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Hemodialysis

Hemodialyses


Presentation

  • Two of patients presented with left flank or abdominal pain after termination of HD therapy, while the third patient presented with left abdominal pain during the dialysis session.[ncbi.nlm.nih.gov]
  • Three weeks after starting hemodialysis, the patient presented with confusion and a new-onset seizure disorder. Laboratory examinations revealed thrombocytopenia, a low haptoglobin level, and schizocytes on a blood smear.[ncbi.nlm.nih.gov]
  • The aim of this study is to present a case of true brachial artery aneurysm in end-stage renal disease patient after arteriovenous fistula creation.[ncbi.nlm.nih.gov]
  • 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]
  • RESULTS: There was good immediate result and arteriovenous fistula presented function for 43 months.[ncbi.nlm.nih.gov]
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]
  • 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]
  • We present the case of a 77-year-old man with end-stage renal disease who was admitted to the emergency department for a decreased level of consciousness and fever.[ncbi.nlm.nih.gov]
  • 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]
  • Two patients with ESRD who received hemodialysis treatment via tunneled catheters, aged 56 and 88 years, were admitted with fever and high troponin level. Blood cultures revealed growth of S. aureus.[ncbi.nlm.nih.gov]
Sneezing
  • Its symptoms include sneezing, wheezing, shortness of breath, back pain, chest pain, or sudden death. It can be caused by residual sterilant in the artificial kidney or the material of the membrane itself.[en.wikipedia.org]
Hypotension
  • In this study, the impact of intradialytic hypotension on intestinal barrier integrity is being explored.[ncbi.nlm.nih.gov]
  • OBJECTIVE: Hypotension during hemodialysis (HD) is the most common complication that negatively affects the quality of life of patients.[ncbi.nlm.nih.gov]
  • More importantly, hypocalcemia, a common side effect of etelcalcetide, may cause decompensation of preexisting cardiac insufficiency in diabetic patients or worsen dialysis-related hypotension and lead to hypotension-related cardiac events, such as myocardial[ncbi.nlm.nih.gov]
  • However, in pregnant woman UF can increase the episodes of intradialytic hypotension which may lead to placental ischemic injury and predispose to fetal distress. There is little information about safe fluid amount withdrawn by UF during pregnancy.[ncbi.nlm.nih.gov]
  • All patients stable on hemodialysis between 18 and 80 years of age and with either uncontrolled hypertension and/or left ventricular hypertrophy and/or frequent intradialytic hypotension, were asked to participate in intensified dialysis therapy by either[ncbi.nlm.nih.gov]
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]
  • RESULTS: The results showed that aromatherapy reduced some of the complications of hemodialysis, including anxiety, fatigue, pruritus, pain of arteriovenous fistula puncture, sleep quality, depression, stress and headache.[ncbi.nlm.nih.gov]
  • Other frequent complications include Restless leg syndrome 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[merckmanuals.com]
  • Itching (Pruritus) Many people treated with hemodialysis complain of itchy skin, which is often worse during or just after treatment.[medicinenet.com]
  • Number of haemodialysis treatments associated with pruritus Four trials (all crossover trials requiring adjustment for clustering) considered pruritus ( Collins 1993 ; Danielson 1986 ; Levin 1993 ; Skroeder 1994 ).[doi.org]
Skin Lesion
  • Some dermatological skin lesions, if not diagnosed and treated, could progress to cancer after organ transplantation. Copyright 2018 Elsevier Inc. All rights reserved.[ncbi.nlm.nih.gov]
  • The patient developed 4 months latter 2 skin lesions compatible with BRBNS. Treatment included blood transfusion and intravenous iron supplementation.[ncbi.nlm.nih.gov]
  • The clinical picture is characterized by painful skin lesions and ulcerations. The underlying pathology is medial calcification and intimal proliferation with microthrombi of small arteries.[ncbi.nlm.nih.gov]
Neglect
  • Seven components from the exploratory content analysis including psychological misbehavior, authority deprivation, physical misbehavior, financial misbehavior, being abandoned, caring neglect, and emotional misbehavior explained 74.769% of the total variance[ncbi.nlm.nih.gov]

Workup

Toxoplasma Gondii
  • This systematic review and meta-analysis was performed to evaluate the seroprevalence of Toxoplasma gondii among patients undergoing hemodialysis in Iran.[ncbi.nlm.nih.gov]
Ischemic Changes
  • It was considered that the patient had a transient ischemic change due to blood pressure drop. The patient's condition improved with conservative treatment. KEYWORDS: Gastrointestinal bleeding; Ischemic gastropathy; Mucosal sloughing[ncbi.nlm.nih.gov]

