Presentation
We present a case of aortic dissection with an atypical presentation in a peritoneal dialysis patient, and the challenges met with peritoneal dialysis. [ncbi.nlm.nih.gov]
Respiratoric
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Pleural Effusion
One patient was transferred to hemodialysis, which led to complete resolution of pleural effusion. The other patient was switched to automated peritoneal dialysis, using small dwell volumes with consequent reduction in size of the pleural effusion. [ncbi.nlm.nih.gov]
In addition, the clinical manifestations of systemic venous congestion, including accumulation of fluid outside the lungs (elevated jugular venous pressure, pleural effusions, hepatic enlargement, ascites and oedema) are leading reasons for hospital admission [karger.com]
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Aspiration
The aspirated fluid was categorised as transudate, based on alkaline pH, low protein and lactic dehydrogenase level. [ncbi.nlm.nih.gov]
Intraluminal obstruction due to blood clots or fibrin plugs may respond to manual compression of the dialysis bag or aspiration and forceful flushing with heparinized saline[192]. [sages.org]
Skin
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Cutis Laxa
We present a rare complication: a child presenting with anal protrusion of the PD catheter.The patient is an 11-year-old boy with a background of renal dysplasia and congenital cutis laxa. [ncbi.nlm.nih.gov]
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Dermatitis
We report a case of blastomyces dermatitis peritonitis in a nonimmunocompromised peritoneal dialysis patient, who initially presented with symptoms of lower extremity weakness and altered mental status. [ncbi.nlm.nih.gov]
Neurologic
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Altered Mental Status
We report a case of blastomyces dermatitis peritonitis in a nonimmunocompromised peritoneal dialysis patient, who initially presented with symptoms of lower extremity weakness and altered mental status. [ncbi.nlm.nih.gov]
Workup
Serum
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Abnormal Renal Function
Learn about this topic in these articles: treatment of abnormal renal function In renal system disease: Dialysis In peritoneal dialysis, the patient’s own abdominal cavity is used as the container of fluid; the fluid is run in, allowed to reach equilibrium [britannica.com]
Pleura
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Pleural Effusion
One patient was transferred to hemodialysis, which led to complete resolution of pleural effusion. The other patient was switched to automated peritoneal dialysis, using small dwell volumes with consequent reduction in size of the pleural effusion. [ncbi.nlm.nih.gov]
In addition, the clinical manifestations of systemic venous congestion, including accumulation of fluid outside the lungs (elevated jugular venous pressure, pleural effusions, hepatic enlargement, ascites and oedema) are leading reasons for hospital admission [karger.com]
Treatment
Longer duration treatment (21 days of IV vancomycin and IP gentamicin) had uncertain effects on risk of treatment relapse compared with 10 days treatment (1 study, 49 patients: RR 1.56, 95% CI 0.60 to 3.95) although may have increased ototoxicity.In general [ncbi.nlm.nih.gov]
Antifungal versus placebo/no treatment [doi.org]
Prognosis
PURPOSE: To investigate the effect of hemoglobin fluctuations on cardiovascular prognosis of patients on peritoneal dialysis (PD). METHODS: Retrospective descriptive study, with sample composed of 333 patients treated with PD at the Renal Unit. [ncbi.nlm.nih.gov]
Two patients fully recovered, one died, and one patient with a poor prognosis was lost to follow-up. Conclusion: IPD can be delivered effectively using readily available materials in forward surgical units and level III combat support hospitals. [doi.org]
Etiology
We report 2 episodes of hemoperitoneum in a PD patient occurring more than 1.5 years apart, with different underlying etiologies. [ncbi.nlm.nih.gov]
Three recent case-control studies, one each from the United Kingdom, France, and Hong Kong, have shown no increased risk for infections in patients with PKD compared to patients with ESRD from other etiologies. [renalandurologynews.com]
Among 18 patients in which omental wrapping was observed to be the etiology for catheter malfunction, two failures were observed. [sages.org]
Epidemiology
We present a case of PDRP due to M. paraoxydans and review the epidemiology, clinical manifestations, and available evidence for treatment of this organism. [ncbi.nlm.nih.gov]
An increasing number of national and international renal registries have provided valuable demographic and epidemiologic information on renal patients since the first report of the European Dialysis and Transplant Association (EDTA) was published in 1965 [doi.org]
Pathophysiology
The results suggest that hepcidin may be involved in the pathophysiology of atherosclerosis. Prospective studies should be carried out in this patient population to determine whether hepcidin has an effect on atherosclerosis. [ncbi.nlm.nih.gov]
There are excellent reviews in the literature that discuss the causes, pathophysiology, and medical management of acute renal failure in the neonate (see Acute Renal Failure Management in the Neonate in this issue of NeoReviews ). [neoreviews.aappublications.org]
Jones & Bartlett Learning, 2009 - 786 Seiten An Introduction to Human Disease: Pathology and Pathophysiology Correlations, Eighth Edition provides students with a clear and well-illustrated explanation of the structural and functional changes associated [books.google.com]
Prevention
Abstract Background: Complications of renal failure may prevent timely evacuation of injured soldiers. Conventional renal replacement therapy is not available in forward surgical units. [doi.org]
Complications of renal failure may prevent timely evacuation of injured soldiers. Conventional renal replacement therapy is not available in forward surgical units. [ncbi.nlm.nih.gov]