.
Global Objectives

Part 2 / Medical Foundation 2 / Renal

Upon completion of this problem, the student should be able to discuss the assessment and management of the complications of chronic kidney disease and to illustrate the constraints faced by these patients recognizing the need to modify medication regimens in the face of declining renal function. Students should be able to assess the risk to relatives of a person with an autosomal dominant condition.
Global Objectives

Part 2 / Medical Foundation 2 / Renal

Explain the mechanisms of action of diuretics, ACE inhibitors, and angiotensin receptor blocking (ARB) agents and apply them to appropriate clinical scenarios.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Explain the nephrotoxic potential of certain drugs.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe the role of renal blood flow, capillary hydrostatic pressure and capillary.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe and the relationship between serum creatinine and GFR.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe the pathogenesis and clinical significance of infection involving the urinary tract.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe the determinants of intracellular fluid (ICF) and extracellular fluid (ECF) volume.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe the normal distribution of sodium, potassium and water in the ICF and ECF compartments.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Define osmolality.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Demonstrate the role of the sodium ion in determining the osmolality of the ECF and its clinical manifestations.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe and apply how the total amount of sodium in the body determines the volume of the intravascular space.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Understand how the kidney conserves sodium appropriately during hypovolemic states, and inappropriately in the setting of congestive heart failure.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Illustrate the mechanisms by which the kidney may excrete a dilute versus concentrated urine.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe the relationship between total body water and the serum sodium concentration.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Explain the mechanisms responsible for maintaining blood pressure in the normal range.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Explain the pathological consequences of hypertension on the brain, heart and kidneys.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Explain the mechanisms responsible for essential and secondary hypertension.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Explain the mechanisms responsible for elevation of blood pressure in the setting of renal artery stenosis.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Explain the mechanisms of action by which diuretics, beta blockers, ACE inhibitors, ARBs, and calcium channel blockers reduce elevated blood pressure.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe the main sites of potassium reabsorption in the nephron.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe how potassium secretion by the kidney regulates the serum potassium concentration.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe the role of the following in the secretion of potassium by the kidney: aldosterone activity and tubular flow rate
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe how the body deals with an acid load with reference to: Buffer systems (bicarbonate, hemoglobin); Lungs (alveolar ventilation); Kidneys (net acid excretion).
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe the kidney's role in acid base balance with reference to: Reclamation by the kidney of filtered bicarbonate and acid excretion via the glutamine-ammonium system
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe the relationship between pH and hydrogen ion concentration.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Employ an approach to metabolic acidosis including using the anion gap to solve clinical problems.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe the mechanisms by which GFR may be reduced in both acute and chronic kidney disease.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe the role of the urinalysis in detecting the presence of glomerular disease.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe the role of erythropoietin in the maintenance of a normal hemoglobin.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe the mechanisms of the anemia observed in patients with advanced chronic kidney disease or end stage renal disease.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe how parathyroid hormone and vitamin D act on the gastrointestinal system, bone, and kidney to regulate serum calcium and phosphate balance.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe and apply the paradigm of pre-renal, renal and post-renal processes that can lead to acute kidney injury.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe and apply the role of the kidney in the metabolism and excretion of drugs.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Explain the mechanisms of action by which diuretics, beta blockers, ACE inhibitors, ARBs, and calcium channel blockers reduce elevated blood pressure.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Understand surface anatomy corresponding to the kidneys, ureters, bladder and urethra.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe and identify the fibrous capsule, perirenal fat, renal fascia and pararenal fat and understand their function.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Understand the renal cortex, medulla, renal pyramids, renal papilla, renal columns.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Understand the structure and function of the renal pelvis, major and minor calyces and renal papilla.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Understand the arterial supply of the kidneys (renal arteries, segmental arteries, lobar arteries, interlobar arteries, arcuate arteries, interlobular arteries and afferent glomerular arterioles.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Understand the venous and lymphatic drainage as well as the innervations of the kidney.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Understand the development of the common congenital anomalies of the kidney.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Identify the ureter, its length, division, and the three sites of constrictions along its course.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Identify and describe the arterial supply of the ureter, venous and lymphatic drainage and its innervation.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe the urinary bladder its location, neck and surfaces (posterior (base), superior, and inferolateral surfaces).
General Objectives

Part 2 / Medical Foundation 2 / Renal

Understand the mucous membrane of the bladder, trigone, muscular coat of the bladder (detrusor muscle) and the internal sphincter (sphincter vesicae).
General Objectives

