NEPHROLOGY COMMON CLINICAL PRESENTATIONS AND CARDINAL MANIFESTATIONS OF RENAL DISEASES-
|
|
- Grant Stewart
- 8 years ago
- Views:
Transcription
1 NEPHOLOGY OON LINIAL PESENTATIONS AND ADINAL ANIFESTATIONS OF ENAL DISEASES- INITIAL EVALUATION AND DEISION-AKING SKILLS GOAL: The residents will learn the evaluation, diagnosis, and management of patients with commonly encountered acute and chronic renal disorders -Asymptomatic patient renal disease prevention - Diabetes -Hypertension -Sickle cell anemia -Symptom evaluation and diagnosis -Fatigue -Anorexia -Weight gain -Pallor -Pruritus -Easy bruising -Increased thirst -Dyspnea -Nausea, vomiting -Diarrhea -Flank pain -Abdominal pain -Alterations in urine output -Hematuria -Urinary urgency, frequency -Swelling -Urinary incontinence -Urinary retention -Lethargy -Seizures -Physical examination abnormalities -Elevated blood pressure -Altered mental status -Eyelid edema -Altered breath sounds, crackles -Edema, anasarca -Flank tenderness -Abdominal mass / palpable kidney NEPHOLOGY LEANING OBJETIVES - manage as the primary physician - co-manage with subspecialist - refer to subspecialist omprehensive clinical skill development for- -History taking -Physical examination and diagnosis -Formulation of complete differential diagnosis -Decision-making for initial evaluation and management -Presentation of findings and articulation of prioritized plan -Ordering and interpretation of appropriate tests to evaluate renal function and pathology -Assessment of need for hospital admission or emergency department referral in the outpatient setting -omprehensive medical care of hospitalized patients with renal disorders -Assessment of the need for referral to subspecialist for evaluation and management -Assessment of need for continued hospitalization of inpatients with renal disorders and transition to outpatient care Learning Objectives- - esidents are expected to learn how to evaluate, diagnose and manage these conditions without subspecialist consultation. They are expected to acquire primary management experience for the majority the conditions in this category. hanges in the condition of the patient may necessitate subspecialist consultation, comanagement and subsequent referral as indicated. - esidents are expected to be able to perform the initial evaluation and establish the diagnosis of patients with these disorders who are then typically co-managed with the consultants. Subspecialist consultation is frequently needed for these conditions to interpret specialized test results, perform procedures, confirm diagnosis and advise during ongoing co-management of the patients. 1
2 OON LINIAL PESENTATIONS AND ADINAL ANIFESTATIONS OF DISEASE- INITIAL EVALUATION AND DEISION-AKING SKILLS -Bruit over abdomen -ash -Enlarged prostate -Laboratory test abnormalities -Abnormal urinalysis Proteinuria ed cell casts Granular casts Hematuria -ardiomegaly on X -Pulmonary edema on X -Hyperlipidemia -Elevated BUN and creatinine -etabolic acidosis -Electrolyte level abnormalities -Anemia -Hypoalbuminemia -Abnormal SPEP and/or UPEP -Abnormal serum immunoglobulin free light chains NEPHOLOGY - esidents are expected to be able to perform the initial evaluation and management of patients with these disorders who are then typically evaluated further, diagnosed and managed primarily by the subspecialty consultants OON LINIAL ONDITIONS- DIAGNOSIS AND ANAGEENT SKILLS AUTE ENAL FAILUE -Pre-renal failure Volume depletion Low cardiac output Other etiology of pre-renal failure -Intrinsic renal disease Glomerulonephritis Primary glomerular diseases Post-infectious Vasculitis SLE Other etiology enal microvascular disease Preecclampsia Thrombotic microangiopathy Acute tubular necrosis Ischemia Drugs/toxins enovascular obstruction 2
3 OON LINIAL ONDITIONS- DIAGNOSIS AND ANAGEENT SKILLS Interstitial nephritis Allergic Infections Other etiology Intratubular deposition and obstruction yeloma light chains Uric acid ethotrexate toxicity enal allograft rejection -Post-renal failure (obstruction) Ureteric calculi Extrinsic ureteric compression Bladder outlet obstruction Urethral stricture NEPHOLOGY NEPHOTI SYNDOE -Primary glomerular diseases -Secondary to other diseases Infections Drugs/toxin associated SLE and other connective tissue disorders Amyloidosis Other etiologies ASYPTOATI UINAY ABNOALITIES -Isolated non-nephrotic proteinuria Primary glomerular disease Secondary to systemic disease Diabetes Amyloidosis -Hematuria with or without proteinuria Primary glomerular disease Other etiologies ENAL DYSFUNTION DUE TO SYSTEI DISEASE -SLE -Henoch-Schönlein -Goodpasture s -Systemic vasculitis 3
