Presentation
An 81-year-old female diagnosed with rapidly progressive glomerulonephritis (RPGN) presented with atypical presentation of non antibody-meditated HIT after using heparin during hemodialysis. [ncbi.nlm.nih.gov]
Entire Body System
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Fever
Familial Mediterranean Fever (FMF) is usually an autosomal recessive autoinflammatory disease characterized by recurrent attacks of fever and serositis. FMF develops before the age of 20 years in 90% of patients. [ncbi.nlm.nih.gov]
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Arm Pain
He goes to the emergency service in June 2016 with a pulsatile mass on the medial aspect of the left arm. Pain, redness and heat were present. Radial pulse was palpable. [ncbi.nlm.nih.gov]
Gastrointestinal
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Epigastric Pain
We reported a 50-year-old woman with TAFRO syndrome diagnosed 2 years after the initial symptoms of a fever, fatigue, epigastric pain, edema, ascites, lymphadenopathy, thrombocytopenia and renal insufficiency. [ncbi.nlm.nih.gov]
Cardiovascular
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Hypotension
In this study, the impact of intradialytic hypotension on intestinal barrier integrity is being explored. [ncbi.nlm.nih.gov]
Complications of Renal Replacement Therapy Type Hemodialysis Peritoneal Dialysis Cardiovascular Air embolism Angina Arrhythmia Cardiac arrest (rare) Cardiac tamponade Hypotension* Arrhythmia Hypotension* Pulmonary edema Infectious Bacteremia Colonization [merckmanuals.com]
Musculoskeletal
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Lordosis
Because besides lordosis and limb-girdle gait the patient was ambulant the possibility of late-onset Pompe's disease was set and confirmed with evaluation of α-glucosidase activity and genetic analysis. [ncbi.nlm.nih.gov]
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Myopathy
After exclusion of other causes of restrictive lung disease with chest CT-scan and cerebrum MRI, electrophysiological study revealed myopathy. [ncbi.nlm.nih.gov]
Skin
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Pruritus
CONCLUSION: Uremic pruritus is one of the predictor of 24-month cardiovascular mortality in MHD patients. 2018 The Author(s). Published by S. Karger AG, Basel. [ncbi.nlm.nih.gov]
Abstract Patients with chronic renal failure (CRF) may exhibit various cutaneous abnormalities, including changes in skin colour, pruritus, xerosis, hair, nail and oral changes, metastatic calcinosis, and bullous dermatosis. [journals.sagepub.com]
Other frequent complications include Cramps Pruritus Nausea and vomiting Headache Chest and back pain In most cases, these complications occur for unknown reasons, but some may be part of a first-use syndrome (when the patient’s blood is exposed to cuprophane [merckmanuals.com]
Workup
Serum
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Albumin Increased
In addition, ERI decreased and serum albumin increased in the short daily hemodialysis group, which is consistent with improvement in levels of chronic inflammation. [jasn.asnjournals.org]
Microbiology
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Coxiella Burnetii
We report the second case worldwide of a prosthetic hemodialysis vascular graft infection by Coxiella burnetii, with intense hypermetabolism on PET-CT, Q fever serology consistent with persistent infection, and positive C. burnetii DNA in the blood and [ncbi.nlm.nih.gov]
Treatment
Each hemodialysis treatment normally takes four to five hours, and usually three treatments a week are needed. More frequent, shorter treatments or longer treatments may be indicated for certain patients. [web.archive.org]
Extracorporeal treatments such as hemodialysis and plasma exchange are lifesaving measures in the treatment of drug poisoning. This treatment method generally is not used for severe cutaneous and systemic drug reactions. [ncbi.nlm.nih.gov]
These side effects can be avoided and/or their severity lessened by limiting fluid intake between treatments or increasing the dose of dialysis e.g. dialyzing more often or longer per treatment than the standard three times a week, 3–4 hours per treatment [en.wikipedia.org]
Prognosis
Prognosis is variable, but can be potentially fatal depending on the severity of adhesion, and sequelae of complications. [ncbi.nlm.nih.gov]
Fresenius Medical Care strives continuously to develop and implement innovative therapies and products to improve the cardiovascular prognosis of dialysis patients. [freseniusmedicalcare.com]
Etiology
Further studies are needed to more clearly elucidate the etiology. . [ncbi.nlm.nih.gov]
Scarlet Fever By John McCrae M D 194 Cultural Results in Hodgkins Disease By C H Bunting M D 226 Multiple Congenital Osteochondromas with Degeneration of Cranial 248 The Treatment of Syphilitic Affections of the Central Nervous System 258 Concerning the Etiology [books.google.com]
Epidemiology
We review the available literature on the epidemiology, risk factors, long-term sequelae, and known management strategies of adherent catheters. [ncbi.nlm.nih.gov]
Taking into account recent developments, an international group of contributors addresses issues related to vascular access, epidemiology, inflammation, fluid management, uremic toxicity, treatment efficacy, advanced techniques, calcium/phosphate homeostasis [karger.com]
Pathophysiology
This review highlights current knowledge on the epidemiology, pathophysiology, and risk factors for sudden cardiac death among hemodialysis patients. [ncbi.nlm.nih.gov]
Pathophysiological Aspects of Coagulation. In: Hakim NS, Calero R. Hemostasis in Surgery. Imperial College Press. London:1-90 Perry DJ, Pasi KJ. 2013. Methods in Molecular Medicine: Hemostasis and Thrombosis Protocoals. Humana press Inc. Vol 31. [indonesianjournalofclinicalpathology.org]
Modulation of Iron Metabolism and Hepcidin Release by HFE Mutations in Chronic Hemodialysis Patients: Pathophysiological and Therapeutic Implications By Elena Canavesi and Luca Valenti 1609 Open access peer-reviewed10. [intechopen.com]
Prevention
We then examine strategies for prevention, including the use of specific cardiac medications and device-based therapies such as implantable defibrillators. [ncbi.nlm.nih.gov]
Central Dialysate Delivery Systems Hemodialysis Machines AV Fistula Needles Safety AV Fistula Needles (Accidental Needlestick Prevention Systems) AV Fistula Needles (Accidental Needlestick Prevention Systems) Hemodialysis Blood Tubing Sets Dialyzer Prefilled [jms.cc]