Part 2 / Medical Foundation 2 / Renal

Understand the arterial supply, venous and lymphatic drainage of the bladder.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe and understand innervation of the bladder with a focus on mechanism of micturition.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Identify the external sphincter (sphincter urethrae) and urethral meatus. Understand the different parts of male urethra (prostatic, membranous, spongy (penile) urethra) and the differences between male and female urethra.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe renal and bladder anatomy and visualize with an ultrasound.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe normal renal pathology.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Explain the structure, function and physiology of the urinary tract, kidney, nephron and glomerulus
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe and interpret investigations (urinalysis, blood tests, imaging) in the diagnosis of renal pathology.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Describe the pathogenesis and clinical significance of infection involving the urinary tract.
General Objectives

Part 2 / Medical Foundation 2 / Renal

Upon completion of this problem, students will be able to describe the role of the kidney in electrolyte homeostasis and develop an approach to electrolyte abnormalities.
Global Objectives

Part 2 / Medical Foundation 2 / Renal

Upon completion of this problem, students should be able to identify and describe mechanisms of compensation and eventual failure of cardiovascular responses to sudden volume loss. Additionally, students should be able to connect and describe the consequences to and responses of other organ systems (renal, hematologic) to acute volume loss and hemodynamic compromise
Global Objectives

Part 2 / Medical Foundation 2 / Hematology

By the end of the tutorial, the student should be able to describe the pathogenesis of diabetic nephropathy as well as discuss epidemiologic and management strategies.
Global Objectives

Part 3 / Medical Foundation 3 / Renal

After completing the tutorial the student will expand on the material learned in the previous problem to be able to discuss the differences in renal manifestations of intrinsic causes of acute kidney injury in the context of autoimmune disease.
Global Objectives

Part 3 / Medical Foundation 3 / Renal

In addition to building upon material learned in MFl and MF2, MF3 will serve as an introduction to new topics and concepts. The "subunits" of MF3 are organized in three blocks of four weeks (GI & Nutrition, Endocrinology and Reproduction). Other longitudinal core curricula including anatomy have important components covered in MF3 as well. New clinical skills will be introduced and students will also review, practise and perfect skills learned in MF1 and MF2. Special sessions have been organized to introduce the students to gynecology/obstetrics specific clinical skills.
Block Objectives

Part 3 / Medical Foundation 3

Understand the gross anatomy of kidneys, ureter and bladder.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Understand the microscopic structure of the nephron: the glomerulus and the renal tubule and its peritubular capillary.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Understand the role of creatinine clearance in the estimation of GFR and be able to calculate GFR using the Cockcroft-Gault formula.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Define and understand the role of intravenous pyelography, isotope renography, retrograde pyelography, ultrasonography and angiography in the diagnosis of urinary tract disorder.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Understand the mechanism by which a change in serum osmolality produces a corresponding change in ICF volume.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Understand the mechanisms by which a change in the total amount of sodium in the body leads to a change in ECF volume.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Understand the concept of anion gap and how it pertains to metabolic acidosis.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Be able to calculate the anion gap and use this calculation to solve clinical problems.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Describe how the glomerulus functions as a physiologic barrier to the excretion of protein in the urine. Diabetic nephropathy is a common example of this type of process and the treatments used in diabetes to reduce proteinuria will help you to understand glomerular hemodynamics.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Understand the endocrine functions of the kidney:
General Objectives

Part 3 / Medical Foundation 3 / Renal

Describe the relationship between arterial oxygen tension and release of erythropoietin.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Understand the mechanism of action of ace inhibitor drugs and angiotensin receptor blocking drugs, how to use these drugs in patients with renal failure and the side effects of these agents.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Understand the nephrotoxic potential of some classes of therapeutic medications.
General Objectives

Part 3 / Medical Foundation 3 / Renal

Integration of cardiac, respiratory and renal exam and volume assessment into a general physical examination.
General Objectives

Part 3 / Medical Foundation 3

Upon completion of this problem, students will be able to demonstrate the integration of cardiac, respiratory, hematology and renal core concepts in critical management of a patient with complex sepsis including ethical issues with social issues and chronic drug use.
Global Objectives

Part 5 / Integration Foundation / Maternal Health Risks/Aging-Related Care / Week 4

Upon completion of this problem, students will be able to demonstrate the integration of cardiac, respiratory, hematology and renal core concepts in critical management of a patient with complex sepsis.
Global Objectives

Part 5 / Integration Foundation / Maternal Health Risks/Aging-Related Care / Week 3

Upon completion of this problem, the student should be able to develop an approach to congestive heart failure and atrial fibrillation in patients with chronic kidney disease and diabetes and recognize the burden of polypharmacy in the elderly.
Global Objectives

Part 5 / Integration Foundation / Complexity and Chronicity / Week 1

Edema : Nephritic syndrome, Nephrotic syndrome, Renal failure
Clerkship Objectives

Clerkship / Pediatrics Rotation

Mechanisms by which the kidney eliminates drugs from the body
General Objectives

Modification of drug dosing in the presence of renal dysfunction
General Objectives

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