Chronic Renal Disease: J.H. and ESRD J. H. is a 55-year-old African American male who presented himself to the Emergency Department with a progressively worsening headache. He had a blood pressure (BP) of 233/134, with complaints of regular abdominal pain with nausea and vomiting and shortness of breath with exertion. Alert and oriented, he stated non-compliance with his BP medications and refusal to do dialysis since his initial diagnosis. Pathophysiology ESRD is the fifth and final stage…
Canine Renal Dysplasia An autosomal-dominant disease characterized by delayed maturation of renal tissue. This leads to renal degeneration, protein-losing nephropathy and prolonged renal disease. A genetic predisposition is seen in the Bull terrier, Carin terrier and German Shepherd. Early onset of the disease is rare and is typically seen over the age of 5. The penetrance of Renal Dysplasia is low and small percentages are clinically affected. The percentage of fetal glomeruli…
the final stage of chronic kidney disease. When an individual enters kidney failure, he or she no longer has lost the ability to survive without dialysis or a kidney transplant. Risk Factors Kidney disease can affect individuals…
Spoke with a 63 year old female who has end-stage renal disease (ESRD) and has currently been on dialysis for the past two years. However, ESRD is not a diagnosis but a name of a Medicare program (Porth & Matfin, 2009) The definition of chronic kidney disease (CKD) for a patient is irreversible kidney damage and/or glomerular filtration rate (GFR) less than 60 ml/min/1.73 m^2 for a minimal three months (Porth & Matfin, 2009). Those patient with kidney failure has either GFR less than 15…
by problems affecting the flow of blood to the kidneys (including dehydration, heart failure etc.), problems or diseases of the kidneys (including damage to kidneys caused by certain medications or toxins) or problems affecting the outflow of urine from the kidneys (including kidney stones, posterior urethral valves etc.). Chronic renal failure commonly results from long term or chronic damage to the kidney…
Chronic Kidney Disease is also known as Chronic Kidney Failure. This diagnosis describes a set of renal-degenerative symptoms and stages that eventually lead to dialysis, kidney transplant, and/or death. What makes chronic kidney disease so dangerous is its innocuity. Its early symptoms are often nonspecific and can appear to be from other illnesses. Usually, by the time the kidney damage is noticed due to loss of function, it is irreversible. Due to advancing medical technology, improved…
End-stage renal disease (ESRD) and dialysis have negative impact on lifestyle. Renal transplantation improves many facets of daily life. Male sexuality is a significant predictor of quality of life. This brief review summarizes the impacts of ESRD and renal replacement on a range of sexual domains as presented at the European Association of Urology meeting in Vienna. In choosing renal transplantation, men expect superior long-term survival compared to other means of renal replacement. Moreover,…
CKD stage 5 in the setting of longstanding hypertension, possible polycystic kidney disease, BPH, obesity, who presents for evaluation for candidacy for a kidney transplant. The patient has been evaluated recently at Shands Hospital for kidney transplant, but his evaluation was not completed due to obesity and possible cardiac problems. Renal History: The patient has longstanding history of chronic kidney disease in the setting of longstanding uncontrolled hypertension. He has never had a…
depends on indirect methods as well as the accuracy of some nutritional markers are questionable (Chumlea, 2004). Patients with end-stage renal disease often experience malnutrition as a result of decreased dietary intake; inadequate dialysis; loss of nutrients into the dialysate; abnormal protein, carbohydrate, and lipid metabolism; and concomitant diseases, which may contribute to an increase in morbidity and mortality (Priscilla & Lau, 2004). Malnutrition is defined as a condition that…
Introduction Chronic kidney disease (CKD) is a common condition in cats, known to affect 1 in 3 cats during their lifetime, and resulting in the persistent loss of kidney function over time. The disease is silent in its early stages, incurable, and ultimately results in death. An excessive level of phosphorus in commercial cat food is likely contributing to the prevalence and severity of CKD in cats. The feeding of lower phosphorus foods would benefit the entire cat population. A Primer on…