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physical diagnosis & nephrology

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https://www.readbyqxmd.com/read/28633184/peritoneal-dialysis-catheter-position-evaluated-by-ultrasound-can-it-replace-abdomen-x-ray-in-patients-presenting-catheter-misplacement
#1
Matthias Zeiler, Luca Zanoli, Rosalia Viviana Scarfia, Stefano Santarelli, Antonio Granata
Background Malfunction of the peritoneal dialysis catheter is frequently caused by dislocation. The diagnostic approach is classically based on abdomen X-ray together with detailed case history and physical examination. Despite being rarely applied in clinical practice to evaluate catheter misplacement, ultrasound is a noninvasive, radiation-free technique that is potentially useful also to explore reasons for catheter malfunction. Consequently, we aimed to evaluate the diagnostic accuracy of ultrasound to identify peritoneal catheter misplacement...
June 20, 2017: Ultraschall in der Medizin
https://www.readbyqxmd.com/read/28270642/kidney-disease-profile-of-syrian-refugee-children
#2
Mehtap Akbalik Kara, Beltinge Demircioglu Kilic, Nilgun Col, Ayse Aysima Ozcelik, Mithat Buyukcelik, Ayse Balat
INTRODUCTION: Although preventative nephrology is the effective management of childhood kidney diseases, it is hard to provide it in this undesirable conditions. In this study, we aimed to document the kidney disease profile of Syrian refugee children admitted to our hospital. MATERIALS AND METHODS: One hundred and thirty Syrian refugee children were admitted to the Pediatric Nephrology Department of the University of Gaziantep from September 2012 to January 2015...
March 2017: Iranian Journal of Kidney Diseases
https://www.readbyqxmd.com/read/28262267/frequency-of-early-predialysis-nephrology-care-and%C3%A2-postdialysis%C3%A2-cardiovascular-events
#3
Ju-Yeh Yang, Jenq-Wen Huang, Likwang Chen, Yun-Yi Chen, Mei-Fen Pai, Kuei-Ting Tung, Yu-Sen Peng, Kuan-Yu Hung
BACKGROUND: Patients with kidney failure are at a high risk for cardiovascular events. Predialysis nephrology care has been reported to improve postdialysis survival, but its effects on postdialysis major adverse cardiovascular events (MACEs) have not been comprehensively studied. STUDY DESIGN: Observational cohort study. SETTING & PARTICIPANTS: We used data from the National Health Insurance Research Database in Taiwan. Adult patients who initiated maintenance dialysis therapy in 1999 to 2010 were enrolled...
March 2, 2017: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/27965720/an-unusual-cause-of-lumbar-pain-after-physical-exercise-caval-vein-duplicity-and-its-detection-by-ultrasound
#4
Pierpaolo Di Nicolò, Luca Zanoli, Michele Figuera, Antonio Granata
This paper deals with two recent cases of Inferior Caval Vein (IVC) duplicity, congenital anomaly often but not always asymptomatic that should be considered in the differential diagnosis of flank pain when other more common disorders have been excluded. Here are described the clinical and surgical significance together with the typical sonographic findings useful for the diagnosis of IVC duplicity. Particular attention is given to a peculiar and easily repeatable sonographic aspect associated with IVC duplicity, not previously reported in Literature and that we called the "Neptune's sign"...
December 2016: Journal of Ultrasound
https://www.readbyqxmd.com/read/27941734/health-related-quality-of-life-in-children-with-nephrotic-syndrome-in-bangladesh
#5
M Rahman, S Afroz, R Ali, M Hanif
Outcome of children with nephrotic syndrome has continued to improve over time. However minimal data exist to describe health-related quality of life in children with nephrotic syndrome. This cross sectional study was conducted over a period of six months to assess the health related quality of life in children with nephrotic syndrome in the Department of Pediatric Nephrology, Dhaka Medical College Hospital, Bangladesh. Fifty children (age ranged 2-12 years) with nephrotic syndrome who had three or more relapses diagnosed at least one year back receiving treatment and on follow up were included in this study...
October 2016: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/27163760/nephrology-update-acute-kidney-injury
#6
REVIEW
Nagaraju Sarabu, Mahboob Rahman
Acute kidney injury (AKI) refers to any acute decrease in glomerular filtration rate, regardless of etiology. Staging of AKI has been recommended to stratify AKI patients according to severity of the condition, based on serum creatinine level and urine output. Classification of AKI into prerenal, intrinsic renal, and postrenal etiologies is helpful in differential diagnosis and management. AKI in hospitalized patients typically occurs due to decreased renal perfusion. Drug-induced, contrast-associated, postoperative, and sepsis-associated AKI also can occur...
May 2016: FP Essentials
https://www.readbyqxmd.com/read/27025152/children-and-adolescents-with-chronic-kidney-disease-a-population-at-risk-for-more-than-just-kidney-disease
#7
Michelle M Kelly
Health-related quality of life (HRQOL) of children and adolescents with chronic health conditions is a multifactorial concept that combines a child's perception and adaptation to physical, social, emotional, and school environments regardless of particular medical diagnosis. Children with chronic kidney disease (CKD) experience non-kidney specific co-morbidities, including depression, body image alterations, and sleep disturbance, that impair their daily lives. This article reviews the pediatric nephrology literature to highlight the evidence identifying these riskr to HRQOL and suggesting ways in which nurses in both nephrology and primary care are poised to identify and modify these risk factors...
