\documentclass[10pt,a4paper]{article}

% Packages
\usepackage{fancyhdr}           % For header and footer
\usepackage{multicol}           % Allows multicols in tables
\usepackage{tabularx}           % Intelligent column widths
\usepackage{tabulary}           % Used in header and footer
\usepackage{hhline}             % Border under tables
\usepackage{graphicx}           % For images
\usepackage{xcolor}             % For hex colours
%\usepackage[utf8x]{inputenc}    % For unicode character support
\usepackage[T1]{fontenc}        % Without this we get weird character replacements
\usepackage{colortbl}           % For coloured tables
\usepackage{setspace}           % For line height
\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{jacirubin}
\pdfinfo{
  /Title (med-surg-renal-and-urinary-system.pdf)
  /Creator (Cheatography)
  /Author (jacirubin)
  /Subject (Med Surg Renal and Urinary System Cheat Sheet)
}

% Lengths and widths
\addtolength{\textwidth}{6cm}
\addtolength{\textheight}{-1cm}
\addtolength{\hoffset}{-3cm}
\addtolength{\voffset}{-2cm}
\setlength{\tabcolsep}{0.2cm} % Space between columns
\setlength{\headsep}{-12pt} % Reduce space between header and content
\setlength{\headheight}{85pt} % If less, LaTeX automatically increases it
\renewcommand{\footrulewidth}{0pt} % Remove footer line
\renewcommand{\headrulewidth}{0pt} % Remove header line
\renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit
% This two commands together give roughly
% the right line height in the tables
\renewcommand{\arraystretch}{1.3}
\onehalfspacing

% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
\newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols
\newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns
\newcommand{\tn}{\tabularnewline} % Required as custom column type in use

% Font and Colours
\definecolor{HeadBackground}{HTML}{333333}
\definecolor{FootBackground}{HTML}{666666}
\definecolor{TextColor}{HTML}{333333}
\definecolor{DarkBackground}{HTML}{1FD9ED}
\definecolor{LightBackground}{HTML}{E3FAFC}
\renewcommand{\familydefault}{\sfdefault}
\color{TextColor}

% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Med Surg Renal and Urinary System Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{jacirubin} via \textcolor{DarkBackground}{\uline{cheatography.com/178239/cs/37171/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}jacirubin \\
  \uline{cheatography.com/jacirubin} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 17th February, 2023.\\
   Updated 17th February, 2023.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{x{1.29402 cm} x{3.68298 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Kidney Hormones}}  \tn
% Row 0
\SetRowColor{LightBackground}
Renin & Raises blood pressure as result of angiotensin (local vasoconstriction) and aldosterone \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\seqsplit{Prostaglandins} & Regulate intrarenal blood flow by vasodilation or vasoconstriction \tn 
% Row Count 6 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{Bradvkinins} & Increase blood flow (vasodilation) and vascular permeability \tn 
% Row Count 9 (+ 3)
% Row 3
\SetRowColor{white}
\seqsplit{Erythropoietin} & Stimulates bone marrow to make red blood cells \tn 
% Row Count 11 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Vit D & Promotes absorption of calcium in the GI tract \tn 
% Row Count 13 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.4931 cm} x{3.4839 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Pyelonephritis}}  \tn
% Row 0
\SetRowColor{LightBackground}
Top renal disease & Inflammation of renal parenchyma and upper urinary tract \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
S/S & Fever, chills, flank pain \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Acute & Bacteria \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
Chronic & immune disorder \tn 
% Row Count 5 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Urosepsis & bacteria in urine \tn 
% Row Count 6 (+ 1)
% Row 5
\SetRowColor{white}
s/s & lower BP, fever, high HR, lower lOC \tn 
% Row Count 8 (+ 2)
% Row 6
\SetRowColor{LightBackground}
lead to & septic shock, multisystem failure \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.34379 cm} x{3.63321 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Renal Calculi}}  \tn
% Row 0
\SetRowColor{LightBackground}
Causes & Male, high sodium, calcium, protien, genetics, dehydration, immobility, gout, UTI \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
