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ESRD

$125.00 $113
  • Author: Author Name
  • Published Date: 25/01/2025
  • Last Modified Date:
  • Rating :
  • Reviews: ( 1 Reviews )
  • Category :Internal Medicine
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Additional Information:

  • Condition type: Henoch-Schönlein Purpura
  • Key: Value

Description

Package :

  •      10 Test case
  •      20 Blogs

 

CC: examine abdomen

Diagnosis:

ESRD

Clinical signs:

Neck scar 

Arm: AV fistula 

Peritoneal dialysis scars: below ( insertion site ) or lateral ( exit site ) to umbilicus 

Abdomen: iliac fossa scar for kidney transplant or flank scar for nephrectomy ( polycystic kidney, renal cancer ) 

Central line fixed in neck Hand tremor 

Multiple violaceous بنفسجي plaques ( kaposi sarcoma or drug side effects ) 

Differential diagnosis of top causes for renal transplant:

Glomerulonephritis 

Diabetic nephropathy 

Polycystic kidney disease ( ADPKD 

Area to examine ?

Abdomen 

Check leg edema 

Check for tremor ( tacrolimus )

Examine lymph nodes

Look for fistula, neck scar 

Causes of renal failure:

Diabetes

Polycystic kidney

Systemic sclerosis 

Rheumatoid arthritis 

Tuberous sclerosis

amyloidosis 

Calcineurin inhibitor nephrotoxicity 

Extra:

Steroid : cushioned appearance

Tacrolimus: fine tremor

Ciclosporin: gum hypertrophy

Both cyclosporin & tacrolimus: hypertension

Both ciclosporin & azathioprine: skin damage & malignancy 

Treatment modalities ,hints ?

Hemodialysis : fistula, AV graft,, tunneled neck lines

Peritoneal dialysis: abdominal catheter 

Transplant: no evidence of dialysis access., or central line fixed in neck indicating failure of transplanted kidney and patient receiving dialysis through CV line 

Problems following transplant ?

Rejection: acute or chronic

Infection: CMV, pneumocystis carinii

Skin malignancy

Post-transplant lymphoproliferative disease

Hypertension & hyperlipidemia causing cardiovascular disease

Drugs side effects

Recurrence of original disease

Chronic graft dysfunction

Success of renal transplant?

50% 10-year graft survival ( better with live-related donor grafts )

Total Reviews (1)

  • Auhthor
    jiten
    24/01/2025

    This is very good Article to read medical students

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