4 -ultiple myeloma -Amyloidosis -Light chain deposition disease -ryoglobulinemia -Scleroderma renal crisis -Other systemic diseases NEPHOLOGY SYSTEI HYPETENSION -Essential hypertension -Secondary hypertension -enovascular HTN -Pheochromocytoma -Other disorders -Hypertensive emergencies ELETOLYTE/FLUID BALANE ABNOALITIES -Hyponatremia and hypernatremia -Hyperkalemia and hypokalemia -Hypocalcemia and hypercalcemia -Hyperphosphatemia and hypophosphatemia HONI ENAL FAILUE -Hypertensive nephrosclerosis -Diabetic nephropathy -Polycystic kidney disease -hronic glomerulonephritis -Obstructive uropathy -Other disorders associated with F END-STAGE ENAL DISEASE -Indications/evaluation for renal replacement therapy Hemodialysis enal transplantation Peritoneal dialysis -omplications of ESD and its therapy Anemia due to chronic kidney disease enal osteodystrophy Secondary hyperparathyroidism Vascular access infection Peritonitis 4
5 enal allograft rejection Infections in immunocompromised transplant patient Other complications of ESD and its therapy NEPHOLOGY LABOATOY TESTS- UNDESTANDING, ODEING AND INTEPETATION SKILLS OUTINE TESTS -Urinalysis with dipstick -Urine sediment -Urine electrolytes -FeNa -Urine osmolality -Plasma BUN/creatinine ratio -24 hour urine collection for creatinine clearance/protein -Urine microalbumin -Serum electrolytes -Serum calcium and phosphorus -Anion gap -Arterial blood gas -EKG -Lipid panel -ES -SPEP -UPEP -Immunofixation electrophoresis -Serum immunoglobulin free light chains -easurement of complement levels and activity -ANA -ryoglobulin screen -Anti-glomerular basement membrane antibodies -ANA -hest X-ay -enal ultrasound OTHE TESTS -Plasma renin activity (after captopril) -enal arteriography and renal vein rennin activity measurement -Kidney biopsy pathologic analysis -Intravenous pyelogram -enal stone analysis esidents are required to develop the skills to understand, order and perform initial interpretation without subspecialist consult requirement esidents are required to understand and be able to appropriately order/request test when indicated Subspecialist consult and co-management or referral are needed for interpretation and further evaluation 5
6 POEDUES- UNDESTANDING AND PEFOANE SKILLS -Arterial blood gas analysis -Urinary bladder catheterization -Vascular catheter placement (femoral approach) for emergent hemodialysis -enal biopsy -Hemodialysis -Insertion of peritoneal dialysis catheter Learn to perform Learn to perform Learn to perform Observe Observe Observe NEPHOLOGY 6
William B. Schwartz Division of Nephrology Fellowship Training Program Curriculum
William B. Schwartz Division of Nephrology Fellowship Training Program Curriculum Consult/Transplant Servic Patient Care Take medical history Perform physical examination Urinalysis and sediment eval Interpret
More informationIM 655 Nephrology Clerkship. Selective/Elective Clerkship Rotation Syllabus
IM 655 Nephrology Clerkship Selective/Elective Clerkship Rotation Syllabus Osteopathic Medical Specialties Mary Hughes DO Chairperson, Instructor of Record Mary Hughes DO hughesm@msu.edu (100% for CLIFMS
More informationOpen the Flood Gates Urinary Obstruction and Kidney Stones. Dr. Jeffrey Rosenberg Dr. Emilio Lastarria Dr. Richard Kasulke
Open the Flood Gates Urinary Obstruction and Kidney Stones Dr. Jeffrey Rosenberg Dr. Emilio Lastarria Dr. Richard Kasulke Nephrology vs. Urology Nephrologist a physician who has been trained in the diagnosis
More informationApproach to the Patient with Acute Renal Failure. Michael Ornes Abbott Northwestern Hospital
Approach to the Patient with Acute Renal Failure Michael Ornes Abbott Northwestern Hospital Definition Abrupt decrease in glomerular filtration rate Accumulation of urea and other metabolic byproducts
More informationRenal syndromes leading to abnormal kidney function:
Renal syndromes leading to abnormal kidney function: An abnormality in kidney function can be detected by the following: 1) changes in serum creatinine concentration, reflecting changes in GFR 2) abnormalities
More informationRegistered Charity No: 326679 Caring for those with a rare, complex and lifelong disease www.behcets.org.uk
Registered Charity No: 326679 Caring for those with a rare, complex and lifelong disease www.behcets.org.uk Behçet s Disease and the Kidneys How are the kidneys affected by Behçet s disease? Kidney disease
More informationChronic Kidney Disease and the Electronic Health Record. Duaine Murphree, MD Sarah M. Thelen, MD
Chronic Kidney Disease and the Electronic Health Record Duaine Murphree, MD Sarah M. Thelen, MD Definition of Chronic Kidney Disease (CKD) Defined by the National Kidney Foundation Either a decline in
