Pediatric Nephrology Consult and Referral Guidelines
|
|
- Janel Sharp
- 5 years ago
- Views:
Transcription
1 Pediatric Nephrology Consult and Referral Guidelines Introduction We see children and teens from birth to 21 years. The most common reasons patients are referred to pediatric nephrology services include: Dialysis, End Stage Renal Disease Electrolyte Imbalance or Abnormalities Enuresis Glomerular Disorders: Hematuria and Proteinuria Henoch Schonlein Purpura * Hydronephrosis * Hypertension * Kidney Stones/Nephrocalcinosis Nephritic Syndrome Nephrotic Syndrome Renal Transplantation * Urinary Tract Infections Please ensure the patient has been seen in your office for the complaint in question prior to referring to nephrology so that an accurate description of the concern is available. We want to make referrals to our office easy, fast and efficient for our primary care providers. We developed this tool as one way to maximize a productive office visit for you and your patient. We view this as a pilot document and welcome your feedback to further refine the guidelines. Suggested work-ups may not apply to all patients, but these are what we typically consider during the office visits. Appointment Priority Guide Below represents the recommended prioritization. Priority Immediate Call our office and/or send to the closest emergency department. Call HDVCH direct at (616) and Urgent Likely to receive an appointment within 2 days. Call our office at (616) and ask for the on call physician to be paged regarding an urgent referral. Routine Likely to receive an appointment within 10 days. Fax completed referral form and records to (616) or send through Michigan Health Connect. *Co-Management Protocols are also available on Pediatric Nephrology Referral Guidelines January 2014 For the most updated version of the Referral Guidelines, please visit 1
2 Dialysis to the on call Electrolyte Imbalance or abnormalities Isolated or as a concomitant finding in renal or nonrenal conditions Set random urine for: creatinine, sodium, potassium, chloride, osmolality, phosphorus and urea nitrogen. At the same time draw serum osmolality CMP, phosphorus and magnesium. Any abnormalities. Will be glad to provide consultations for interpretation of test and management guidance. Enuresis Daytime or nighttime incontinence. Primary Patient who has not achieved a period of nighttime dryness. Nocturnal > 5 years of age. Detailed history, UA and behavioral modifications. After 6 months of failed behavioral modifications. Patients with non-psychogenic polydipsia and polyuria Secondary Enuresis in children with urinary tract symptoms (non-psychological stressors identified). Any secondary without a psychosocial trigger, immediately. Pediatric Nephrology Referral Guidelines January 2014 For the most updated version of the Referral Guidelines, please visit 2
3 Glomerular Disorders Microscopic Hematuria UA with 5RBC/HPF pressure measurements. UA with microscopic studies. Family history of Alport Syndrome. Any degree of hearing loss or visual changes associated with hematuria. Any patient > 8 years of age. If proteinuria is present. If hypertensive. Any isolated microscopic hematuria in more than two separate visits. Complete family history and complete record of urinalysis of parents/siblings if obtained. Any prior work up including renal Isolated Proteinuria Urine protein/creatinine ratio > 0.2 pressure measurements. First morning voids for random protein and random creatinine. (Calculate protein/creatinine ratio). Discourage use of 24 hour urine collection. If patient < 8 years of age and finding is confirmed in three separate visits, refer to nephrology. Any P/C > 0.2 in a first morning void. Henoch Schonlein Purpura Hydronephrosis Congenital by prenatal ultrasound or found in renal ultrasound UA, microscopic study, urine random protein and creatinine. See co management guidelines. See co management guidelines. Protienuria, hematuria, hypertension or edema. Pediatric Nephrology Referral Guidelines January 2014 For the most updated version of the Referral Guidelines, please visit 3
4 Hypertension Prehypertensive without preexisting conditions such as Chronic Kidney Disease or diabetes. Three consecutive blood pressure readings at an office visit between the 90 th and 95 th percentile. Hypertension Stage 1 Blood pressure reading above the 95 th percentile. Hypertension Stage 2 blood pressures above the 95 th percentile plus 5mmHg. Kidney Stones and Hypercalciuria As defines by renal ultrasound. Calcium to creatinine ratio of >0.2 in a patient 6 years of age or greater. Three blood pressure readings on three separate clinic visits. Lifestyle modifications. Close follow up within a period of 6 months if unchanged. Detailed history and physical exam. Evaluate for symptoms of hypertension emergency. Detailed history and physical exam. Evaluate for symptoms of hypertension emergency. Urine random calcium and urine random creatinine. (Calculate calcium/creatinine ratio): U/A. Discourage use of CT scan as initial work up. 6 Months if no improvement with lifestyle modifications in obese patient. Any patient < 10 years old. See co-management protocol for obese patients older than 10 years of age. Immediately, if symptomatic dial HDVCH direct (616) and Immediately, if symptomatic dial HDVCH direct (616) and Immediately if symptomatic. Immediately if less than 6 years of age, has had more than one stone or a single stone > 5mm. any prior work up. Pediatric Nephrology Referral Guidelines January 2014 For the most updated version of the Referral Guidelines, please visit 4
5 Nephritic Syndrome Edema, hypertension and hematuria (microscopic or gross) pressure measurements. UA with microscopic study, CBC, CMP, magnesium, phosphorus, C3, C4, ANA, urine protein/creatinine ratio, rapid strep and ASO. to the on call Nephrotic Syndrome Urine protein/creatinine ratio > 2, edema pressure measurements. to the on call UTI UA suggestive of infection. Ex, WBC 10, nitrates, leukocyte esterase a positive urine culture with 50,000ufc. Recurring UTI. Any urinary tract abnormality. Any patient less than 2 years of age. Renal Transplantation to the on call Pediatric Nephrology Referral Guidelines January 2014 For the most updated version of the Referral Guidelines, please visit 5
The University of Arizona Pediatric Residency Program. Primary Goals for Rotation. Nephrology
The University of Arizona Pediatric Residency Program Primary Goals for Rotation Nephrology 1. GOAL: Understand the general pediatrician's role in diagnosis and management of hypertension in children.