Treatment

  • 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]
  • 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]
  • […] phosphate and anemia control in comparison to standard treatment schedules (SHD, 3 x 4 - 5 h).[ncbi.nlm.nih.gov]
  • Case diagnosis/treatment: Two adolescent males presented with painful erection during a chronic hemodialysis treatment. Patient 1 required urologic intervention for management and treatment.[ncbi.nlm.nih.gov]
  • The time when symptoms disappeared as well as complications after treatment was recorded. RESULTS: Leukocyte count, neutrophil percentage, AMY, BUN, Cr, and TBIL in two groups were remarkably decreased after treatment.[ncbi.nlm.nih.gov]

Prognosis

  • Overall prognosis is good.[ncbi.nlm.nih.gov]
  • Hemodialysis can substantially alter the prognosis and, in some cases, be a lifesaving treatment for patients with severe adverse cutaneous drug reaction associated with systemic toxicity.[ncbi.nlm.nih.gov]
  • Prognosis is variable, but can be potentially fatal depending on the severity of adhesion, and sequelae of complications.[ncbi.nlm.nih.gov]
  • The prototype included three main functions: 1) immediate bedside blood sample access, 2) a model based prognosis tool with estimates of P-phosphate and 3) an overview of the user's phosphate related activities during dialysis treatments.[ncbi.nlm.nih.gov]
  • Thus, the switch to azilsartan might improve the prognosis of hemodialysis patients.[omicsonline.org]

Etiology

  • Further studies are needed to more clearly elucidate the etiology.
.[ncbi.nlm.nih.gov]
  • Although its etiology is unknown, cases have frequently been reported in patients with hemodialysis for chronic kidney disease.[ncbi.nlm.nih.gov]
  • Brachial artery aneurysms are relatively uncommon and generally due to infectious, post-traumatic or iatrogenic etiology. They seem to affect 4.5% of arteriovenous fistula.[ncbi.nlm.nih.gov]
  • Mitochondrial/blood Echocardiography Endothelin-1/blood Female Heart Ventricles/diagnostic imaging Heart Ventricles/pathology Humans Hypertrophy, Left Ventricular/blood* Hypertrophy, Left Ventricular/diagnostic imaging Hypertrophy, Left Ventricular/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]
  • The aim of this study was to evaluate the current HBV and HCV epidemiology among hemodialysis patients in the State of Tocantins comparing them with those found 14 years ago.[ncbi.nlm.nih.gov]
  • This review highlights current knowledge on the epidemiology, pathophysiology, and risk factors for sudden cardiac death among hemodialysis patients.[ncbi.nlm.nih.gov]
  • Epidemiology of these infections is changing, with increasing rates of Gram-negative pathogens, including resistant ones. Few studies have focused on the characteristics and outcomes of these infections.[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]
Sex distribution
Age distribution

Pathophysiology

  • This review highlights current knowledge on the epidemiology, pathophysiology, and risk factors for sudden cardiac death among hemodialysis patients.[ncbi.nlm.nih.gov]
  • Lysine crotonylation was found to play important regulatory roles in pathophysiological processes in MHP.[ncbi.nlm.nih.gov]
  • The presented method has the potential to provide new insights into the individual pathophysiology of renal anemia and its association with clinical outcomes and can potentially be used to guide personalized anemia treatment.[ncbi.nlm.nih.gov]
  • A combination of organic and psychological factors have been reported to take part in the pathophysiology of this condition. 1 , 2 , 3 Although ED is frequently observed in hemodialysis patients, there is no consensus on the prevalence of ED in the literature[nature.com]
  • Based on this pathophysiologic rationale, nucleoside reduction by dialysis has been proposed as a promising therapy in MNGIE patients [ 5 , 6 ].[ojrd.biomedcentral.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]
  • Prevention and treatment of hungry bone syndrome may be required after ectopic parathyroidectomy in clinical practice.[ncbi.nlm.nih.gov]
  • The development of preventative measures will be of great importance given serious complications and limited treatment options.[ncbi.nlm.nih.gov]
  • There is a dire need for more data on the impact of dialysis and uremic state on water-soluble vitamins to facilitate appropriate preventative supplementation.[ncbi.nlm.nih.gov]
  • The current case highlighted the effective use of CHDF between IHD sessions to prevent the rebound elevation of lithium and the role of the anion gap as a surrogate marker of serum lithium concentration during the treatment.[ncbi.nlm.nih.gov]

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