Mnemonics for Renal System Renal System- Mnemonics Diseases and conditions Detection of acute renal failure (ARF) Mnemonic: ACUte A Acute presentation over hours or days C Creatinine rises U Urea rises (±oliguria <400 ml/24 h) Causes acute renal failure (ARF) Mnemonic: ACUte A ATN/Acute GN C Circulatory dysfunction (i.e. shock – hypovolaemia, sepsis, cardiogenic) U Urinary outflow obstruction Clinical presentation of chronic renal failure Mnemonic: RESIN & 8 Pʼs R Retinopathy E Excoriations (scratch marks) S Skin is yellow I Increased blood pressure N Nails are brown P Pallor P Purpura and bruises P Pericarditis and cardiomegaly P Pleural effusions P Pulmonary oedema P Peripheral oedema P Proximal myopathy P Peripheral neuropathy Complicated urinary tract infections (UTIs) Mnemonic: MARIO M Male patients A Abnormal renal tract R Renal function is impaired I Impaired host defences O Organism that is virulent Risk factors for UTIs Mnemonic: UTIs U Urinary tract obstruction or malformation T The menopause I Intercourse (sexual)/Instrumentation/Immunosuppression S female Sex/Stones Dialysis Indications for Mnemonic: AEIOU A Acid–base problems (severe acidosis or alkalosis) E Electrolyte problems (hyperkalaemia) I Intoxications O Overload, fluid U Uraemic symptoms Or Mnemonic: SHARPE S Severity of condition increases H Hyperkalaemia persistent (K+ >7 mmol/l) A Acidosis is metabolic and worsening (pH <7.2 or base excess <–10) R Refractory pulmonary oedema P Pericarditis (uraemic) E Encephalopathy (uraemic) Complications of dialysis Mnemonic: CHAIR C Cardiovascular disease H Hypertension A Anaemia I Infections R Renal bone disease Urinary tract malignancies Features of renal cell carcinoma (RCC) Mnemonic: RCC R Renal tubule (proximal) epithelium is involved C Renal Cancers are 90% RCC C Clinical features include haematuria, loin pain, abdominal mass, anorexia, malaise and weight loss