Define Chronic Renal Failure.
Mention the main causes of Chronic Renal Failure.
Know the signs and symptoms of renal failure.
Know the treatment options of CRF
Know new definition of CKD
Chronic Kidney Disease, a.k.a Chronic Kidney Failure, is a vast but serious topic that requires thorough study. This presentation entails the essentials - its stages, pathogenesis, risk factors, etiology, symptoms, diagnosis, treatment and prognosis.
Acute kidney injury (AKI) is a sudden episode of kidney failure or kidney damage that happens within a few hours or a few days.It's most common in those who are critically ill and already hospitalized.
LKM1 – Antibodies to Liver Kidney Microsomes test is to diagnose autoimmune hepatitis and distinguish it from other causes of liver injury. When you have hepatitis that your healthcare practitioner suspects may be due to an autoimmune-related process and then can order to to this blood test.
When you have hepatitis that your doctor suspects may be due to an autoimmune-related process, this test is to be done.
Test Include: < or =20.0 Units (negative)20.1-24.9 Units (equivocal)> or =25.0 Units (positive)
Reference values apply to all ages.
- Antibodies To Liver Kidney Microsomes
Visit us @ http://bit.ly/2LZQVoY
Chronic Kidney Disease, a.k.a Chronic Kidney Failure, is a vast but serious topic that requires thorough study. This presentation entails the essentials - its stages, pathogenesis, risk factors, etiology, symptoms, diagnosis, treatment and prognosis.
Acute kidney injury (AKI) is a sudden episode of kidney failure or kidney damage that happens within a few hours or a few days.It's most common in those who are critically ill and already hospitalized.
LKM1 – Antibodies to Liver Kidney Microsomes test is to diagnose autoimmune hepatitis and distinguish it from other causes of liver injury. When you have hepatitis that your healthcare practitioner suspects may be due to an autoimmune-related process and then can order to to this blood test.
When you have hepatitis that your doctor suspects may be due to an autoimmune-related process, this test is to be done.
Test Include: < or =20.0 Units (negative)20.1-24.9 Units (equivocal)> or =25.0 Units (positive)
Reference values apply to all ages.
- Antibodies To Liver Kidney Microsomes
Visit us @ http://bit.ly/2LZQVoY
Chronic kidney disease (CKD) means your kidneys are damaged and can't filter blood the way they should. The disease is called “chronic” because the damage to your kidneys happens slowly over a long period of time.
Acute kidney injury is common among hospitalized patients. It affects some 3–7% of patients admitted to the hospital and approximately 25–30% of patients in the intensive care unit.
Polycystic disease of the kidney (PKD) is a disorder in which major portion of the renal parenchyma is converted into cysts of varying size .
Fluid-filled cysts distributed over the kidney results in massive enlargement of the kidneys.
Chronic kidney disease (CKD) consists of a spectrum of different pathophysiologic processes associated with abnormal kidney function, and a progressive decline in glomerular filtration rate (GFR).
CHRONIC RENAL FAILURE (CRF) or CHRONIC KIDNEY DISEASE (CKD)
Chronic or irreversible renal failure is a progressive reduction of functioning of renal tissue such that the remaining kidney mass can no longer maintain the body’s internal environment.
Chronic kidney disease (CKD) means your kidneys are damaged and can't filter blood the way they should. The disease is called “chronic” because the damage to your kidneys happens slowly over a long period of time.
Acute kidney injury is common among hospitalized patients. It affects some 3–7% of patients admitted to the hospital and approximately 25–30% of patients in the intensive care unit.
Polycystic disease of the kidney (PKD) is a disorder in which major portion of the renal parenchyma is converted into cysts of varying size .
Fluid-filled cysts distributed over the kidney results in massive enlargement of the kidneys.
Chronic kidney disease (CKD) consists of a spectrum of different pathophysiologic processes associated with abnormal kidney function, and a progressive decline in glomerular filtration rate (GFR).
CHRONIC RENAL FAILURE (CRF) or CHRONIC KIDNEY DISEASE (CKD)
Chronic or irreversible renal failure is a progressive reduction of functioning of renal tissue such that the remaining kidney mass can no longer maintain the body’s internal environment.
The newly-graduated Gen 2 kids settle into their respective lives. We have our first real wedding and our first death, and the first Gen 3 kids make an appearance.
Cirrhosis is a late stage of scarring (fibrosis) of the liver caused by many forms of liver diseases and conditions, such as hepatitis and chronic alcoholism
chronic kidney failure definition and stages of "CKD" SOAP (subjective,objective,assessment and planing ) example format to easy understand about CKD patients.