January 2016: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/26241225/the-envy-of-scholars-applying-the-lessons-of-the-framingham-heart-study-to-the-prevention-of-chronic-kidney-disease
#8
Walter G Wasser, Amnon Gil, Karl L Skorecki
During the past 50 years, a dramatic reduction in the mortality rate associated with cardiovascular disease has occurred in the US and other countries. Statistical modeling has revealed that approximately half of this reduction is the result of risk factor mitigation. The successful identification of such risk factors was pioneered and has continued with the Framingham Heart Study, which began in 1949 as a project of the US National Heart Institute (now part of the National Heart, Lung, and Blood Institute)...
July 30, 2015: Rambam Maimonides Medical Journal
https://www.readbyqxmd.com/read/25675228/utility-of-diagnostic-blood-tests-in-clinical-podiatric-medicine
#9
REVIEW
Bennett G Zier
Clinical podiatric medical practice encompasses a wide spectrum of podiatric medical and surgical problems. Technological advances such as imaging have greatly improved diagnostic acumen; however, physical diagnosis and blood testing remain extremely important factors in reinforcing diagnostic hypotheses as a part of differential diagnosis. There are certain blood tests of importance that the podiatric medical practitioner should be familiar with in everyday medical and surgical practice. The purpose of this article is to identify and highlight which blood tests are truly essential and practical in terms of diagnosis...
January 2015: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/25650852/estimated-glomerular-filtration-rate-in-patients-with-type-2-diabetes-mellitus
#10
Paula Caitano Fontela, Eliane Roseli Winkelmann, Joice Nedel Ott, Douglas Prestes Uggeri
OBJECTIVE: to estimate the glomerular filtration using the Cockcroft-Gault (CG), Modification of Diet in Renal Disease (MDRD), and Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equations, and serum creatinine in the screening of reduced renal function in patients with type two diabetes (T2DM) enrolled in the Family Health Strategy (ESF, Brazilian federal health-care program). METHODS: a cross-sectional descriptive and analytical study was conducted...
November 2014: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/24432706/urology-and-nephrology-update-proteinuria-and-hematuria
#11
David C Fiore, Cara-Louise Fox
Proteinuria and hematuria can be benign or can be signs of more serious underlying pathology. The diagnostic evaluation should take into account the age of the patient as well as medical history, family history, concurrent symptoms, initial physical examination findings, and basic office laboratory test results. There are many tests to consider for proteinuria and hematuria. Routine screening for proteinuria is not recommended in the general population, but it is recommended for high-risk patients, such as those with diabetes and hypertension...
January 2014: FP Essentials
https://www.readbyqxmd.com/read/24392180/acute-kidney-injury-following-isotretinoin-treatment
#12
Zaher Armaly, Shehadeh Haj, Abdalla Bowirrat, Mohammed Alhaj, Adel Jabbour, Yumna Fahoum, Zaid Abassi
PATIENT: Female, 17 FINAL DIAGNOSIS: Acute kidney injury Symptoms: Flank pain • nausea • vomiting MEDICATION: Isotretinoin Clinical Procedure: Acne treatment Specialty: Nephrology Objective: Unknown etiology. BACKGROUND: Isotretinoin is widely used for the treatment of acne that is unresponsive to topical therapy. Despite its efficacy, isotretinoin has various adverse effects, including cheilitis, increased risk of cutaneous Staphylococcus aureus infections, and liver function abnormalities...
2013: American Journal of Case Reports
https://www.readbyqxmd.com/read/24349603/multicystic-dysplastic-kidney-complicated-by-pyelonephritis
#13
Chad J Cooper, Sarmad Said, Sayeed Khalillullah, Hasan J Salameh, German T Hernandez
PATIENT: Female, 21 FINAL DIAGNOSIS: Multicystic Dysplastic Kidney Disease complicated by pyelonephritis Symptoms: Left flank pain (CVAT) • dysuria • fever MEDICATION: Levofloxacin Clinical Procedure: Dimercaptosuccinic acid scan • voiding cystouretrogram Specialty: Nephrology. OBJECTIVE: Rare disease. BACKGROUND: Multicystic dysplastic kidney (MCDK) is a renal dysplasia characterized by the presence of multiple cysts that are non-communicating, separated by dysplastic parenchyma that consumes the renal cortex resulting in a nonfunctional kidney...
2013: American Journal of Case Reports
https://www.readbyqxmd.com/read/23599144/monitoring-dialysis-arteriovenous-fistulae-it-s-in-our-hands
#14
REVIEW
Luis Coentrão, Luc Turmel-Rodrigues
Vascular access problems are a daily occurrence in hemodialysis units. Loss of patency of the vascular access limits hemodialysis delivery and may result in underdialysis that leads to increased morbidity and mortality. Despite the known superiority of autogenous fistulae over grafts, autogenous fistulae also suffer from frequent development of stenosis and subsequent thrombosis. International guidelines recommend programmes for detection of stenosis and consequent correction in an attempt to reduce the rate of thrombosis...
