Dr Ayman Seddik , The top 10 facts nephrologists wish every physician knew
•
8 likes•1,299 views
Dr. Ayman Seddik, an assistant professor of nephrology at Ain Shams University and nephrology consultant, discusses medications that can spuriously elevate serum creatinine levels or should be used cautiously in chronic kidney disease. He lists some references for further information, including publications from Mayo Clinic Proceedings, UpToDate, Medscape, and NICE guidelines for hypertension management.
Report
Share
Report
Share
Download to read offline
Recommended
1521 chap 2 statistical
The document appears to be notes from Prof. Dr. Issam Rashid containing solutions to problems labeled 1 through 52. Key words throughout include "solve", "important", and "note" indicating steps or highlights in the solutions. The document provides worked solutions to over 50 labeled problems.
2013 6th Annual Mid-Atlantic Informatics Symposium
This document discusses Kaiser Permanente's efforts to provide accessible healthcare to its members through online services and its focus on sustainability and reducing waste. It notes that as of the fourth quarter of 2012, Kaiser Permanente had over 4 million members connected online, with millions of emails, test results, and appointments handled digitally. The document advocates for Kaiser Permanente's model of proactively engaging with patients both in medical offices and online as an improved way to deliver healthcare compared to more traditional models.
Facts on U.S. physicians-Total number of active doctors of medicine in the U....
There are over 826,000 active physicians in the United States. The total number of active doctors of medicine currently practicing in the country is 826,001. This document provides a single statistic on the total number of active physicians in the U.S.
COVID 19 Y CORAZON
1. The document discusses several cardiovascular complications that can arise from COVID-19 infection, including myocarditis, arrhythmias, acute coronary syndromes, and heart failure.
2. Specific topics covered include COVID-19 related myocarditis, the potential for the virus to directly infect the myocardium, the increased risk of arrhythmias due to systemic inflammation, and post-COVID cardiovascular conditions.
3. Research is ongoing regarding the long term cardiovascular effects of COVID-19 and the immunological mechanisms involved.
Postcard regional
This document promotes a walking event organized by BC's doctors from May 6-12, 2013 called "Walk with Your Doc" where doctors will lead walks in communities across BC to encourage residents to get active and stay healthy. It provides the dates of May 6-12 and a website for more information on participating walks led by doctors in local areas.
Top5 resp
Dr. Charlotte Summers from the University of Cambridge provides a summary of her top five respiratory-related ICU papers from 2018. The papers examine the effects of noninvasive ventilation versus invasive ventilation on time to liberation from mechanical ventilation, the use of extracorporeal membrane oxygenation for severe acute respiratory distress syndrome, the effects of high-flow nasal oxygen versus standard oxygen on mortality in immunocompromised patients, the effects of low tidal volume versus intermediate tidal volume strategies on ventilator-free days, and a randomized trial of high-flow oxygen therapy in infants with bronchiolitis.
A trial of intraoperative low tidal-volume ventilation in abdominal
This document summarizes a study that evaluated whether using a lung-protective ventilation strategy of low tidal volumes, positive end-expiratory pressure (PEEP), and recruitment maneuvers improves outcomes for patients undergoing major abdominal surgery compared to a strategy of high tidal volumes without PEEP or recruitment maneuvers. The randomized controlled trial found significantly lower rates of major postoperative complications and acute respiratory failure in the protective ventilation group. The authors concluded that a lung-protective strategy is associated with improved outcomes for intermediate-to-high risk abdominal surgery patients.
Hemodynamics - The future, what now?
Optimising hemodynamics saves lives.
That’s why we all spend so much time trying to do it!
We measure blood pressure, heart rate and SpO2 on anything that moves...
But there is a big problem with this – We are actually just trying to guess what is really going on from very limited data
Recommended
1521 chap 2 statistical
The document appears to be notes from Prof. Dr. Issam Rashid containing solutions to problems labeled 1 through 52. Key words throughout include "solve", "important", and "note" indicating steps or highlights in the solutions. The document provides worked solutions to over 50 labeled problems.
2013 6th Annual Mid-Atlantic Informatics Symposium
This document discusses Kaiser Permanente's efforts to provide accessible healthcare to its members through online services and its focus on sustainability and reducing waste. It notes that as of the fourth quarter of 2012, Kaiser Permanente had over 4 million members connected online, with millions of emails, test results, and appointments handled digitally. The document advocates for Kaiser Permanente's model of proactively engaging with patients both in medical offices and online as an improved way to deliver healthcare compared to more traditional models.
Facts on U.S. physicians-Total number of active doctors of medicine in the U....
There are over 826,000 active physicians in the United States. The total number of active doctors of medicine currently practicing in the country is 826,001. This document provides a single statistic on the total number of active physicians in the U.S.