La enfermedad renal crónica (ERC) constituye un importante problema de salud pública, tanto por su elevada incidencia y prevalencia como por su elevada morbimortalidad y coste socioeconómicos
La enfermedad renal crónica (ERC) constituye un importante problema de salud pública, tanto por su elevada incidencia y prevalencia como por su elevada morbimortalidad y coste socioeconómicos.
Total body sodium is the major determinant of extracellular
fluid volume. Increased total body sodium and fluid volume
is an inevitable consequence of end-stage renal failure
because kidneys have a key role in the regulation of sodium
balance
Establishing and maintaining normal extracellular volume (ECV) is required to achieve normotension. The achievement of an optimal fluid status, as expressed by "dry weight" (DW), should allow for controlling blood pressure (BP) in the large majority of HD patients
La terapia de reemplazo renal abarca el tratamiento de soporte para la insuficiencia renal, entendido éste como la eliminación de la sangre de residuos nitrogenados, y mantenimiento de la homeostasis hidroelectrolitica. Incluye:
Hemodialisis,
Dialisis peritoneal,
Hemo(dia)filtración,
Trasplante renal.
nEl uso de medios de contraste dentro del arsenal diagnóstico y terapéutico médico puedeocasionar efectos adversos como toxicidad renal e injuria renal aguda, conocida como nefro-patía inducida por contraste. Se estima que en la población con función renal normal laincidencia es del 0-5%; sin embargo, en personas con alteración de la función renal basalpuede llegar a un 12-27%. La nefropatía inducida por contraste se define como un aumentoabsoluto (≥ 0,5 mg/dl) o relativo (≥ 25%) de la creatinina sérica en 24-72 h postexposiciónal medio de contraste.
Dedicada en esta ocasión:
Riñones y salud de la mujer: incluir, valorar, empoderar.
El día mundial del riñón (World Kidney Day) se celebra el 8 de marzo de 2018. Tiene lugar todos los años el segundo jueves del mes de marzo.
My experience
I have over than 25 years dedicated to assist patients with Chronic Renal Failure in Hemodialysis. Whereby It has served me to have a great experience to perform Canulation Catheter to Hemodialysis Therapy. I can say that so far I have inserted more than 2,000 CVC and more than 50 Catheter Tunnels.
Now I am dedicated to Teaching as Professor of Nephrology at the University Hospital of Las Tunas. Cuba
La Enfermedad Renal Crónica constituye un importante problema de salud publica , tanto por su elvada incidencia como su elebada morbimortalidad y coste socioeconomico.
En 2012, la organización Kidney Desease: Improving Global Outcome (KDIGO) desarrolló una guía para la práctica clínica sobre la evaluación, el manejo y el tratamiento de la enfermedad renal crónica (ERC) en adultos y niños que no estén bajo tratamiento de reemplazo renal.La OMS decidió incluir la ERC dentro de la Crónicas No Trasmisibles a partir del 2011, donde aceptó considerar como un problema de Salud a nivel Mundial y a partir de entonces iniciar acciones para su prevención diagnostico precoz y control.
Ver Presentacion
Bienvenidos a La Web de Prevención de la Enfermedad Renal Crónica (ERC) de Las Tunas. Cuba. Que está dirigida a los médicos de familia y profesionales de la salud , la Web brinda la información necesaria para enfrentar ERC, y los métodos de reemplazo y trasplantes. La Misión principal es mejorar el cuidado integral al paciente renal para brindar servicios de salud de elevada complejidad excelentes y generar conocimiento a través de la docencia, investigación y el desarrollo.
La Enfermedad Renal Crónica constituye un importante problema de salud publica , tanto por su elvada incidencia como su elebada morbimortalidad y coste socioeconomico.
La cirugía urgente en pacientes con enfermedad renal crónica se asocia con mayor morbimortalidad, y no es diferible; en cambio, la cirugía programada se puede retrasar hasta optimizar la función renal al cursar con lesión aguda e inclusive se puede acelerar su resolución si se trata concomitantemente el evento precipitante.
Dr. Jose L. Rodriguez
Nefrologo
La preeclampsia y la eclampsia grave son dos entidades clínicas que se engloban dentro de los denominados Estados Hipertensivos del Embarazo (E.H.E.),que en caso de no ser reconocidas y tratadas con diligencia, pueden tener graves consecuencias para la madre y el feto y ser causa de denuncia por mala praxis.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
5. Suggestions
• High mortality was found associated with late
referral of patients , They were referred to
nephrology belatedly.
• Strict control of patients CRF in the Local
Areas.
• Monitoring by CDC doctors and Specialists in
internal medicine to patients suffering from
HIV positive+ CKD.
6.
7. Objective
• At the end of this session , all participants
should be able to:
• Define Chronic Renal Failure.