July 2013: Journal of Vascular Access
https://www.readbyqxmd.com/read/23396246/the-role-of-ultrasonography-in-the-study-of-medical-nephropathy
#15
F Fiorini, L Barozzi
Diagnostic techniques in nephrology include clinical history, physical examination, laboratory tests, scintigraphy, diagnostic imaging techniques as well as renal biopsy. In kidney diseases, ultrasonography is used as a first-line imaging technique, and its role in medical nephropathy is to exclude urological pathologies, to differentiate between acute and chronic renal failure, to follow-up on the course of a disease, to guide needle biopsy, etc. Ultrasound images are useful at characterizing the pelvis, assessing renal dimensions and parenchymal echogenicity, sampling color-power Doppler signals and evaluating their characteristics and distribution as well as measuring parenchymal resistive index...
December 2007: Journal of Ultrasound
https://www.readbyqxmd.com/read/23278189/the-early-modern-kidney-nephrology-in-and-about-the-nineteenth-century-part-1
#16
Garabed Eknoyan
The 19th century was a period of momentous scientific discoveries, technological achievements, and societal changes. A beneficiary of these revolutionary upheavals was medical empiricism that supplanted the rationalism of the past giving rise to early modern scientific medicine. Continued reliance on sensory data now magnified by technical advances generated new medical information that could be quantified with increasing precision, verified by repeated experimentation, and validated by statistical analysis...
January 2013: Seminars in Dialysis
https://www.readbyqxmd.com/read/23266717/urinary-stone-disease-in-the-first-year-of-life-is-it-dangerous
#17
Harika Alpay, Ibrahim Gokce, Ahmet Özen, Nese Bıyıklı
PURPOSE: We have evaluated the clinical, radiological and metabolic features of infantile urolithiasis (UL). MATERIALS AND METHODS: We have reviewed the medical records of 93 children who were diagnosed as having UL before 1 year of age. We recorded patient demographics, the age at diagnosis, presenting symptoms, family history, the localizations and dimensions of stones, urinary metabolic examinations, as well as physical, laboratory, and radiologic findings. Our secondary objective was to compare some features of this group with those of older children with UL followed-up in the same clinic which were previously reported...
March 2013: Pediatric Surgery International
https://www.readbyqxmd.com/read/22931996/one-hemodialysis-patient-with-headache-blurred-vision-and-hypotension-induced-by-pituitary-prolactinoma
#18
Wen-di Dai, Wen-Hu Liu, Dong-Liang Zhang
We reported a rare case of a dialysis patient coincident pituitary prolactinoma with calcification. A 55-year-old woman who had undergone hemodialysis for 8 years was admitted to the nephrology unit because of headache, blurred vision, and hypotension. Physical examination was normal; endocrinological examination demonstrated elevated serum levels of prolactin (> 4240 mIU/L), but other hormonal profiles, such as growth hormon, adrenocorticotropic hormone, thyroid stimulating hormone, free triiodothyronine, free thyroxine, follicle-stimulating hormone and luteinizing hormone, were absolutely or relatively lower...
August 2012: Chinese Medical Journal
https://www.readbyqxmd.com/read/22890523/biomarkers-of-bone-turnover-in-diagnosis-and-therapy-of-osteoporosis-a-consensus-advice-from-an-austrian-working-group
#19
Christian Bieglmayer, Hans Peter Dimai, Rudolf Wolfgang Gasser, Stefan Kudlacek, Barbara Obermayer-Pietsch, Wolfgang Woloszczuk, Elisabeth Zwettler, Andrea Griesmacher
AIM: Reasonable application of laboratory parameters in prevention, diagnosis, treatment and therapy monitoring of osteoporosis. TARGET GROUPS: Physicians from different specialist disciplines (general medicine, geriatrics, gynaecology, urology, internal medicine-especially endocrinology and metabolism, nephrology, laboratory medicine, rheumatology, nuclear medicine, orthopaedics, paediatrics, rehabilitation and physical medicine, radiology, social medicine, transplantation medicine, accident surgery), moreover social insurances, hospitals and self-help groups...
November 2012: Wiener Medizinische Wochenschrift
https://www.readbyqxmd.com/read/22538950/-ultrasound-and-color-doppler-in-nephrology-technology-and-applications
#20
Mario Meola, Ilaria Petrucci, Chandra Bortolotto, Luisa Carone
Advances in digital technology in the last decades have led to a fast development of ultrasound technology. Ultrasound information originating from stationary structures or red blood cells moving into the vessels can be visualized with different imaging modalities. Conventional B-mode sonography provides anatomical details based on acoustic impedance differences. Gray-scale sonography represents the structural echoes as brightness points. Based on the Doppler effect, vascular scattering can be represented as spectral wave velocity depending on time (velocity/time curve), or as dual-scale color mapping depending on the changes in average blood velocity...
March 2012: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
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