More informationREFERRAL GUIDELINES: RENAL MEDICINE
Outpatient Page 1 1 REFERRAL GUIDELINES: RENAL MEDICINE Demographic Clinical Date of birth Reason for referral Contact details (including mobile phone) Duration of symptoms Essential Referring GP details
More informationProteinuria DR. SANJAY PANDEYA MD. FRCPC.
Proteinuria DR. SANJAY PANDEYA MD. FRCPC. Objectives Define normal and abnormal range(s) of proteinuria Evaluation of proteinuria Be aware of complications of proteinuria When to refer and when not to
More informationRENAL FAILURE IN CHILDREN Dr. Mai Mohamed Elhassan Assistant Professor Jazan University
RENAL FAILURE IN CHILDREN Dr. Mai Mohamed Elhassan Assistant Professor Jazan University OBJECTIVES By the end of this lecture each student should be able to: Define acute & chronic kidney disease(ckd)
More informationDisorders of the kidney. Urine analysis. Nephrotic and nephritic syndrome.
Disorders of the kidney. Urine analysis. Nephrotic and nephritic syndrome. Azotemia and Urinary Abnormalities Disturbances in urine volume oliguria, anuria, polyuria Abnormalities of urine sediment red
More informationDr P Sigwadi 30 May 2012
Dr P Sigwadi 30 May 2012 Introduction Haematuria Positive blood on urine dipstick 5 red blood cells/ microliter of urine Prevalence Gross haematuria ( macroscopic) 0.13 % Microscopic- 1.5% Haematuria +
More informationPediatric GU Dysfunction
Pediatric GU Dysfunction Assessment of pediatric renal function Signs and symptoms Laboratory tests Radiological tests Nursing considerations Psychosocial and developmental considerations GU Disorders
More informationIntroduction to Clinical Diagnosis Nephrology
Introduction to Clinical Diagnosis Nephrology I. David Weiner, M.D. C. Craig and Audrae Tisher Chair in Nephrology Professor of Medicine and Physiology and Functional Genomics University of Florida College
More informationH(a)ematuria. FX Keeley Consultant Urologist Bristol Urological Institute
H(a)ematuria FX Keeley Consultant Urologist Bristol Urological Institute From Philadelphia to Bristol, England Southmead Hospital, 1916 Southmead Hospital, 2013 Southmead Hospital, 2014 H(a)ematuria Blood
More informationReview Article Presentation of the Child with Renal Disease and Guidelines for Referral to the Pediatric Nephrologist
International Pediatrics Volume 2012, Article ID 978673, 5 pages doi:10.1155/2012/978673 Review Article Presentation of the Child with Renal Disease and Guidelines for Referral to the Pediatric Nephrologist
More informationOST Course Schedule
OST 572 2017 Course Schedule Updated 03/06/2017 (aes) Week 1 Monday March 13, 2017 7:30-7:45 Course Syllabus /Schedule and announcements (posted on D2L) Kaufman Self Study Tuesday, March 14, 2017 1 Course
More informationA. SAP is the D-Lab's name for a specific set of serum biochemical tests.
