Showing posts with label week 5- paper 5- chronic RF. Show all posts
Showing posts with label week 5- paper 5- chronic RF. Show all posts

CRF: causes

Posted In: . By PBL Group A

Ò1. Diabetes
- Lack of insulin-->abnormal fat metabolism--> atherosclerosis-->high BP--> make vessels in nephrons more porous-->kidney failure

2. Hypertension

- High BP-->atherosclerosis-->↓ blood flow-->blood pool up in the arteries--> becomes narrower-->fewer wastes products are removed from blood--> kidneys fail + wastes buildup in blood

3. Alport syndrome

- X-linked inheritance
- caused by a mutation in a gene for a protein in connective tissue (collagen).
- uncommon, most often affects males.
- damages glomeruli
- progressive destruction of the glomeruli --> blood in the urine and ↓ the effectiveness of the kidney's filtering system-->loss of kidney function + build-up of fluids and wastes in the body.

4. Analgesic nephropathy
- damage to one or both kidneys caused by overexposure to mixtures of medications, esp OTC pain remedies (analgesics).
- OTC meds that contain phenacetin or acetaminophen and NSAIDs eg aspirin or ibuprofen.
- occurs mostly women > 30

5.Glomerulonephritis
- caused by inflam of glomeruli.
- may be caused by specific problems with the body's immune system, but the precise cause of some cases is unknown.
- Damage to the glomeruli à blood and protein to be lost in the urine.

6.Kidney stone (renal lithiasis)
- small, hard deposits of mineral and acid salts on the inner surfaces of kidneys.
- Most kidney stones contain calcium.
- Common. A person who has had kidney stones often gets them again in the future.
- Risk factors include hyperparathyroidism,renal tubular acidosis and resultant nephrocalcinosis. (calcification of nephrons)

7. Obstructive uropathy
- involves a blockage of the flow of urine, causing it to back up and injure one or both kidneys.
- Common causes :
Urinary tract stones
Urinary tract tumors
Retroperitoneal fibrosis
Benign prostatic hyperplasia (enlarged prostate)
Tumors of nearby organs
Colon ,cervical, uterine cancer
Any cancer that spreads
Idiopathic hydronephrosis (kidney enlargement) of pregnancy

8.Polycystic kidney disease
- Inherited kidney disorder in which multiple cysts form on the kidneys, causing them to become enlarged.
- usually as an autosomal dominant trait
- more common in adults,
- In early stages -the cysts -->kidney to swell, disrupting kidney function -->chronic HTN and kidney infections.
- cysts may cause the kidneys to increase production of erythropoietin--> polycythemia

9. Reflux nephropathy
- kidneys are damaged by the backward flow of urine into the kidney.
- occurs when these one-way valves of ureter fail, allowing urine to flow back up to the kidney.
- If the bladder is infected /urine contains bacteria-->(pyelonephritis).
- pressure in the bladder is generally ↑ than in kidney --> reflux of urine exposes the kidney to unusually high pressure-->damage kidney and cause scarring.






 

CRF: risk factors

Posted In: . By PBL Group A

1) Hypertension nephrosclerosis

2) Diabetes nephropathy

3) Polycystic kidney disease

4) Alport syndrome-an inherited disorder (usually X-linked) – destruction of glomeruli (chronic glomerulonephritis).

5) Gromeluronephritis

6) Lupus nephritis- immune system produces antibodies against body components accumulation of the antibodies result in an inflammatory response -->damage to kidney.

7) Family Hx of kidney disease

8) Smoking- causes artery calcification

9) Overuse of painkillers + allergic reactions to a/biotic

10) Obesity- ↑prevalence of DM and HTN

11) Premature birth- 1 in 5 premature infants (32 weeks) may have calcium deposits in nephrons- neprocalcinosis

12) Age- kidney function ↓ in older people

13) Trauma / accident

 

1) risk factors- genes( r'ship btwn family Hx and RF), other factors eg HTN
Causes of CRF- genetic, a/immune (Msia + Aust) -----------------------Maz

2) Stages of RF (5) (progression) ------------------------------------------Saree

3) Investigations of CRF
- r/ship btwn GFR + creatinine
- GFR calculations
- how is it diff frm ARF?
- expalin results frm case ----------------------------------------------Alvin

4) Complications of CRF
- anemia,
- metabolic effcts,
-other complications to the patinet (multiple organ invlvement)--------Chris

5) Management of CRF
-amlodipine, EPO injections
- drugs contraindications
-pharmaco/non-pharm----------------------------------------------Christine

6) polycystic kidney disease- brief--------------------------------------Yazid