COVID 19 Y CORAZON
1. The document discusses several cardiovascular complications that can arise from COVID-19 infection, including myocarditis, arrhythmias, acute coronary syndromes, and heart failure.
2. Specific topics covered include COVID-19 related myocarditis, the potential for the virus to directly infect the myocardium, the increased risk of arrhythmias due to systemic inflammation, and post-COVID cardiovascular conditions.
3. Research is ongoing regarding the long term cardiovascular effects of COVID-19 and the immunological mechanisms involved.
Postcard regional
This document promotes a walking event organized by BC's doctors from May 6-12, 2013 called "Walk with Your Doc" where doctors will lead walks in communities across BC to encourage residents to get active and stay healthy. It provides the dates of May 6-12 and a website for more information on participating walks led by doctors in local areas.
Top5 resp
Dr. Charlotte Summers from the University of Cambridge provides a summary of her top five respiratory-related ICU papers from 2018. The papers examine the effects of noninvasive ventilation versus invasive ventilation on time to liberation from mechanical ventilation, the use of extracorporeal membrane oxygenation for severe acute respiratory distress syndrome, the effects of high-flow nasal oxygen versus standard oxygen on mortality in immunocompromised patients, the effects of low tidal volume versus intermediate tidal volume strategies on ventilator-free days, and a randomized trial of high-flow oxygen therapy in infants with bronchiolitis.
A trial of intraoperative low tidal-volume ventilation in abdominal
This document summarizes a study that evaluated whether using a lung-protective ventilation strategy of low tidal volumes, positive end-expiratory pressure (PEEP), and recruitment maneuvers improves outcomes for patients undergoing major abdominal surgery compared to a strategy of high tidal volumes without PEEP or recruitment maneuvers. The randomized controlled trial found significantly lower rates of major postoperative complications and acute respiratory failure in the protective ventilation group. The authors concluded that a lung-protective strategy is associated with improved outcomes for intermediate-to-high risk abdominal surgery patients.
Hemodynamics - The future, what now?
Optimising hemodynamics saves lives.
That’s why we all spend so much time trying to do it!
We measure blood pressure, heart rate and SpO2 on anything that moves...
But there is a big problem with this – We are actually just trying to guess what is really going on from very limited data
Casepres (1)
This case presentation discusses a 59-year-old woman who was admitted with weakness and neurological symptoms. She had a history of pneumonia and was initially diagnosed with transverse myelitis. Her condition worsened, so further investigations were done. MRI showed lesions in the spinal cord and brainstem. Testing found elevated mycoplasma titers, leading to a diagnosis of acute disseminated encephalomyelitis (ADEM) secondary to Mycoplasma pneumoniae infection. She was treated with steroids, plasma exchange, and antibiotics, and showed gradual improvement in her neurological function.
Thunder
This document summarizes a neurosciences academic meeting that discussed a case of a 25-year-old female who presented with sudden onset of her worst headache ever. Differential diagnoses for thunderclap headache were discussed. Imaging revealed a subarachnoid hemorrhage from an aneurysm. The meeting discussed CT and MR angiography as diagnostic tools compared to catheter angiography, and yields of CSF analysis for diagnosing aneurysmal subarachnoid hemorrhage. Causes of subarachnoid hemorrhage without an identified aneurysm were also reviewed, as well as a new clinical decision tool to exclude subarachnoid hemorrhage.
Penny drop
This document presents the case of a 26-year-old male with a progressive neurological condition. His symptoms began at age 20 with sensory issues in his legs and lower limb weakness. Imaging revealed an intracranial lesion that was removed in 2013 and found to be a choroid plexus papilloma. In 2016, a lumbar spine biopsy found the same low-grade tumor, indicating drop metastases from the original cerebral tumor. Drop metastases, where a benign tumor spreads via the CSF, are rare but possible for choroid plexus papillomas. Treatment options discussed include surgical resection, radiotherapy, and chemotherapy. This case highlights the importance of considering rare metastatic patterns for unusual tumors.
Kidney transplantation from myth to reality , ajman meeting 2013 may
This document discusses the history of organ transplantation from ancient myths to modern practice. It begins with stories from ancient civilizations featuring organs exchanged between humans and animals. Early experiments in the 1900s involved the first animal-to-animal and human kidney transplants. Major advances included defining brain death criteria, developing immunosuppressive drugs like cyclosporine, and establishing criteria for living and deceased donors. Today kidney transplantation has better long-term survival outcomes than dialysis and is an established treatment for end-stage renal disease.
Patient selection and training for peritoneal dialysis
This document discusses key considerations in assessing patients for peritoneal dialysis and initiating the therapy. It addresses issues like timing of catheter placement, adequacy of training, and management of early complications. Selection of appropriate patients and initiation of peritoneal dialysis is positioned as a multidisciplinary task requiring close monitoring by the renal team. Placement of the catheter 4-5 weeks before starting therapy and adherence to protocols for catheter care and training are emphasized.