• Mention the main causes of Chronic Renal
Failure.
• Know the signs and symptoms of renal failure.
• Know the treatment options of CRF
• Know new definition of CKD
8.
9. • The kidneys are a pair of brownish-red structures
located retroperitoneally (behind and outside of
peritoneal cavity) on the posterior wall of the
abdomen from the 12th thoracic vertebra to the 3rd
lumbar vertebra in the adult.
• They are measure :
-12 cm long
- 6 cm wide
- 3 cm thick
15. Blood Pressure Regulation
4 mechanisms are involved
– Volume control
– Aldosterone effect
– Renin-angiotensin-aldosterone
– Renal prostaglandin
16. Erythropoietin
• Erythropoietin is produced and
released by the kidneys in
response to decreased oxygen
tension in the renal blood
supply that is created by the
loss of red blood cells.
• Erythropoietin stimulates the
production of RBCs in the bone
marrow.
• Erythropoietin deficiency leads
to anemia in renal failure.
18. Diagnostic Tools for Assessing Renal
Failure
• Blood Tests
– BUN elevated (norm 10-20)
– Creatinine elevated (norm 85 - 132)
– K elevated
– PO4elevated
– Ca decreased
• Urinalysis
– Specific gravity
– Protein
– Creatinine clearance (GFR)
19. Diagnostic Tools
• Biopsy
• X-Rays
• Ultrasound:
-Finding of small
echogenic kidneys
b/l (<10 cm) by US
supports dx of CKD/
20. Glomerular Filtration Rate
GFR
• 24 hour urine for creatinine clearance
• Can estimate creatinine clearance by:
(140 – age) x weight (kg)}
72 x serum creatinine
21.
22. Actually already since 2004, the
international community began
using the term of CKD for
replacing the term of CRF
NKF Classification System*
Chronic Kidney Desease (CKD).
* Kidney International (2004) 67, 2089–2100;
36. How To Avoid Kidney DiseaseFailure
THE FOLLOWING COULD CAUSE KIDNEY DISEASE:
• Delaying going to a toilet
Keeping your urine in
your bladder for too long
is a bad idea.
• A full bladder can cause
bladder damage. The
urine that stays in the
bladder multiplies
bacteria quickly.
37.
38. Eating too much salt
You should eat no more than 5.8 grams
of salt daily
Eating too much meat.
Too much protein in your diet is harmful
for your kidneys. Protein digestion
produces ammonia
Not drinking water. Our kidneys should be
hydrated properly to perform their functions well. If
we don't drink enough, the toxins can start
accumulating in the blood, as there isn't enough
fluid to drain them through the kidneys.
39. Lack of Medical Checks .
Treat all your health problems
properly and have your health
checked regularly.
Stop Smoking and Stop drinking
alcohol. You can reduce the strain
on your kidneys by cutting all
alcoholic drinks out of your lifestyle.
These drinks require that your
kidneys work very hard and not
drinking them can help prevent
kidney problems.
40. Avoid potential medications that can
hurt the kidneys
• High doses or chronic
uses of antiinflammatory
medications like
Ibuprofen (Advil,
Motrin), Naproxen
(Eleve), Aspirin,
indomathacin,
• Antibiotics e.g.
gentamicin, Amikacin,
Estreptomicin
46. Conservative management in ERSD
• Conservative treatment or palliative care is an
option for patients with CKD in ESRD , but
besides the CRF have other conditions or
failure organs , that preclude their recovery,
such as:
• Heart disease
• Liver Disease
• Malignancies
• Advanced age
Nephrology 18 (2013) 393–400
47. Conservative Management
• Some people decide to have ‘conservative’
treatment (also called, palliative or supportive
care) rather than have dialysis or a transplant.
• The aim of conservative treatment is to
manage the symptoms of kidney failure
without using dialysis or transplantation.
• Conservative treatment includes medical,
emotional, social, spiritual and practical care
for both the person with kidney failure and
their family.
48. Conclusion
• Multiple risk-factor intervention strategy is
the best to adopt in patients with CKD
• Control of BP is of paramount importance in
slowing down the progression of CKD
• Control of BP is more important in slowing
the progression of CKD than control of blood
sugar in patients with type II diabetes and
proteinuria
• In patients with CKD, AII blockers give benefit
beyond BP control
49. Suggestions
• The country needs of a
National Prevention
Program of CKD .
Prevent*
Detect
Treat
*Despite a lot of
advancement in the fields
of Medicine ,still there is
not
Permanent cure for Kidney
The Governments can not
support Dialysis Therapy
without National
Prevention Program of
CKD and a program of
Kidney Transplantation.