Presentation
Leading experts from Latin America, Africa, Near and Middle East, Indian Subcontinent, Far East, Oceania and Australia present their expert insights into specific conditions, as well as progress and challenges in the development of the specialty. [books.google.com]
[…] in infancy with salt-wasting and hypotension, Cough, respiratory infections Plasma: ↑renin, ↓Na, ↑K, ↓CO 2 ; Urine: ↑K Pseudohypoaldosteronism type 1b [177735] Mineralocorticoid receptor 4q31.1 AD Presents in infancy with salt-wasting and hypotension [en.wikipedia.org]
Much less often the presentation may be in acute kidney injury that usually reverses spontaneously, or CKD. [patient.info]
| N Engl J Med 2016; 374:1368 A 35-year-old man presented with reduced vision in both eyes. He had no relevant medical history apart from intermittent headaches. [nejm.org]
27 year old man presents with hypertension and leg swelling and is found to be in severe renal failure. Test your ability to diagnose the cause of his renal disease. [theisn.org]
Entire Body System
- Anemia
No polyuria, anemia, gout, hematuria, nor proteinuria were seen. An average of 4.5 years elapsed from diagnosis to end-stage renal disease. [ncbi.nlm.nih.gov]
Anemia is characteristic of moderate to advanced CKD (≥ stage 3). The anemia of CKD is normochromic-normocytic, with an Hct of 20 to 30% (35 to 40% in patients with polycystic kidney disease ). [merckmanuals.com]
Anemia is treated and transfusions are given if anemia is severe. ACE inhibitor drugs may be prescribed at low doses to treat cardiac symptoms. Diuretics may be prescribed to reduce fluid retention. [encyclopedia.com]
All of the findings suggest Familial juvenile hyperuricemic nephropathy probably type 1 as there is late onset of anemia. [japi.org]
A more severe degree of anemia than would be anticipated for the degree of renal failure suggests myeloma kidney; serum and urine immunoelectrophoresis should be performed to detect monoclonal antibodies. [meddean.luc.edu]
Cardiovascular
- Heart Disease
Hypertensive heart disease (Medical Encyclopedia) Low-salt diet (Medical Encyclopedia) Malignant hypertension (Medical Encyclopedia) Renovascular hypertension (Medical Encyclopedia) [ Read More ] [icdlist.com]
Chapter 6: Dermatologic Disorders Chapter 7: Disorders of the Eyes & Lids Chapter 8: Ear, Nose, & Throat Disorders Chapter 9: Pulmonary Disorders Chapter 10: Heart Disease Chapter 11: Systemic Hypertension Chapter 12: Blood Vessel & Lymphatic Disorders [accessmedicine.mhmedical.com]
| N Engl J Med 2018; 378:1345-1347 There are more than 200,000 deaths in the United States each year from heart disease, stroke, and hypertensive disease that could be avoided by timely and effective preventive medical care.1 The risk of avoidable cardiovascular [nejm.org]
[…] and 49% of ischaemic heart disease worldwide, with little variation by sex. [enetmd.com]
[…] and well-being,” and the latest iteration of the United Nations Political Declaration on NCDs.9 CKD is a major risk factor for heart disease and cardiac death, as well as for infections such as tuberculosis, and is a major complication of other preventable [renalandurologynews.com]
Musculoskeletal
- Muscle Weakness
WNK) 1q31-q42, 12p13, 17q21-q22 AD Hypertension (± muscle weakness, short stature, intellectual impairment). [en.wikipedia.org]
weakness, ataxia and retinitis pigmentosa NCL Neuroceroid lipofuscinosis NCV Nerve conduction velocity NPC Niemann Pick type C disease NPH Normal pressure hydrocephalus nvCJD New variant Creutzfeld Jacob disease OA Optic atrophy OCB Oligoclonal bands [neuroweb.us]
- Myalgia
The patient had been well until the evening before admission, when mild diffuse myalgias developed. [nejm.org]
Urogenital
- Kidney Failure
All patients with kidney failure, despite the cause of the failure, must receive kidney dialysis or kidney transplantation. [encyclopedia.com]
The department treats patients with continuous hematuria or proteinuria, chronic nephritis, kidney failure, and nephrotic syndrome. [kaikou.or.jp]
1579 Clinical Evaluation of Acute Kidney Injury in Children 1603 Management of Acute Kidney Failure 1619 Pathophysiology of Progressive Renal Disease 1631 Management of Chronic Kidney Disease 1661 Handling of Drugs in Children with Abnormal Renal Function [books.google.com]