More informationDiagnostics: Page 2 of 5
Proteinuria Proteinuria is a condition in which there are increased amounts of protein in the urine. There are a number of different diseases which can result in proteinuria. In the early stages of the
More informationInpatient consultation service. Renal Transplantation Service
Inpatient consultation service Renal Transplantation Service Goals Instructional Format Evaluation Goal Setting Feedback To learn to provide accurate and effective consultation based on effective data
More informationObjectives. Functions of the kidney. Renal failure. Categories of AKI. Acute Kidney Injury (AKI) RENAL FAILURE: AN UPDATE FOR HEALTHCARE PROFESSIONALS
RENAL FAILURE: AN UPDATE FOR HEALTHCARE PROFESSIONALS Tamara Kear, PhD, RN Assistant Professor of Nursing Villanova University Objectives Review normal kidney function. Define the pathophysiology of acute
More informationDiabetic Nephropathy
Diabetic Nephropathy Kidney disease is common in people affected by diabetes mellitus Definition Urinary albumin excretion of more than 300mg in a 24 hour collection or macroalbuminuria Abnormal renal
More informationInterpretation of Laboratory Values
Interpretation of Laboratory Values Konrad J. Dias PT, DPT, CCS Overview Electrolyte imbalances Renal Function Tests Complete Blood Count Coagulation Profile Fluid imbalance Sodium Electrolyte Imbalances
More informationGU Assessment, Diagnosis and Case Studies. Jami Windhorn, RN BSN SOAR Session #7
GU Assessment, Diagnosis and Case Studies Jami Windhorn, RN BSN SOAR Session #7 GU System Kidneys: Ultrafiltration of the blood, maintain water and electrolyte homeostasis Pelvicalyceal systems: urine
More informationCHRONIC KIDNEY DISEASE MANAGEMENT GUIDE
CHRONIC KIDNEY DISEASE MANAGEMENT GUIDE Outline I. Introduction II. Identifying Members with Kidney Disease III. Clinical Guidelines for Kidney Disease A. Chronic Kidney Disease B. End Stage Renal Disease
More informationDIALYSIS COMPACT. The function, diseases and treatments for the human kidney.
DIALYSIS COMPACT The function, diseases and treatments for the human kidney. Content 3 Editorial 4 What do healthy kidneys accomplish? 5 What causes kidney disease? 6 What effects does kidney disease have?
More informationCurriculum for Nephrology Fellowship
Curriculum for Nephrology Fellowship Consultation: FMLH Service Description of Rotation or Educational Experience This part of the fellowship program in Nephrology provides training and experience such
More informationKidney Disease WHAT IS KIDNEY DISEASE? TESTS TO DETECT OR DIAGNOSE KIDNEY DISEASE TREATMENT STRATEGIES FOR KIDNEY DISEASE
Kidney Disease WHAT IS KIDNEY DISEASE? Kidney disease is when your kidneys are damaged and not functioning as they should. When kidney disease is not going away it is called chronic kidney disease or CKD.
More informationrenal transplantation: A single-center comparative study
Impact of posterior urethral valves on pediatric renal transplantation: A single-center comparative study BY Mohamed Kamal Gheith, MD Oberarzt die Urologie, Universitätsmedizin Mainz Ass. Prof. of Urology,
More informationPrimary Care Management of Male Lower Urinary Tract Symptoms. Matthew B.K. Shaw Consultant Urological Surgeon
Primary Care Management of Male Lower Urinary Tract Symptoms Matthew B.K. Shaw Consultant Urological Surgeon NICE LUTS Guidelines Lower Urinary Tract Symptoms (LUTS) in men. NICE Clinical Guideline 97
More informationThings You Don t Want to Miss in Multiple Myeloma
Things You Don t Want to Miss in Multiple Myeloma Sreenivasa Chandana, MD, PhD Attending Hematologist and Medical Oncologist West Michigan Cancer Center Assistant Professor, Western Michigan University
More informationA912: Kidney, Renal cell carcinoma
A912: Kidney, Renal cell carcinoma General facts of kidney cancer Renal cell carcinoma, a form of kidney cancer that involves cancerous changes in the cells of the renal tubule, is the most common type
More informationDiagnostic Assessments Relating to Renal Function: Why we do them? What do they mean? Mohamud Karim MD, FRCPC. Feb 27, 2015
Diagnostic Assessments Relating to Renal Function: Why we do them? What do they mean? Mohamud Karim MD, FRCPC Feb 27, 2015 Acknowledgements: Previous presentor Why are Patients Referred? Renal Syndromes:
More informationSOUTHWEST ONCOLOGY GROUP CLINICAL RESEARCH ASSOCIATE (CRA) MANUAL. MYELOMA CHAPTER 10 REVISED: March 2008
Introduction This disease site includes the following three malignancies: multiple myeloma, amyloidosis, and waldenstrom's macroglobulinemia. See pages 4 and 5 for descriptions of the latter two diseases.
