1 / 17

Chronic Kidney Disease

Chronic Kidney Disease . Baz Lazar. Overview . Introduction Discussion on finals case History Examination Management Last 15 minutes. Background. Age standardised prevalence Stage 3-5 8.5% 10.6% in females, 5.8% in males Causes: Diabetes Hypertension - ? cause or consequence?

calais
Télécharger la présentation

Chronic Kidney Disease

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Chronic Kidney Disease Baz Lazar

  2. Overview • Introduction • Discussion on finals case • History • Examination • Management • Last 15 minutes

  3. Background • Age standardised prevalence Stage 3-5 8.5% • 10.6% in females, 5.8% in males Causes: • Diabetes • Hypertension - ? cause or consequence? • Renovascular disease • Infective, obstructive and Reflux nephropathy • Glomerulonephritis • Pyelonephritis • Congenital e.g. ADPKD, Fabry, Alport • Analgesic nephropathy – NSAIDs, • Manifestation of systemic disease: • Myeloma, SLE, vasculitides, gout, RCC

  4. Suffix p to denote proteinuria

  5. Case • 60 year old gentleman suffering from renal failure for many years. • Has creatinine of 640 umol/L • Please take a history from this gentleman, focussing on his chronic renal problem

  6. History

  7. History • BIG BEANS • Breathlessness • Itch • Gout • Bone pain • Energy • Ankle swelling/anorexia • Neuropathy • Stones

  8. Examination

  9. Scars http://www.puvs.org/sites/default/files/images/bryscars.jpg

  10. http://www.nejm.org/na101/home/literatum/publisher/mms/journals/content/nejm/2007/nejm_2007.357.issue-15/nejmicm066807/production/images/large/nejmicm066807_f1.jpeghttp://www.nejm.org/na101/home/literatum/publisher/mms/journals/content/nejm/2007/nejm_2007.357.issue-15/nejmicm066807/production/images/large/nejmicm066807_f1.jpeg

  11. 15 minutes • Helpful to have a structure • Any tips?

  12. Divide page into 3 • Summary and differentials + Problem list • Investigations • Management • Then, if time, try to think on some possible questions and how to answer them

  13. Drop in blood calcium

  14. Summary • BIG BEANS • Focussed examination – think about the cause • Manage those 15 minutes – plan some answers if possible • If stuck on management, think on symptoms and how you could treat them • Don’t forget Psychosocial and MDT • Good luck!

More Related