Neuro-inflammation
This document presents three case studies. Case Study 1 involves a 38-year-old woman with double vision and headaches that are worse when looking left. Examination finds failure of left eye adduction. Case Study 2 is a 32-year-old woman with blurred vision, leg weakness, and urinary incontinence. Case Study 3 is a 45-year-old man with shortness of breath, fevers, weight loss, fatigue, unsteady gait, and memory problems.
Seizure Disorders
This document provides an overview of key information for assessing and managing seizures and epilepsy in the emergency department setting. It includes learning objectives, a sample case study, guidelines on taking a seizure history and differential diagnosis, acute seizure management and status epilepticus protocols. It also summarizes epilepsy epidemiology, classification, pathophysiology, syndromes and diagnostic evaluation.
Stroke
This document discusses stroke, including its definition, classification, clinical presentation, investigation, management, and prevention. Stroke is caused by a blockage or rupture of blood vessels in the brain. It is a leading cause of death and disability. Clinical features depend on the affected brain region but may include weakness, speech problems, visual issues, and more. Investigation involves imaging of the head and neck vessels. Acute management focuses on thrombolysis if appropriate, aspirin, and treating fever, blood sugar, and swallowing issues. Secondary prevention centers on controlling risk factors like hypertension, diabetes, and atrial fibrillation through medications, lifestyle changes, and procedures like carotid intervention.
Ckd-MBD & osteoporosis the management dilemma
This document discusses the management of chronic kidney disease-mineral and bone disorder (CKD-MBD) and osteoporosis in elderly patients. It outlines that CKD-MBD and osteoporosis are common in elderly populations and impact mortality and morbidity. Management is based on the stage of CKD and involves controlling serum phosphorus and calcium levels, using phosphate binders to treat hyperphosphatemia, and treating abnormal PTH levels. Guidelines recommend treating bone disease with bisphosphonates and other osteoporosis medications according to the condition and stage of CKD. The risks and benefits of different treatment options must be considered based on each patient's situation.
Brain kidney cross talk final 2016
This document discusses the bidirectional relationship between the brain and kidneys. It begins by outlining how signals from the central nervous system regulate renal blood flow, filtration, and sodium handling, while the kidneys also send signals to the brain and contralateral kidney. It then examines how acute brain injuries can lead to acute kidney injury through mechanisms like neuroinflammation, increased sympathetic activity, and disturbances to the hypothalamic-pituitary axis. Finally, it explores how acute kidney injury can also impact cerebral function by disrupting blood-brain barriers and stimulating inflammatory responses in the brain.
Recent advances in osteoporosis
This document discusses recent advances in the treatment of osteoporosis. It begins by defining osteoporosis as a condition characterized by decreased bone strength. It then provides statistics on the prevalence of osteoporosis and risk of fractures. The document goes on to discuss recent withdrawals of osteoporosis medications due to safety concerns. It outlines various drug therapies for osteoporosis including bisphosphonates, denosumab, teriparatide, and emerging therapies targeting mechanisms like sclerostin inhibition. The conclusion states that while many new drugs are in development phases, current treatments should still be optimally used to manage osteoporosis.
Extracorporeal liver support therapies
1. Extracorporeal liver support systems aim to treat liver failure through non-cell based or cell-based modalities that remove toxins from the blood.
2. Non-cell based systems include MARS (molecular adsorbents recirculation system), Prometheus, and HemoTherapies liver dialysis unit which use albumin dialysis or charcoal adsorption. Cell-based systems incorporate living hepatocytes.
3. While early studies show improved biochemistry and potential survival benefit, large randomized controlled trials are still needed to establish efficacy and determine appropriate applications of these technologies. Safety concerns include bleeding risks from anticoagulation.
Aging kidney-structural-and-functional-changes ayman seddik
The document discusses how aging impacts the kidneys. As people age, their kidneys undergo structural and functional changes such as loss of mass and function, granularity on the external surface, and thickening of arteries. The prevalence of conditions like diabetes, hypertension, and high cholesterol increase with age and contribute to declining kidney function. Studies show that while chronic kidney disease risk increases with age, elderly patients are less likely than younger patients to progress to end-stage renal disease, though a subset will eventually need renal replacement therapy. Nephrologists face the challenge of identifying older patients with declining kidney function who would benefit from interventions to slow progression.
Renal Replacement Therapy in Acute Kidney Injury -time modality -Dr Ayman Se...
Renal Replacement Therapy in Acute Kidney Injury -time and modality -Dr Ayman Seddik
PD THE ROAD LESS TRAVELLED Dr Ayman Seddik 2.pdf
1. The document discusses guidelines for the prevention and management of peritonitis from the ISPD 2022 updates. It focuses on key areas such as the standardized definitions of peritonitis, measurement of peritonitis rates, prevention strategies like exit site care and antibiotic prophylaxis, and treatment recommendations.