More informationMultiple Myeloma Patient s Booklet
1E Kent Ridge Road NUHS Tower Block, Level 7 Singapore 119228 Email : ncis@nuhs.edu.sg Website : www.ncis.com.sg LIKE US ON FACEBOOK www.facebook.com/ nationaluniversitycancerinstitutesingapore Multiple
More information190.12 - Urine Culture, Bacterial Summary Information Highlighted items indicate most frequently used codes.
Medicare National Coverage Determination (NCD) (Jan 2011) Source: CMS: Centers for Medicare & Medicaid Services To view full document: www.cms.gov/coveragegeninfo. Select Lab NCDs, then select NCD Coding
More informationACID- BASE and ELECTROLYTE BALANCE. MGHS School of EMT-Paramedic Program 2011
ACID- BASE and ELECTROLYTE BALANCE MGHS School of EMT-Paramedic Program 2011 ACID- BASE BALANCE Ions balance themselves like a see-saw. Solutions turn into acids when concentration of hydrogen ions rises
More informationTHE ROLE OF RENAL BIOPSY IN GLOMERULAR DISEASES DIAGNOSTIC FRANCO FERRARIO FABIO PAGNI
THE ROLE OF RENAL BIOPSY IN GLOMERULAR DISEASES DIAGNOSTIC FRANCO FERRARIO FABIO PAGNI Nephropathology Center San Gerardo Hospital-Monza Milan-Bicocca University Italy Percutaneous Renal Biopsy has a fundamental
More informationRenal Diseases. Ruediger W. Lehrich, M.D. Duke University Medical Center, Division of Nephrology
Renal Diseases Ruediger W. Lehrich, M.D. Duke University Medical Center, Division of Nephrology Disclosures none Learning Objectives Basic review of common renal diseases: Acute renal failure Chronic kidney
More informationSection. 37Renal Dialysis Facility
Section 37Renal Dialysis Facility 37 37.1 Enrollment...................................................... 37-2 37.1.1 STAR and STAR+PLUS Program Enrollment.......................... 37-2 37.2 Reimbursement..................................................
More informationUnderstanding Treatment Options for Renal Therapy
Understanding Treatment Options for Renal Therapy Kidney failure happens to many different people for many different reasons 1 What causes kidney failure? Diabetes Chronic infection High blood pressure
More informationDisability Evaluation Under Social Security
Disability Evaluation Under Social Security Revised Medical Criteria for Evaluating Endocrine Disorders Effective June 7, 2011 Why a Revision? Social Security revisions reflect: SSA s adjudicative experience.