Understanding CBC, SAP, UA/Laura J. Steadman, DVM I. CBC - Complete Blood Count A. Three major types of cells are counted 1. Red Blood Cells 2. White Blood Cells 3. Platelets B. Cells are counted at the
More informationNephrology - the study of the kidney. Urology - branch of medicine dealing with the male and female urinary systems and the male reproductive system
Urinary System Nephrology - the study of the kidney Urology - branch of medicine dealing with the male and female urinary systems and the male reproductive system Functions of the Urinary System 1. Regulation
More informationM E D I C A L T E R M I N O L O G Y
URINARY SYSTEM M E D I C A L T E R M I N O L O G Y Is the organ system which produces, stores and eliminates waste. Is responsible for waste excretion in the form of urine Fluid Intake Is necessary in
More informationEducational Goals & Objectives
Educational Goals & Objectives The nephrology rotation will provide the resident with an opportunity to evaluate and manage patients across the spectrum of renal disorders in both the inpatient and outpatient
More informationPediatric Urology. Access Center 24/7 access for referring physicians (866) 353-KIDS (5437)
Pediatric Urology The Urology practice at Valley Children s provides specialized care for infants, children and adolescents with genital and urological problems. In addition to pediatric urologists, the
More informationAlterations of Renal and Urinary Tract Function
Alterations of Renal and Urinary Tract Function Chapter 29 Urinary Tract Obstruction Urinary tract obstruction is an interference with the flow of urine at any site along the urinary tract The obstruction
More informationAN APPROACH TO HEMATURIA. Dr Saima Ali
AN APPROACH TO HEMATURIA Dr Saima Ali Definition Microscopic hematuria hematuria is defined as the presence of 5 or more RBCs per high-power field in 3 of 3 consecutive centrifuged specimens obtained at
More informationACUTE KIDNEY INJURY A PRIMER FOR PRIMARY CARE PHYSICIANS. Myriam Farah, MD, FRCPC
ACUTE KIDNEY INJURY A PRIMER FOR PRIMARY CARE PHYSICIANS Myriam Farah, MD, FRCPC Clinical Assistant Professor Division of Nephrology, University of British Columbia November 2016 1. How to recognize acute
More informationProfessor Suetonia Palmer
Professor Suetonia Palmer Department of Medicine Nephrologist Christchurch Hospital Christchurch 14:00-14:55 WS #108: The Kidney Test - When To Test and When to Refer ( and When Not To) 15:05-16:00 WS
More informationNATIONAL KIDNEY MONTH
NATIONAL KIDNEY MONTH According to the WebMD website, kidneys have several specific roles: Maintain your body s balance of water and concentration of minerals, such as sodium, potassium, magnesium and
More informationTHE URINARY SYSTEM. The cases we will cover are:
THE URINARY SYSTEM The focus of this week s lab will be pathology of the urinary system. Diseases of the kidney can be broken down into diseases that affect the glomeruli, tubules, interstitium, and blood
More informationTHE URINARY SYSTEM. The cases we will cover are:
THE URINARY SYSTEM The focus of this week s lab will be pathology of the urinary system. Diseases of the kidney can be broken down into diseases that affect the glomeruli, tubules, interstitium, and blood
More informationLRI Children s Hospital
LRI Children s Hospital Management of Henoch Schönlein Purpura (HSP) in children Staff relevant to: Clinical staff working within the UHL Children s Hospital. Team approval date: July 2017 Version: V 3
More informationUrinary System Physiology Study Guide, Chapter 17 Part I. Clinical Applications
Name: Urinary System Physiology Study Guide, Chapter 17 Part I. Clinical Applications Lab Day/Time: 1 1. Mr. Bud Weiser is very drunk when he is brought to the emergency room after falling down the steps
More informationThis is the written version of our Hot Topic video presentation available at: MayoMedicalLaboratories.com/hot-topics
This is the written version of our Hot Topic video presentation available at: MayoMedicalLaboratories.com/hot-topics Welcome to Mayo Medical Laboratories Hot Topics. These presentations provide short discussion
More informationExamination by dipstick: (Orthotoluidine & organic peroxidase) Hemoglobin free in urine. Hemoglobin from red blood cells in urine.