2. The new guidelines recommend monitoring peritonitis rates and aiming for a rate of less than 0.4 episodes per patient year. Prevention strategies discussed include proper exit site care, antibiotic prophylaxis before catheter placement and invasive procedures, and patient education.
3. Treatment guidelines cover initial antibiotic therapy based on peritonitis type and symptoms, and monitoring response and indications for catheter removal. Overall the document summar
CKD MBD & osteoporosis in elderly the management dilemma
1. The document discusses the management of chronic kidney disease-mineral bone disease (CKD-MBD) and osteoporosis in elderly patients, highlighting the diagnostic challenges and treatment considerations.
2. It presents the case of a 54-year-old woman with end-stage renal disease and a hip fracture, exploring the differential diagnosis of CKD-MBD versus osteoporosis based on her history and lab results.
3. The management of bone disease in CKD patients requires careful exclusion of other forms of renal bone disease through biomarkers or bone biopsy to determine if osteoporosis treatments may be appropriate.
صحة الكلي للجميع في كل مكان ... درهم وقاية خير من قنطار علاج
World kidney day 2019 booklet
صحة الكلي للجميع في كل مكان ... درهم وقاية خير من قنطار علاج
SGLT2 inhibitors and RISK OF necrotizing fasciitis
A search of FDA reports and medical literature identified 12 cases of Fournier's gangrene in patients taking SGLT2 inhibitors. Fournier's gangrene is a rare but serious genital infection that can progress quickly and requires immediate treatment to prevent severe tissue damage. Patients taking SGLT2 inhibitors should seek medical attention immediately if they experience tenderness, redness, swelling or fever in the genital or rectal area as symptoms can worsen rapidly. Healthcare providers should assess patients with these symptoms for Fournier's gangrene, start broad-spectrum antibiotics and surgery if needed, discontinue the SGLT2 inhibitor, and provide alternative diabetes treatment.
Pregabalin and gabapentin use in HD patients
Cautious while prescribing Pregablin or Gabapentin in your HD patient , recent article by JASN based on USRD data
Patient selection and training for PERITONEAL DIALYSIS
This document discusses key considerations in assessing and initiating patients for peritoneal dialysis (PD). It notes that evaluating candidacy for PD is a multidisciplinary task involving nephrologists, nurses, and other specialists. Placement of the PD catheter 4-5 weeks before initiation allows time for healing and training. Training is critical and involves education on modalities, catheter care, exchanges, and documentation. The goal is to start PD without interim hemodialysis and avoid early problems that could discontinue PD.
Onconephrology shield the kidney while fighting cancer , dr ayman seddik
This document discusses kidney diseases that can occur in patients with cancer or undergoing cancer treatment. It begins by defining onconephrology as the field of nephrology dealing with kidney complications of cancer. Common reasons a nephrologist may be consulted include kidney diseases that predate or develop during cancer, new glomerular diseases, obstructive nephropathy, tubular damage, thrombotic microangiopathy, radiation nephropathy, tumor invasion of the kidney, tumor lysis syndrome, and electrolyte disorders. Kidney complications discussed in more depth include acute kidney injury, cancer-associated glomerulopathy, chemotherapy-associated tubulointerstitial nephritis, hypercalcemia of
More Related Content
Viewers also liked
Casepres (1)
This case presentation discusses a 59-year-old woman who was admitted with weakness and neurological symptoms. She had a history of pneumonia and was initially diagnosed with transverse myelitis. Her condition worsened, so further investigations were done. MRI showed lesions in the spinal cord and brainstem. Testing found elevated mycoplasma titers, leading to a diagnosis of acute disseminated encephalomyelitis (ADEM) secondary to Mycoplasma pneumoniae infection. She was treated with steroids, plasma exchange, and antibiotics, and showed gradual improvement in her neurological function.
Thunder
This document summarizes a neurosciences academic meeting that discussed a case of a 25-year-old female who presented with sudden onset of her worst headache ever. Differential diagnoses for thunderclap headache were discussed. Imaging revealed a subarachnoid hemorrhage from an aneurysm. The meeting discussed CT and MR angiography as diagnostic tools compared to catheter angiography, and yields of CSF analysis for diagnosing aneurysmal subarachnoid hemorrhage. Causes of subarachnoid hemorrhage without an identified aneurysm were also reviewed, as well as a new clinical decision tool to exclude subarachnoid hemorrhage.
Penny drop
This document presents the case of a 26-year-old male with a progressive neurological condition. His symptoms began at age 20 with sensory issues in his legs and lower limb weakness. Imaging revealed an intracranial lesion that was removed in 2013 and found to be a choroid plexus papilloma. In 2016, a lumbar spine biopsy found the same low-grade tumor, indicating drop metastases from the original cerebral tumor. Drop metastases, where a benign tumor spreads via the CSF, are rare but possible for choroid plexus papillomas. Treatment options discussed include surgical resection, radiotherapy, and chemotherapy. This case highlights the importance of considering rare metastatic patterns for unusual tumors.