More informationBlood in the urine (hematuria)
Blood in the urine (hematuria) Hematuria refers to the presence of blood in the urine. It is important to investigate the cause of hematuria because rarely, it is caused by a serious condition, such as
More informationUNDERSTANDING MULTIPLE MYELOMA AND LABORATORY VALUES Benjamin Parsons, DO bmparson@gundersenhealth.org Gundersen Health System Center for Cancer and
UNDERSTANDING MULTIPLE MYELOMA AND LABORATORY VALUES Benjamin Parsons, DO bmparson@gundersenhealth.org Gundersen Health System Center for Cancer and Blood Disorders La Crosse, WI UNDERSTANDING MULTIPLE
More informationGuideline for Microalbuminuria Screening
East Lancashire Diabetes Network Guideline for Microalbuminuria Screening Produced by: Task and Finish Group, Clinical Standards Group Produced: August 2006 Approved by: East Lancashire Diabetes Network
More informationSTUDY GUIDE 1.1: NURSING DIAGNOSTIC STATEMENTS AND COMPREHENSIVE PLANS OF CARE
STUDY GUIDE 1.1: NURSING DIAGNOSTIC STATEMENTS AND COMPREHENSIVE PLANS OF CARE WHAT IS A NURSING DIAGNOSIS? A nursing diagnosis is a clinical judgment about individual, family, or community responses to
More informationACUTE RENAL FAILURE S. Kache, MD, P. Trinkus, MD
ACUTE RENAL FAILURE S. Kache, MD, P. Trinkus, MD Definition Acute Renal failure is a rapid decline (hours, days, weeks) in glomerular and tubular functions with loss of the ability to maintain fluid and
More informationHYPERTENSION ASSOCIATED WITH RENAL DISEASES
RENAL DISEASE v Patients with renal insufficiency should be encouraged to reduce dietary salt and protein intake. v Target blood pressure is less than 135-130/85 mmhg. If patients have urinary protein
More informationCoding Kidney Disease and Treatment
Coding Kidney Disease and Treatment Audio Seminar/Webinar March 15, 2007 Practical Tools for Seminar Learning Copyright 2007 American Health Information Management Association. All rights reserved. Disclaimer
More informationAcute Renal Failure. Objectives. By the end of this session you should be able to:
Acute Renal Failure Objectives By the end of this session you should be able to: * List the three major etiologic categories of acute renal failure. * List the major causes of each of the three major categories
More informationLCD for Viral Hepatitis Serology Tests
LCD for Viral Hepatitis Serology Tests Applicable CPT Code(s): 86692 Antibody; Hepatitis, Delta Agent 86704 Hepatitis B Core Antibody (HBcAb); Total 86705 Hepatitis B Core Antibody (HBcAb); IgM Antibody
More informationA PRINTED copy of this guideline may not be the most recent version. The OFFICIAL version is located on IHNET at the Policies & Procedures Home Page
A PRINTED copy of this guideline may not be the most recent version. The OFFICIAL version is located on IHNET at the Policies & Procedures Home Page IX0200: Prevention & Control of Catheter Associated
More informationInformation for Childhood Cancer Survivors. Kidney Problems
Kidney problems Some chemotherapy drugs can affect the kidneys. The kidneys break down and remove many chemotherapy drugs from the body. When chemotherapy drugs get broken down, they may make products
More informationCardiovascular diseases. pathology
Cardiovascular diseases pathology Atherosclerosis Vascular diseases A disease that results in arterial wall thickens as a result of build- up of fatty materials such cholesterol, resulting in acute and
More informationMultiple Myeloma Workshop- Tandem 2014
Multiple Myeloma Workshop- Tandem 2014 1) Review of Plasma Cell Disorders Asymptomatic (smoldering) myeloma M-protein in serum at myeloma levels (>3g/dL); and/or 10% or more clonal plasma cells in bone
More informationClinical Aspects of Hyponatremia & Hypernatremia
Clinical Aspects of Hyponatremia & Hypernatremia Case Presentation: History 62 y/o male is admitted to the hospital with a 3 month history of excessive urination (polyuria) and excess water intake up to
More informationESIM 2014 WHEN CHRONIC BECOMES ACUTE
ESIM 2014 WHEN CHRONIC BECOMES ACUTE Anna Salina, MD Pauls Stradins Clinical University Hospital Riga, Latvia 37 years old female, 50 kg, 150 cm Complaints Severe edema +8 kg Tiredness, dry cough Chills
More informationMyeloma pathways to diagnosis UCLP audit
Myeloma pathways to diagnosis UCLP audit Dr Neil Rabin Consultant Haematologist University College London Hospitals & North Middlesex University Hospital Myeloma Clinical Features Bone pain (70%) High
More informationDallas Neurosurgical and Spine Associates, P.A Patient Health History
Dallas Neurosurgical and Spine Associates, P.A Patient Health History DOB: Date: Reason for your visit (Chief complaint): Past Medical History Please check corresponding box if you have ever had any of