S/S & depends on size and location - Upper= flank pain Lower = genital/abdominal pain \tn 
% Row Count 6 (+ 3)
% Row 2
\SetRowColor{LightBackground}
Calcium stone & 60\%-80\% \tn 
% Row Count 8 (+ 2)
% Row 3
\SetRowColor{white}
Uric Acid Stone & low PH, 10\% \tn 
% Row Count 10 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Cystine & genetic, 3\% \tn 
% Row Count 11 (+ 1)
% Row 5
\SetRowColor{white}
Testing & UA, serum calcium, uric acid, XR, cystoscope \tn 
% Row Count 13 (+ 2)
% Row 6
\SetRowColor{LightBackground}
Surgery & Lithotripsy - Shock wave stones \textless{} 2cm -Percutaneous Nephrolithotomy - stones \textgreater{} 2 cm under GA \tn 
% Row Count 17 (+ 4)
% Row 7
\SetRowColor{white}
DIet & 2 1/2 - 3L /d, low sodium, low calcium \tn 
% Row Count 19 (+ 2)
% Row 8
\SetRowColor{LightBackground}
IVP & Intravenous pyelogram to look at kidneys and ureters \tn 
% Row Count 21 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{AKA Kidney Stones}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.9908 cm} x{2.9862 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Urine formation}}  \tn
% Row 0
\SetRowColor{LightBackground}
glomerular filtration & hydrostatic pressure, filters by size \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
GFR & 125mL/m / 180L/d - influenced by BP and volume max 70mmhG \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
2nd phase & Tubular moves water back to blood, ADH/ALdosterine increases water reabsorption up to 220mg/d \tn 
% Row Count 9 (+ 4)
% Row 3
\SetRowColor{white}
3rd phase tubular secretion & solutes from blood to filter - potassium, iron, keeps homeostasis \tn 
% Row Count 12 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.4931 cm} x{3.4839 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{UTI}}  \tn
% Row 0
\SetRowColor{LightBackground}
risks & Female, increased age, catheters \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
S/S & Dysuria, frequency, urgency, pain, hematuria, suprapubic pain \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
Causes & E. coli \tn 
% Row Count 6 (+ 1)
% Row 3
\SetRowColor{white}
\seqsplit{Complications} & drug resistance, urethritis, pyelonephritis, renal assess \tn 
% Row Count 9 (+ 3)
% Row 4
\SetRowColor{LightBackground}
Urethritis & inflammation of urethra \tn 
% Row Count 10 (+ 1)
% Row 5
\SetRowColor{white}
Cognitive issues & falls, dizzy, lower appetite \tn 
% Row Count 12 (+ 2)
% Row 6
\SetRowColor{LightBackground}
teaching points & 2-3L/D, Void after intercourse, \tn 
% Row Count 14 (+ 2)
% Row 7
\SetRowColor{white}
Houdini & Hematuria, obstruction, edema, surgery, end of life care, immobile \tn 
% Row Count 17 (+ 3)
% Row 8
\SetRowColor{LightBackground}
get urine culture & keep on ice \tn 
% Row Count 19 (+ 2)
% Row 9
\SetRowColor{white}
TX & Antibiotics \tn 
% Row Count 20 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.4931 cm} x{3.4839 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Hypo/Hyper}}  \tn
% Row 0
\SetRowColor{LightBackground}
\seqsplit{Hyponatremia} S/S & Brain damage, seizures coma \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\seqsplit{Hyponatremia} TX & salt, fluid restriction, IV fluids \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{Hypernatremia} S/S & coma, seizures, delusions, thirst, tachy \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\seqsplit{Hypernatremis} Tx & Increase fluids, decrease sodium, \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Hypokalemia S/s & short QT, bradycardia \tn 
% Row Count 10 (+ 2)
% Row 5
\SetRowColor{white}
Hypokalemia tX & ALBUTEROL, DOPAMINE, DIURETICS, ST \tn 
% Row Count 12 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\seqsplit{Hypomagnesium} S/S & HTN, hyperactivity, tachycardia, chvostek \tn 
% Row Count 14 (+ 2)
% Row 7
\SetRowColor{white}
\seqsplit{Hypomagnesium} tx & fall precautions, iv ma sulfate \tn 
% Row Count 16 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.32733 cm} x{1.60195 cm} x{1.64772 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{5.377cm}}{\bf\textcolor{white}{Kidney Structure}}  \tn
% Row 0
\SetRowColor{LightBackground}
Afferent arteriole & Delivers arterial blood from the branches of the renal artery into the glomerulus & \seqsplit{Autoregulation} of renal blood flow via \seqsplit{vasoconstriction} or vasodilation \seqsplit{Renin-producing} granular cells \tn 
% Row Count 8 (+ 8)
% Row 1
\SetRowColor{white}
Efferent arteriole & Delivers arterial blood from the glomerulus into the peritubular capillaries or the vasa recta & \seqsplit{Autoregulation} of renal blood flow via \seqsplit{vasoconstriction} vasodilation \seqsplit{Renin-producing} granular cells \tn 