Kidney transplantation from myth to reality , ajman meeting 2013 may
This document discusses the history of organ transplantation from ancient myths to modern practice. It begins with stories from ancient civilizations featuring organs exchanged between humans and animals. Early experiments in the 1900s involved the first animal-to-animal and human kidney transplants. Major advances included defining brain death criteria, developing immunosuppressive drugs like cyclosporine, and establishing criteria for living and deceased donors. Today kidney transplantation has better long-term survival outcomes than dialysis and is an established treatment for end-stage renal disease.
Patient selection and training for peritoneal dialysis
This document discusses key considerations in assessing patients for peritoneal dialysis and initiating the therapy. It addresses issues like timing of catheter placement, adequacy of training, and management of early complications. Selection of appropriate patients and initiation of peritoneal dialysis is positioned as a multidisciplinary task requiring close monitoring by the renal team. Placement of the catheter 4-5 weeks before starting therapy and adherence to protocols for catheter care and training are emphasized.
Neuro-inflammation
This document presents three case studies. Case Study 1 involves a 38-year-old woman with double vision and headaches that are worse when looking left. Examination finds failure of left eye adduction. Case Study 2 is a 32-year-old woman with blurred vision, leg weakness, and urinary incontinence. Case Study 3 is a 45-year-old man with shortness of breath, fevers, weight loss, fatigue, unsteady gait, and memory problems.
Seizure Disorders
This document provides an overview of key information for assessing and managing seizures and epilepsy in the emergency department setting. It includes learning objectives, a sample case study, guidelines on taking a seizure history and differential diagnosis, acute seizure management and status epilepticus protocols. It also summarizes epilepsy epidemiology, classification, pathophysiology, syndromes and diagnostic evaluation.
Stroke
This document discusses stroke, including its definition, classification, clinical presentation, investigation, management, and prevention. Stroke is caused by a blockage or rupture of blood vessels in the brain. It is a leading cause of death and disability. Clinical features depend on the affected brain region but may include weakness, speech problems, visual issues, and more. Investigation involves imaging of the head and neck vessels. Acute management focuses on thrombolysis if appropriate, aspirin, and treating fever, blood sugar, and swallowing issues. Secondary prevention centers on controlling risk factors like hypertension, diabetes, and atrial fibrillation through medications, lifestyle changes, and procedures like carotid intervention.
Ckd-MBD & osteoporosis the management dilemma
This document discusses the management of chronic kidney disease-mineral and bone disorder (CKD-MBD) and osteoporosis in elderly patients. It outlines that CKD-MBD and osteoporosis are common in elderly populations and impact mortality and morbidity. Management is based on the stage of CKD and involves controlling serum phosphorus and calcium levels, using phosphate binders to treat hyperphosphatemia, and treating abnormal PTH levels. Guidelines recommend treating bone disease with bisphosphonates and other osteoporosis medications according to the condition and stage of CKD. The risks and benefits of different treatment options must be considered based on each patient's situation.
Brain kidney cross talk final 2016
This document discusses the bidirectional relationship between the brain and kidneys. It begins by outlining how signals from the central nervous system regulate renal blood flow, filtration, and sodium handling, while the kidneys also send signals to the brain and contralateral kidney. It then examines how acute brain injuries can lead to acute kidney injury through mechanisms like neuroinflammation, increased sympathetic activity, and disturbances to the hypothalamic-pituitary axis. Finally, it explores how acute kidney injury can also impact cerebral function by disrupting blood-brain barriers and stimulating inflammatory responses in the brain.
Recent advances in osteoporosis
This document discusses recent advances in the treatment of osteoporosis. It begins by defining osteoporosis as a condition characterized by decreased bone strength. It then provides statistics on the prevalence of osteoporosis and risk of fractures. The document goes on to discuss recent withdrawals of osteoporosis medications due to safety concerns. It outlines various drug therapies for osteoporosis including bisphosphonates, denosumab, teriparatide, and emerging therapies targeting mechanisms like sclerostin inhibition. The conclusion states that while many new drugs are in development phases, current treatments should still be optimally used to manage osteoporosis.
Extracorporeal liver support therapies
1. Extracorporeal liver support systems aim to treat liver failure through non-cell based or cell-based modalities that remove toxins from the blood.
2. Non-cell based systems include MARS (molecular adsorbents recirculation system), Prometheus, and HemoTherapies liver dialysis unit which use albumin dialysis or charcoal adsorption. Cell-based systems incorporate living hepatocytes.
3. While early studies show improved biochemistry and potential survival benefit, large randomized controlled trials are still needed to establish efficacy and determine appropriate applications of these technologies. Safety concerns include bleeding risks from anticoagulation.