More informationLAGUARDIA COMMUNITY COLLEGE CITY UNIVERSITY OF NEW YORK PRACTICAL NURSING PROGRAM. Acute Renal Failure. by Marie Jimenez, SPN
LAGUARDIA COMMUNITY COLLEGE CITY UNIVERSITY OF NEW YORK PRACTICAL NURSING PROGRAM Acute Renal Failure by Marie Jimenez, SPN SCL 115: Maternity Nursing Fall 2007 Session I Clinical Professor: Prof. Wilkes
More informationDiabetes and the Kidneys
Diabetes and the Kidneys Aim(s) and objective(s) This guideline focuses on the detection, prevention, and management of kidney disease in people with diabetes. The management of end-stage renal disease
More informationLEMTRADA REMS Education Program for Prescribers
For Prescribers LEMTRADA REMS Education Program for Prescribers This education program includes information about: The LEMTRADA REMS Program requirements Serious risks of autoimmune conditions, infusion
More informationPreoperative Laboratory and Diagnostic Studies
Preoperative Laboratory and Diagnostic Studies Preoperative Labratorey and Diagnostic Studies The concept of standardized testing in all presurgical patients regardless of age or medical condition is no
More informationCMS Limitations Guide - Laboratory Services
CMS Limitations Guide - Laboratory Services Starting October 1, 2015, CMS will update their exisiting medical necessity limitations on tests and procedures to correspond to ICD-10 codes. This limitattions
More informationMULTIPLE MYELOMA Review & Update for Primary Care. Dr. Joseph Mignone 21st Century Oncology
MULTIPLE MYELOMA Review & Update for Primary Care Dr. Joseph Mignone 21st Century Oncology OVERVIEW Identify the diagnostic criteria for multiple myeloma Compare first & second line therapies, using data
More informationGUIDELINES FOR THE TREATMENT OF DIABETIC NEPHROPATHY*
71 GUIDELINES FOR THE TREATMENT OF DIABETIC NEPHROPATHY* Ryuichi KIKKAWA** Asian Med. J. 44(2): 71 75, 2001 Abstract: Diabetic nephropathy is the most devastating complication of diabetes and is now the
More informationStandard Medicare Part D* checklist
Standard Medicare Part D* checklist This checklist can help you receive Sensipar (cinacalcet) at the lowest possible cost. You can use this checklist if you: Have Standard Medicare Part D* prescription
More informationHome Dialysis Benchmarks Workgroup. Peritoneal Dialysis (PD)
Home Dialysis Benchmarks Workgroup Peritoneal Dialysis (PD) Medical Knowledge Fellows must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological and social behavioral
More informationLearning Objectives: Chest Pain, Case 1
As you review the simple cases, you will find that there are 36 cases. Listed below are the learning objectives from these cases. We ask that you review these as part of the Medicine curriculum. Learning
More informationchronic leukemia lymphoma myeloma differentiated 14 September 1999 Pre- Transformed Ig Surface Surface Secreted Myeloma Major malignant counterpart
Disease Usual phenotype acute leukemia precursor chronic leukemia lymphoma myeloma differentiated Pre- B-cell B-cell Transformed B-cell Plasma cell Ig Surface Surface Secreted Major malignant counterpart
More informationIdentifying and treating long-term kidney problems (chronic kidney disease)
Understanding NICE guidance Information for people who use NHS services Identifying and treating long-term kidney problems (chronic kidney disease) NICE clinical guidelines advise the NHS on caring for
More informationSaint Francis Kidney Transplant Program Issue Date: 6/9/15
Kidney Transplant Candidate Informed Consent Education Here are educational materials about Kidney Transplant. Please review and read these before your evaluation visit. The RN Transplant Coordinator will
More informationRenovascular Disease. Renal Artery and Arteriosclerosis
Other names: Renal Artery Stenosis (RAS) Renal Vascular Hypertension (RVH) Renal Artery Aneurysm (RAA) How does the normal kidney work? The blood passes through the kidneys to remove the body s waste.
More informationProstate Cancer. There is no known association with an enlarged prostate or benign prostatic hyperplasia (BPH).
Prostate Cancer Definition Prostate cancer is cancer that starts in the prostate gland. The prostate is a small, walnut-sized structure that makes up part of a man's reproductive system. It wraps around
More informationMultiple Myeloma. This reference summary will help you understand multiple myeloma and its treatment options.
Multiple Myeloma Introduction Multiple myeloma is a type of cancer that affects white blood cells. Each year, thousands of people find out that they have multiple myeloma. This reference summary will help
More informationDiabetic nephropathy is detected clinically by the presence of persistent microalbuminuria or proteinuria.