[…] excretion, ↑LMWP, ↑AA, ↑PO 4, ↑Glycosuria Dent's disease (X-linked recessive hypophophatemic rickets)[300009] CLCN5 Xp11.22 XR Nephrocalcinosis, nephrolithiasis, rachitic and osteomalacic bone disease, progressive kidney failure, normotensive Plasma: [en.wikipedia.org]
COMPLICATIONS About 50 percent of patients with PKD will have kidney failure by age 60, and about 60 percent will have kidney failure by age 70. [flipper.diff.org]
- Renal Injury
Hyperemesis Acute Renal Failure Cardiorenal syndrome Carfilzomib-Indiced Renal Injury CFHR5 nephropathy Charcot–Marie–Tooth Disease with Glomerulopathy Chinese Herbal Medicines and Nephrotoxicity Cherry Concentrate and Acute Kidney Injury Cholesterol [kidney.nyc]
We developed a two murine models of unilateral renal ischemia to match a recently published human study that investigated renal injury after unilateral renal ischemia during partial nephrectomy. [readbyqxmd.com]
Abscess Renal Agenesis Renal Arcuate Vein Microthrombi-Associated Acute Kidney Injury Renal Artery Aneurysm Renal Artery Stenosis Renal Cell Cancer Renal Cyst Renal Hypouricemia with Exercise-induced Acute Renal Failure Renal Infarction Renal Osteodystrophy [thekaiganfoundation.com]
Hypertension and renal injury in experimental PKD. Kid Int 1999; 56: 2181-2190. 15. Parfrey PS, Barret BJ. Hypertension in autosomal dominant polycystic kidney disease. Curr Opin Nephrol Hypertens 1995; 4; 5: 460-464. 16. Torres VE. [indianjurol.com]
Kennefick, TM, Al-Nimri, MA, Oyama, TT, Thompson, MM, Kelly, FJ, Chapman, JG, et al. 1999 Hypertension and renal injury in experimental polycystic kidney disease Kidney Int 56 2181 90 CrossRef PubMed Google Scholar 19. [link.springer.com]
Workup
Thus, ultrasonography is the procedure of choice in the workup of patients with ADPKD. [sjkdt.org]
Indications for MRA are as follows [6, 7] : Family history of stroke or intracranial aneurysms Development of symptoms suggesting an intracranial aneurysm Job or hobby in which a loss of consciousness may be lethal Past history of intracranial aneurysms See Workup [emedicine.medscape.com]
Serum
- Hypophosphatemia
[…] disease, progressive kidney failure, normotensive Plasma: ↓PO 4, N/↓K; Urine: ↑LMWP, ↑AA, ↑K, ↑Ca, ↑PO 4, ↑Glycosuria X-linked dominant hypophosphatemic rickets [307800 PHEX Xp22.2-p22.1 XD Growth retardation, rachitic and osteomalacic bone disease, hypophosphatemia [en.wikipedia.org]
Hypophosphatemia in Users of Cannabis Hypertension Hypertension, Monogenic Iced Tea Nephropathy Ifosfamide Nephrotoxicity IgA Nephropathy IgG4 Nephropathy Immersion Diuresis Immune-Checkpoint Therapy-Related Interstitial Nephritis Infliximab-Related [kidney.nyc]
Fusion) Hunner's Ulcer Hyperaldosteronism Hypercalcemia Hyperkalemia Hypermagnesemia Hypernatremia Hyperoxaluria Hyperphosphatemia Hypocalcemia Hypokalemia, Hypokalemia-induced renal dysfunction Hypokalemic Periodic Paralysis Hypomagnesemia Hyponatremia Hypophosphatemia [thekaiganfoundation.com]
Treatment
As a result, available treatment methods are hemodialysis, peritoneal dialysis, and kidney transplant. [kaikou.or.jp]
Treatment that reduces the amount of protein that is excreted is likely also to reduce the damage to your kidney over time. [hypertension.gumc.georgetown.edu]
The book also covers topics such as the value of medical therapy, surgical techniques, and percutaneous transluminal angioplasty, with special reference to the treatment of renal hypertension. [books.google.com]
Early diagnosis and treatment are therefore important. [nature.com]
The bleeding tendency in CKD rarely needs treatment. [merckmanuals.com]
Prognosis
The risk for CKD increases with higher levels of proteinuria. [ 19 ] Other features of poor prognosis are sustained hypertension, impaired kidney function, and persistent haematuria. [patient.info]
Moreover, this association may worsen renal and total prognosis. [sjkdt.org]
Prognosis usually depends on adequacy of BP control and degree of renal failure. Usually, renal impairment progresses slowly; after 5 to 10 yr, only 1 to 2% of patients develop clinically significant renal dysfunction. [msdmanuals.com]
Improved prognosis of Takayasu arteritis over the past decade: comprehensive analysis of 106 patients. Circ J 2012 ; 76 : 1004 – 1011. IVb 1083. Kobayashi K. [nature.com]