Aging kidney-structural-and-functional-changes ayman seddik
The document discusses how aging impacts the kidneys. As people age, their kidneys undergo structural and functional changes such as loss of mass and function, granularity on the external surface, and thickening of arteries. The prevalence of conditions like diabetes, hypertension, and high cholesterol increase with age and contribute to declining kidney function. Studies show that while chronic kidney disease risk increases with age, elderly patients are less likely than younger patients to progress to end-stage renal disease, though a subset will eventually need renal replacement therapy. Nephrologists face the challenge of identifying older patients with declining kidney function who would benefit from interventions to slow progression.
Viewers also liked (14)
Kidney transplantation from myth to reality , ajman meeting 2013 may
Kidney transplantation from myth to reality , ajman meeting 2013 may
Patient selection and training for peritoneal dialysis
Patient selection and training for peritoneal dialysis
Aging kidney-structural-and-functional-changes ayman seddik
Aging kidney-structural-and-functional-changes ayman seddik
More from Ayman Seddik
Renal Replacement Therapy in Acute Kidney Injury -time modality -Dr Ayman Se...
Renal Replacement Therapy in Acute Kidney Injury -time and modality -Dr Ayman Seddik
PD THE ROAD LESS TRAVELLED Dr Ayman Seddik 2.pdf
1. The document discusses guidelines for the prevention and management of peritonitis from the ISPD 2022 updates. It focuses on key areas such as the standardized definitions of peritonitis, measurement of peritonitis rates, prevention strategies like exit site care and antibiotic prophylaxis, and treatment recommendations.
2. The new guidelines recommend monitoring peritonitis rates and aiming for a rate of less than 0.4 episodes per patient year. Prevention strategies discussed include proper exit site care, antibiotic prophylaxis before catheter placement and invasive procedures, and patient education.
3. Treatment guidelines cover initial antibiotic therapy based on peritonitis type and symptoms, and monitoring response and indications for catheter removal. Overall the document summar
CKD MBD & osteoporosis in elderly the management dilemma
1. The document discusses the management of chronic kidney disease-mineral bone disease (CKD-MBD) and osteoporosis in elderly patients, highlighting the diagnostic challenges and treatment considerations.
2. It presents the case of a 54-year-old woman with end-stage renal disease and a hip fracture, exploring the differential diagnosis of CKD-MBD versus osteoporosis based on her history and lab results.
3. The management of bone disease in CKD patients requires careful exclusion of other forms of renal bone disease through biomarkers or bone biopsy to determine if osteoporosis treatments may be appropriate.
صحة الكلي للجميع في كل مكان ... درهم وقاية خير من قنطار علاج
World kidney day 2019 booklet
صحة الكلي للجميع في كل مكان ... درهم وقاية خير من قنطار علاج
SGLT2 inhibitors and RISK OF necrotizing fasciitis
A search of FDA reports and medical literature identified 12 cases of Fournier's gangrene in patients taking SGLT2 inhibitors. Fournier's gangrene is a rare but serious genital infection that can progress quickly and requires immediate treatment to prevent severe tissue damage. Patients taking SGLT2 inhibitors should seek medical attention immediately if they experience tenderness, redness, swelling or fever in the genital or rectal area as symptoms can worsen rapidly. Healthcare providers should assess patients with these symptoms for Fournier's gangrene, start broad-spectrum antibiotics and surgery if needed, discontinue the SGLT2 inhibitor, and provide alternative diabetes treatment.
Pregabalin and gabapentin use in HD patients
Cautious while prescribing Pregablin or Gabapentin in your HD patient , recent article by JASN based on USRD data
Patient selection and training for PERITONEAL DIALYSIS
This document discusses key considerations in assessing and initiating patients for peritoneal dialysis (PD). It notes that evaluating candidacy for PD is a multidisciplinary task involving nephrologists, nurses, and other specialists. Placement of the PD catheter 4-5 weeks before initiation allows time for healing and training. Training is critical and involves education on modalities, catheter care, exchanges, and documentation. The goal is to start PD without interim hemodialysis and avoid early problems that could discontinue PD.