Kidney Complications Diabetic Nephropathy Diabetic nephropathy is detected clinically by the presence of persistent microalbuminuria or proteinuria. The peak incidence of nephropathy is usually 15-25 years
More informationProcedures for Coding Inpatient Medical Record Cases for the CCS Examination
Procedures for Coding Inpatient Medical Record Cases for the CCS Examination Instructions and official guidelines for coding medical records are included in the following resources: ICD-10-CM/PCS, CPT,
More informationA Clinical Primer. for Managed Care Stakeholders
reviews therapy Diagnosing, Staging, and Treating Multiple Myeloma: A Clinical Primer for Managed Care Stakeholders by Ralph V. Boccia, MD, FACP, Medical Director, Center for Cancer and Blood Disorders
More informationTHE URINALYSIS REAGENT STRIPS
THE URINALYSIS REAGENT STRIPS Alfred Ricks Jr., M.D. Copyright 2010 Alfred Ricks Jr., M.D. All rights reserved. This document may not be reproduced in any form or by any electronic or mechanical means,
More informationSouthern Derbyshire Shared Care Pathology Guidelines. AKI guidelines for primary care
Southern Derbyshire Shared Care Pathology Guidelines AKI guidelines for primary care Contents: FLOW DIAGRAM: MANAGEMENT OF PATIENTS WITH AKI DETECTED IN PRIMARY CARE...2 FLOW DIAGRAM: POST AKI MANAGEMENT
More information內 科 部 Chief Round. Acute Kidney injury. NephCR 徐 佳 鈿 2014/12/24
內 科 部 Chief Round Acute Kidney injury NephCR 徐 佳 鈿 2014/12/24 Case 1 43 y/o woman, almost no intake in recent one week DATE NA K CL CA BUN Cr 940930 154 2.6 105 10.3 217 12.9 DATE PH PCO2 PO2 SO2 BEB HCO3
More informationSupplemental Technical Information
An Introductory Analysis of Potentially Preventable Health Care Events in Minnesota Overview Supplemental Technical Information This document provides additional technical information on the 3M Health
More informationMedical Policy Kidney Transplant
Medical Policy Kidney Transplant Table of Contents Policy: Commercial Coding Information Information Pertaining to All Policies Policy: Medicare Description References Authorization Information Policy
More informationRefer to Coaptite Injectable Implant Instructions for Use provided with product for complete instructions for use.
Questions for my Doctor Refer to Coaptite Injectable Implant Instructions for Use provided with product for complete instructions for use. INDICATIONS: Coaptite Injectable Implant is indicated for soft
More informationDehydration & Overhydration. Waseem Jerjes
Dehydration & Overhydration Waseem Jerjes Dehydration 3 Major Types Isotonic - Fluid has the same osmolarity as plasma Hypotonic -Fluid has fewer solutes than plasma Hypertonic-Fluid has more solutes than
More informationDiabetic Ketoacidosis: When Sugar Isn t Sweet!!!
Diabetic Ketoacidosis: When Sugar Isn t Sweet!!! W Ricks Hanna Jr MD Assistant Professor of Pediatrics University of Tennessee Health Science Center LeBonheur Children s Hospital Introduction Diabetes
More information6/3/2011. High Prevalence and Incidence. Low back pain is 5 th most common reason for all physician office visits in the U.S.
High Prevalence and Incidence Prevalence 85% of Americans will experience low back pain at some time in their life. Incidence 5% annual Timothy C. Shen, M.D. Physical Medicine and Rehabilitation Sub-specialty
More informationGFR (Glomerular Filtration Rate) A Key to Understanding How Well Your Kidneys Are Working
GFR (Glomerular Filtration Rate) A Key to Understanding How Well Your Kidneys Are Working www.kidney.org National Kidney Foundation's Kidney Disease Outcomes Quality Initiative Did you know that the National
More informationRiesa Gusewelle, MNSc, RN, APRN, GNP-BC. OBJECTIVES Identify early warning signs of urinary tract
Detection, Early Management & Prevention, of Urinary Tract Infections in Older Adults Riesa Gusewelle, MNSc, RN, APRN, GNP-BC OBJECTIVES Identify early warning signs of urinary tract infections (UTIs)
More informationMultiple Myeloma. The term multiple myeloma is considered to be synonymous with myeloma, plasma cell myeloma, active and symptomatic myeloma.