Prognosis The prognosis in patients with ADPKD covers a wide spectrum. Renal failure has been reported in children; conversely, individuals with ADPKD may live a normal lifespan without knowing that they have the disease. [emedicine.medscape.com]
Etiology
Etiology and Prevalence of Kidney Disease Disease type Etiology and examples Prevalence among patients with end-stage renal disease in 2010 (%) Diabetic kidney disease Type 2 diabetes mellitus 32.5 Type 1 diabetes mellitus 5.7 Nondiabetic kidney disease [aafp.org]
OVERVIEW AND SCREENING Hypertension related to a specific etiology is termed secondary hypertension, markedly differing from essential hypertension, of which the etiology cannot be identified, in the condition and therapeutic strategies. [nature.com]
J Hum Hypertens 5:1–6 PubMed Google Scholar Waltzer WC, Turner S, Frohnert P, Rapaport FT (1986) Etiology and pathogenesis of hypertension following renal transplantation. [link.springer.com]
Anand S, Caplin B, Gonzalez-Quiroz M, et al, International Society of Nephrology’s International Consortium of Collaborators on Chronic Kidney Disease of Unknown Etiology (i3C). [renalandurologynews.com]
Renal replacement therapy (RRT). dialysis transplantation Etiology Diabetic glomerulosclerosis CRF develops in about 30% of type I and type II diabetics peak incidence at about 15 years after the development of diabetes mellitus Untreated, the GFR in [meddean.luc.edu]
Epidemiology
Chapters on epidemiology, embryology, non-syndromic hearing loss, and syndromic forms of hearing loss have all been updated with particular attention to the vast amount of new information on molecular mechanisms, and chapters on clinical and molecular [books.google.com]
The disease database EPIDEMIOLOGY Polycystic kidney disease is the most common life-threatening genetic disease, affecting approximately 7 million people worldwide. [flipper.diff.org]
Indeed, in these patients, a so-called “reverse epidemiology” exists, in that hyperlipidemia and obesity appear to be protective at this advanced stage of CKD. [scielo.br]
Essential hypertension - definition, epidemiology and pathophysiology in more detail - technical Essential hypertension’ is high blood pressure for which there is no clearly defined aetiology. [enetmd.com]
Pathophysiology
Special emphasis is laid on newer pathophysiological aspects of the disease, in particular the vascular wall renin-angiotensin system. [books.google.com]
It goes on to discuss the haemodynamics and mechanisms and what we understand of the pathophysiology of the condition. Access to the complete content on Oxford Medicine Online requires a subscription or purchase. [oxfordmedicine.com]
[…] kidney injury (AKI). 1 A recent study of insurance claims of 26,651 hypertensive pregnant women found that those with hypertensive disorders were at high risk of end-stage renal disease, but the risk was much greater in women who had preeclampsia. 5 Pathophysiology [clinicaladvisor.com]
Prevention
primary prevention implies intervening before health effects occur in an effort to prevent the onset of illness or injury before the disease process begins, (ii) secondary prevention suggests preventive measures that lead to early diagnosis and prompt [renalandurologynews.com]
1) Primary Prevention implies intervening before health effects occur in an effort to prevent the onset of illness or injury before the disease process begins; 2) Secondary Prevention suggests preventive measures that lead to early diagnosis and prompt [scielo.br]
You should discuss this with your physician (see patient handout: Instructions/or a Healthy Diet to Help Lower Your Blood Pressure and to Prevent Cardiovascular Disease: The DASH Diet ). [hypertension.gumc.georgetown.edu]
Is chronic lung disease in low birth weight infants preventable? A survey of eight centers. Página 84 - Tanner JM, Whitehouse RH, Marubini E, Resele LF. The adolescent growth spurt of boys and girls of the Harpenden growth study. [books.google.es]
Prehypertension means you may end up with high blood pressure, unless you take steps to prevent it. High blood pressure usually has no symptoms, but it can cause serious problems such as stroke, heart failure, heart attack and kidney failure. [icdlist.com]