Onconephrology shield the kidney while fighting cancer , dr ayman seddik
This document discusses kidney diseases that can occur in patients with cancer or undergoing cancer treatment. It begins by defining onconephrology as the field of nephrology dealing with kidney complications of cancer. Common reasons a nephrologist may be consulted include kidney diseases that predate or develop during cancer, new glomerular diseases, obstructive nephropathy, tubular damage, thrombotic microangiopathy, radiation nephropathy, tumor invasion of the kidney, tumor lysis syndrome, and electrolyte disorders. Kidney complications discussed in more depth include acute kidney injury, cancer-associated glomerulopathy, chemotherapy-associated tubulointerstitial nephritis, hypercalcemia of
Hepatitis c treatment in ESRD patients , update Dr Ayman Seddik
This document discusses hepatitis C treatment in patients with end-stage renal disease. It outlines that newer direct-acting antiviral drug regimens have achieved over 90% sustained virological response rates in clinical trials, regardless of fibrosis stage, genotype, or viral load. The KDIGO 2008 guidelines recommended liver biopsy for evaluating fibrosis, but non-invasive methods are now sufficient. Recent trials like TARGET and C-SURFER showed high cure rates of over 95% with direct-acting antiviral regimens in dialysis patients. The AASLD recommendations designate specific direct-acting antiviral combinations as recommended or alternative regimens for different genotypes in patients with severe renal impairment or on dialysis.
Dr ayman seddik plasmapheresis why when and how
Dr. Ayman Seddik discusses plasmapheresis, including why it is used to remove pathogenic factors from plasma, such as autoantibodies and immune complexes. He outlines the main therapeutic indications for plasmapheresis in renal diseases, including anti-glomerular basement membrane disease, rapidly progressive glomerulonephritis, hemolytic uremic syndrome, thrombotic thrombocytopenic purpura, and renal transplant rejection. The presentation provides details on the technical aspects and procedures involved in plasmapheresis.
Acute kidney injury prevention new microsoft power po.int presentation
This document discusses acute kidney injury (AKI) including its clinical approach, diagnosis, and causes. It describes evaluating patients for pre-renal, renal, and post-renal causes of AKI through history, physical exam, urinalysis and imaging tests. Common causes of AKI discussed include prerenal factors, glomerular disease, vasculitis, pyelonephritis, interstitial nephritis, atheroembolic disease, rhabdomyolysis, acute interstitial nephritis, crystal nephropathy, and hemolytic uremic syndrome. Diagnostic testing and treatment approaches are also summarized.
Kidney transplantation from myth to reality , ajman meeting 2013 may
This document discusses the history of organ transplantation from ancient myths to modern practices. It covers early experimental transplant attempts in the 1900s-1950s using animal organs that failed due to rejection. The first successful kidney transplant was performed in 1954 between identical twins. Cyclosporine revolutionized transplantation in the 1980s by reducing rejection rates and allowing non-renal organ transplants. Now transplantation offers superior long-term survival compared to dialysis and over 800,000 transplants have been performed worldwide with records of 45 years for kidney grafts.
Kidney health during pregnancy 2015 final
Pregnant women should monitor their kidney health and watch for signs of preeclampsia. Dr. Seddik advises maintaining fitness, controlling blood sugar, reducing blood pressure if necessary, eating healthy, staying hydrated, avoiding smoking and unnecessary pills. He also encourages women to attend free checkups on March 2nd and 8th to monitor blood pressure, blood sugar, urine, weight and height.
Hyponatremia 2015 final
This document discusses disturbances in sodium and water balance, including hyponatremia and hypernatremia. It notes that hyponatremia is usually caused by excess water intake that cannot be excreted fully, while hypernatremia is caused by too little water intake. Symptoms depend on severity and include nausea, headaches, seizures or coma. Treatment of hyponatremia involves careful correction of sodium levels to avoid complications. Diagnosis requires assessing volume status and osmolality to determine the underlying cause.
plasmapheresis WHY WHEN AND HOW
The document discusses plasmapheresis, including why it is performed, when it can be used therapeutically, and how the procedure is performed technically. Plasmapheresis involves removing plasma from the blood and returning the remaining blood cells to the patient. It is used to remove pathogenic factors like autoantibodies, immune complexes, myeloma proteins, and lipoproteins from the blood. Therapeutic indications for plasmapheresis in renal diseases include anti-glomerular basement membrane disease, rapidly progressive glomerulonephritis, hemolytic uremic syndrome, thrombotic thrombocytopenic purpura, and renal transplant rejection. The technical aspects of plasmapheresis using membrane filtration or centrifug
Anaemia of chronic kidney disease GUIDELINES TO PRACTICE 2013
1) Anaemia is common in chronic kidney disease (CKD) due to reduced kidney function and erythropoietin production. It can cause lower quality of life and increased risk of cardiovascular complications.
2) Guidelines recommend diagnosing anaemia of CKD in adults with estimated glomerular filtration rate (eGFR) <60 mL/min/1.73m2 and hemoglobin ≤11 g/dL.
3) Treatment involves iron supplementation and erythropoiesis-stimulating agents (ESAs) to increase hemoglobin levels, with a target range of 11-12 g/dL according to recent guidelines. Higher targets may increase risk without clear benefits.
More from Ayman Seddik (17)
Renal Replacement Therapy in Acute Kidney Injury -time modality -Dr Ayman Se...
Renal Replacement Therapy in Acute Kidney Injury -time modality -Dr Ayman Se...