Multiple Myeloma. The term multiple myeloma is considered to be synonymous with myeloma, plasma cell myeloma, active and symptomatic myeloma. The intent is to positively identify patients with active or
More informationMEDICAL HISTORY AND SCREENING FORM
MEDICAL HISTORY AND SCREENING FORM The purpose of preventive exams is to screen for potential health problems and provide education to promote optimal health. It is best practice for chronic health problems
More informationRenal Disease in Type 2 Diabetes Mellitus
Renal Disease in Type 2 Diabetes Mellitus 6th Collaborative DiGP/HSE/UCC Conference 25 th September 2013 Dr. Eoin O Sullivan Consultant Endocrinologist Bon Secours Hospital Cork Case 69 year old woman
More informationHematuria in Primary Care: The Bloody Truth
Hematuria in Primary Care: The Bloody Truth Ashlyn Bruning, MMS, PA-C NCAPA Summer Conference Disclosure: I Have No Financial or Non-financial Relationships or Conflicts of Interest to Disclose OBJECTIVES
More informationPathology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Pathology and Top 25 codes
Pathology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Pathology and Top 25 codes Chapter 2 Neoplasms (C00-D49) Classification improvements Code expansions Significant expansions or revisions
More informationsurg urin Surgery: Urinary System 1
Surgery: Urinary System 1 This section contains information to assist providers in billing for surgical procedures related to the urinary system. Extracorporeal Shock Wave Lithotripsy Medi-Cal covers Extracorporeal
More informationChoosing A Treatment For Kidney Failure
Choosing A Treatment For Kidney Failure www.kidney.org National Kidney Foundation's Kidney Disease Outcomes Quality Initiative Did you know that the National Kidney Foundation's Kidney Disease Outcomes
More informationAcid-Base Balance and the Anion Gap
Acid-Base Balance and the Anion Gap 1. The body strives for electrical neutrality. a. Cations = Anions b. One of the cations is very special, H +, and its concentration is monitored and regulated very
More informationSystemic Lupus Erythematosus
Harvard-MIT Division of Health Sciences and Technology HST.021: Musculoskeletal Pathophysiology, IAP 2006 Course Director: Dr. Dwight R. Robinson Systemic Lupus Erythematosus A multi-system autoimmune
More informationMULTIPLE MYELOMA 1 PLASMA CELL DISORDERS Multiple l Myeloma Monoclonal Gammopathy of Undetermined Significance (MGUS) Smoldering Multiple Myeloma (SMM) Solitary Plasmacytoma Waldenstrom s Macroglobulinemia
More informationInDependent Diabetes Trust
InDependent Diabetes Trust Kidneys and Diabetes Updated July 2015 Registered Company Number 3148360 Registered Charity No 1058284 Contents Introduction Healthy Kidneys Kidney disease and diabetes The use
More informationInpatient Rotations Goals and Objectives Third and Fourth Years
Inpatient Rotations Goals and Objectives Third and Fourth Years Faculty: Members of the LSU Department of Pediatrics Goal: To develop competency in caring for, and supervising care of, infants, children,
More informationChronic Kidney Disease and Diabetes
Anyone with diabetes can get kidney disease. Diabetes and high blood pressure are the most common causes of kidney disease, and people often have both. Chronic (long term) kidney disease (CKD) caused by
More informationFluid, Electrolyte, and Acid-Base Balance
Distribution of Body Fluids Fluid, Electrolyte, and Acid-Base Balance Total body fluids=60% of body weight Extracellular Fluid Comp 20% of Total body wt. Interstitial= 15% of total body wt. Intravascular=5%
More informationX-Plain Kidney Stones Reference Summary
X-Plain Kidney Stones Reference Summary Introduction Kidney stones are fairly common. Although they can be very painful, they are treatable, and in many cases preventable. This reference summary will help
More informationLearning Objectives: Case 1
As you review the simple cases, you will find that there are 36 cases. There will be some questions from cases 1-4, 7, 9-12, 19-30, 32-33, and 35-36 for the clerkship exam. Listed below are the learning
More informationWRITTEN CURRICULUM FELLOWSHIP GOALS AND OBJECTIVES DIVISION OF RENAL DISEASES AND HYPERTENSION UNIVERSITY OF TEXAS HOUSTON MEDICAL SCHOOL
WRITTEN CURRICULUM FELLOWSHIP GOALS AND OBJECTIVES DIVISION OF RENAL DISEASES AND HYPERTENSION UNIVERSITY OF TEXAS HOUSTON MEDICAL SCHOOL INTRODUCTION The mission of the Division of Renal Diseases and
More informationUSMLE Practice Questions
USMLE Practice Questions Directions: The USMLE Step 1 exam tests the Basic Sciences. Designed for US Medical Student s in their second year of Medical School, before their Clinical Rotations, International
More informationDisorders of Fluid & Electrolyte Balance. Class 6 Objectives. Starling s Law of the Capillary
Disorders of Fluid & Electrolyte Balance University of San Francisco Dr. M. Maag 2003 Margaret Maag 1 Class 6 Objectives Upon completion of this lesson, the student will be able to describe the outcomes
More informationAcute Renal Failure. usually a consequence.
Acute Renal Failure usually a consequence www.philippelefevre.com Definitions Pathogenisis Classification ICU Incidence/ Significance Treatments Prerenal Azotaemia Blood Pressure Cardiopulmonary Baroreceptors
More informationYour Kidneys: Master Chemists of the Body
Your Kidneys: Master Chemists of the Body www.kidney.org National Kidney Foundation's Kidney Disease Outcomes Quality Initiative Did you know that the National Kidney Foundation's Kidney Disease Outcomes
More informationNORD Guides for Physicians #1. Physician s Guide to. Tyrosinemia. Type 1
NORD Guides for Physicians #1 The National Organization for Rare Disorders Physician s Guide to Tyrosinemia Type 1 The original version of this booklet was made possible by donations in honor of Danielle
More information