% Row Count 16 (+ 8)
% Row 2
\SetRowColor{LightBackground}
Glomerulus & Capillary loops with thin, semipermeable membrane & Site of glomerular filtration Glomerular filtration occurs when hydrostatic pressure (blood pressure) is greater than opposing forces (tubular filtrate and oncotic pressure) \tn 
% Row Count 29 (+ 13)
% Row 3
\SetRowColor{white}
Bowman's capsule (BC) & Thin membranous sac surrounding ⅞ of the glomerulus & Collects glomerular filtrate (GF) and funnels it into the tubule \tn 
% Row Count 34 (+ 5)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{5.377cm}{x{1.32733 cm} x{1.60195 cm} x{1.64772 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{5.377cm}}{\bf\textcolor{white}{Kidney Structure (cont)}}  \tn
% Row 4
\SetRowColor{LightBackground}
Proximal convoluted tubule (PCT) & Evolves from and is continuous with Bowman's capsule Specialized cellular lining facilitates tubular reabsorption & Site for reabsorption of sodium, chloride, water, glucose, amino acids, potassium, calcium, bicarbonate, phosphate and urea \tn 
% Row Count 9 (+ 9)
% Row 5
\SetRowColor{white}
Loop of Henle & Continues from PTC \seqsplit{Juxtamedullary} nephrons dip deep into the medulla Permeable to water, urea, and sodium chloride & Regulation of water balance \tn 
% Row Count 18 (+ 9)
% Row 6
\SetRowColor{LightBackground}
Collecting ducts & Collect formed urine from several tubules and deliver it into the renal pelvis & heceptor sites for antidiuretic hormone regulation of water balance \tn 
% Row Count 24 (+ 6)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.59264 cm} x{3.38436 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Bladder Cancer}}  \tn
% Row 0
\SetRowColor{LightBackground}
Risk Factors & begins in urothelial cells that line the bladder, men\textgreater{}women, chronic inflammation, carcinogens \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
\seqsplit{Manifestations} & hematuria, frequent/painful urination, back pain \tn 
% Row Count 6 (+ 2)
% Row 2
\SetRowColor{LightBackground}
TX & Chemo, radiation, surgery \tn 
% Row Count 7 (+ 1)
% Row 3
\SetRowColor{white}
Surgeries & cystectomy, urinary diversion \tn 
% Row Count 9 (+ 2)
% Row 4
\SetRowColor{LightBackground}
neobladder & no external pouch \tn 
% Row Count 10 (+ 1)
% Row 5
\SetRowColor{white}
continent diversion & stoma hiden in. umbilicus \tn 
% Row Count 12 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\seqsplit{complications} & bleeding, clots, infection \tn 
% Row Count 14 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.89126 cm} x{3.08574 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Acute renal failure}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{common in hospitalized patients} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
oliguria, prenal & HTN, lower CU, hypovolemia \tn 
% Row Count 3 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.94103 cm} x{3.03597 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{ABG interpretation}}  \tn
% Row 0
\SetRowColor{LightBackground}
Normal & PH: 7.35 PaCO2: 35-45 HCO3: 22-26 \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Metabolic Acidosis & Low pH LOW HCO3 \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Metabolic Alkalosis & High pH High HCO3 \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
Respiratory Acidosis & Low Ph High. PaCO2 \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Respiratory Alkalosis & High PH Low PAco2 \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.94103 cm} x{3.03597 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Causes of Nephrotic Syndrome}}  \tn
% Row 0
\SetRowColor{LightBackground}
Primary Glomerular Disease & Membranous proliferative glomerulonephritis, Primary nephrotic syndrome, Focal glomerulonephritis, Inherited nephrotic disease \tn 
% Row Count 6 (+ 6)
% Row 1
\SetRowColor{white}
Multisystem Disease & Lupus \tn 
% Row Count 8 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Allergens & Bee Sting \tn 
% Row Count 9 (+ 1)
% Row 3
\SetRowColor{white}
Infection & Strep \tn 
% Row Count 10 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Neoplasms & Leukemia \tn 
% Row Count 11 (+ 1)
% Row 5
\SetRowColor{white}
Drugs & Penecillin, NSAID \tn 
% Row Count 12 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.14471 cm} x{3.83229 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Acute Glomerulonephritis}}  \tn
% Row 0