CKD MBD & osteoporosis in elderly the management dilemma
CKD MBD & osteoporosis in elderly the management dilemma
صحة الكلي للجميع في كل مكان ... درهم وقاية خير من قنطار علاج
صحة الكلي للجميع في كل مكان ... درهم وقاية خير من قنطار علاج
SGLT2 inhibitors and RISK OF necrotizing fasciitis
SGLT2 inhibitors and RISK OF necrotizing fasciitis
Patient selection and training for PERITONEAL DIALYSIS
Patient selection and training for PERITONEAL DIALYSIS
Onconephrology shield the kidney while fighting cancer , dr ayman seddik
Onconephrology shield the kidney while fighting cancer , dr ayman seddik
Hepatitis c treatment in ESRD patients , update Dr Ayman Seddik
Hepatitis c treatment in ESRD patients , update Dr Ayman Seddik
Acute kidney injury prevention new microsoft power po.int presentation
Acute kidney injury prevention new microsoft power po.int presentation
Kidney transplantation from myth to reality , ajman meeting 2013 may
Kidney transplantation from myth to reality , ajman meeting 2013 may
Anaemia of chronic kidney disease GUIDELINES TO PRACTICE 2013
Anaemia of chronic kidney disease GUIDELINES TO PRACTICE 2013
Recently uploaded
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
une 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
This quiz was conducted as a promotional event for the 2024 Annual Meet of Kerala Chapter of API.
More than 20 participants took part everyday !
Cell Therapy Expansion and Challenges in Autoimmune Disease
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
vonoprazan A novel drug for GERD presentation
Vonoprazan, a new potassium acid channel blocker used in the conditions of GERD and gastric ulcer, duodenal ulcer ....
10 Benefits an EPCR Software should Bring to EMS Organizations
The benefits of an ePCR solution should extend to the whole EMS organization, not just certain groups of people or certain departments. It should provide more than just a form for entering and a database for storing information. It should also include a workflow of how information is communicated, used and stored across the entire organization.
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Pharmacology of 5-hydroxytryptamine and Antagonist
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Ageing, the Elderly, Gerontology and Public Health
Challenges associated with ageing from a public health perspective
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Do you have abnormal smell after periods? It may be vaginitis. Do not worry, herbal medicine Fuyan Pill can help you get a cure.
How to Control Your Asthma Tips by gokuldas hospital.
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
This document outlines policies and procedures for handling narcotic and controlled drugs in NABH accredited hospitals.
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
low birth weight presentation. Low birth weight (LBW) infant is defined as the one whose birth weight is less than 2500g irrespective of their gestational age. Premature birth and low birth weight(LBW) is still a serious problem in newborn. Causing high morbidity and mortality rate worldwide. The nursing care provide to low birth weight babies is crucial in promoting their overall health and development. Through careful assessment, diagnosis,, planning, and evaluation plays a vital role in ensuring these vulnerable infants receive the specialize care they need. In India every third of the infant weight less than 2500g.
Birth period, socioeconomical status, nutritional and intrauterine environment are the factors influencing low birth weight
Skin Diseases That Happen During Summer.
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
Recently uploaded (20)
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
10 Benefits an EPCR Software should Bring to EMS Organizations
10 Benefits an EPCR Software should Bring to EMS Organizations
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
Ageing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public Health
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
Dr Ayman Seddik , The top 10 facts nephrologists wish every physician knew
- 1. Dr AymanSeddik , MD Ass. Professor Nephrology Ain Shams University Nephrology consultant 8/11/2016Dr Ayman Seddik ,MD
- 2. 8/11/2016Dr Ayman Seddik ,MD
- 3. 8/11/2016Dr Ayman Seddik ,MD 2. Know the MedicationsThatSpuriouslyElevatethe Serum Creatinine Level OR should be used cautiouslyin ckd
- 4. 8/11/2016Dr Ayman Seddik ,MD
- 5. 8/11/2016Dr Ayman Seddik ,MD
- 6. 8/11/2016Dr Ayman Seddik ,MD
- 7. 8/11/2016Dr Ayman Seddik ,MD
- 8. 8/11/2016Dr Ayman Seddik ,MD
- 9. 8/11/2016Dr Ayman Seddik ,MD
- 10. 8/11/2016Dr Ayman Seddik ,MD
- 11. 8/11/2016Dr Ayman Seddik ,MD
- 12. 8/11/2016Dr Ayman Seddik ,MD
- 13. 8/11/2016Dr Ayman Seddik ,MD
- 14. 8/11/2016Dr Ayman Seddik ,MD
- 15. Mayo Clin Proc. • February 2009;84(2):180- 186 • www.mayoclinicproceedings.com Up to date Medscape NICE guidelines for management of hypertension 8/11/2016Dr Ayman Seddik ,MD
- 16. 8/11/2016Dr Ayman Seddik ,MD