\SetRowColor{LightBackground}
\seqsplit{inflammation} & 3rd cause of kidney failure \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
cause & great b strep, autoimmune - lupus, good pastures \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
S/S & HTN, decrease output, decrease GFR, edema, proteinuria, hematuria, dysuria \tn 
% Row Count 7 (+ 3)
% Row 3
\SetRowColor{white}
\seqsplit{medications} & ABX, diuretics, plasmapheresis, protien restricted diet \tn 
% Row Count 9 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.24425 cm} x{3.73275 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Benign Prostatic Hyperplasia}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{noncancerous enlargement of prostate} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
S/S & Difficulty urinating, bladder outlet obstruction (BOO) \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
DX & rectal exam, prostate specific antigen \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
PSA & elevates if prostate cancer \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\seqsplit{medications} & Finasteride, dutasteride, tamsulosin \tn 
% Row Count 8 (+ 2)
% Row 5
\SetRowColor{white}
surgeries & TUIP, go home with foley \tn 
% Row Count 9 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\seqsplit{FInasteride} & women don't touch, reduces size \tn 
% Row Count 11 (+ 2)
% Row 7
\SetRowColor{white}
Tamusolin & flowback \tn 
% Row Count 12 (+ 1)
% Row 8
\SetRowColor{LightBackground}
TUIP & incision into prostate to relieve compression and make urine flow easier \tn 
% Row Count 15 (+ 3)
% Row 9
\SetRowColor{white}
CBI & continuous bladder irrigation prevents blood clots \tn 
% Row Count 17 (+ 2)
% Row 10
\SetRowColor{LightBackground}
TURP syndrome & due to prostate irrigation - lower BP, Sodium and Hbg \tn 
% Row Count 19 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.34379 cm} x{3.63321 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Prostate Cancer}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{slow growing malignant tumor} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
risk & African American, 50 years+ \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{characteristics} & slow growing, asymptomatic, can meastitize to lymph nodes, bone, rectum, bladder \tn 
% Row Count 5 (+ 3)
% Row 3
\SetRowColor{white}
DX & curable early detection, PSA levels, rectal exam \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
TX & external radiation, prostatectomy, ABX \tn 
% Row Count 9 (+ 2)
% Row 5
\SetRowColor{white}
teaching points & symptoms go away 34-48hrs, don't quit ABX \tn 
% Row Count 11 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.64701 cm} x{4.32999 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Urine Retention}}  \tn
% Row 0
\SetRowColor{LightBackground}
\textless{}400ml & Oliguric \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
TX & kiegels, scheduled bathroom, Bethanechol \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Cause & anticholergenics \tn 
% Row Count 5 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.19448 cm} x{3.78252 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Medications}}  \tn
% Row 0
\SetRowColor{LightBackground}
Cymbalta & depression, neuropathic pain \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\seqsplit{oxybutynin} & decrease muscle spasms in bladder \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{Tolterdoine} & overactive bladder \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\seqsplit{darifenacine} & treats symptoms of overactive bladder \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Trospium & overactive bladder \tn 
% Row Count 8 (+ 1)
% Row 5
\SetRowColor{white}
\seqsplit{Salifencin} & neurogenic overactivity \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.84149 cm} x{3.13551 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{PKA}}  \tn
% Row 0
\SetRowColor{LightBackground}
common genetic disorder & cysts \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
autosomal dominate & appears age 30-40 \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
s/s & HTN, obstruction, hematuria, pain \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
DX & UA, blood.bacteria, radiographic \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
TX & dialysis \tn 
% Row Count 9 (+ 1)
% Row 5
\SetRowColor{white}
labs & anemia, increases BUN, Creatinine, NA, K, HR, lower CA, fever \tn 
% Row Count 12 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}