Examination by dipstick: (Orthotoluidine & organic peroxidase) Hemoglobin free in urine Hemoglobin from red blood cells in urine Myoglobin Normal erythrocyte excretion rate * 0 425.000/12 h. ( mean 65.750
More informationCase Report 17-Year-Old Boy with Renal Failure and the Highest Reported Creatinine in Pediatric Literature
Case Reports in Pediatrics Volume 2015, Article ID 703960, 4 pages http://dx.doi.org/10.1155/2015/703960 Case Report 17-Year-Old Boy with Renal Failure and the Highest Reported Creatinine in Pediatric
More informationSpecific Basic Standards for Osteopathic Fellowship Training in Nephrology
Specific Basic Standards for Osteopathic Fellowship Training in Nephrology American Osteopathic Association and American College of Osteopathic Internists BOT Rev. 2/2011 These specific basic standards
More informationTHE KIDNEY AND SLE LUPUS NEPHRITIS
THE KIDNEY AND SLE LUPUS NEPHRITIS JACK WATERMAN DO FACOI 2013 NEPHROLOGY SIR RICHARD BRIGHT TERMINOLOGY RENAL INSUFFICIENCY CKD (CHRONIC KIDNEY DISEASE) ESRD (ENDSTAGE RENAL DISEASE) GLOMERULONEPHRITIS
More informationFunctions of the kidney:
Diseases of renal system : Normal anatomy of renal system : Each human adult kidney weighs about 150 gm, the ureter enters the kidney at the hilum, it dilates into a funnel-shaped cavity, the pelvis, from
More informationSuggested Guidelines to Assist Primary Care Providers with Initial Renal-related Work-ups and Possible Nephrology Referral
Suggested Guidelines to Assist Primary Care Providers with Initial Renal-related Work-ups and Possible Nephrology Referral Frequently Asked Questions regarding congenital renal anatomic anomalies 1. Congenital
More informationDr Doris M. W Kinuthia
Dr Doris M. W Kinuthia Objectives Normal blood pressures in children Measurement of blood pressure in children Aetiology of Hypertension in children Evaluation of children with hypertension Treatment of
More informationGuidelines for the management of a child with haematuria
Guidelines for the management of a child with haematuria Children s Kidney Centre University Hospital of Wales Cardiff CF14 4XW DISCLAIMER: These guidelines were produced in good faith by the author(s)
More informationHydronephrosis. What is hydronephrosis?
What is hydronephrosis? Hydronephrosis Hydronephrosis describes the situation where the urine collecting system of the kidney is dilated. This may be a normal variant or it may be due to an underlying
More informationASYMPTOMATIC MICROSCOPIC HEMATURIA IN WOMEN JOLYN HILL, MD ASSISTANT PROFESSOR, CLINICAL UROGYNECOLOGY FEBRUARY14, 2017
ASYMPTOMATIC MICROSCOPIC HEMATURIA IN WOMEN JOLYN HILL, MD ASSISTANT PROFESSOR, CLINICAL UROGYNECOLOGY FEBRUARY14, 2017 DISCLOSURES No financial disclosures Urogynecologist via Ob/Gyn pathway ASYMPTOMATIC
More informationUrinary System. Analyze the Anatomy and Physiology of the urinary system
Urinary System Analyze the Anatomy and Physiology of the urinary system Kidney Bean-shaped Located between peritoneum and the back muscles (retroperitoneal) Renal pelvis funnelshaped structure at the beginning
More informationUrinalysis Competition Dr. Katharine Dahl Dr. Brenda Shinar
Urinalysis Competition 2017 Dr. Katharine Dahl Dr. Brenda Shinar Question 1. (PGY-1) An appropriate collection technique must be used in order to interpret urinalysis correctly. Which of the following
More informationCYSTIC DISEASES of THE KIDNEY. Dr. Nisreen Abu Shahin
CYSTIC DISEASES of THE KIDNEY Dr. Nisreen Abu Shahin 1 Types of cysts 1-Simple Cysts 2-Dialysis-associated acquired cysts 3-Autosomal Dominant (Adult) Polycystic Kidney Disease 4-Autosomal Recessive (Childhood)
More informationREFERRAL GUIDELINES: UROLOGY
All patients referred to specialist clinics are assigned to a priority category based on their clinical need and related psychosocial factors. The examples given are indicative only and the clinician reviewing
More informationPrimary Care Physicians and Clinicians. XXX on behalf of the Upper Midwest Fistula First Coalition. Chronic Kidney Disease (CKD) Resources
August 10, 2007 To: From: RE: Primary Care Physicians and Clinicians XXX on behalf of the Upper Midwest Fistula First Coalition Chronic Kidney Disease (CKD) Resources Caring for patients with chronic kidney
More informationADPedKD: detailed description of data which will be collected in this registry
ADPedKD: detailed description of data which will be collected in this registry I. Basic data 1. Patient ID: will be given automatically 2. Personal information - Date of informed consent: DD/MM/YYYY -
More informationDr. Rai Muhammad Asghar Head of Paediatric Department BBH Rawalpindi
Dr. Rai Muhammad Asghar Head of Paediatric Department BBH Rawalpindi Acute Post streptococcal Glomerulonephritis Sudden onset of Gross hematuria Edema Hypertension Renal insufficiency Cause of AGN Post
More informationMedical Genetics. Consult and Referral Guidelines
Medical Genetics Consult and Referral Guidelines HDVCH has developed these consult and referral guidelines as a general reference tool to assist referring physicians with the specialty referral process.
More information5.2 Key priorities for implementation
5.2 Key priorities for implementation From the full set of recommendations, the GDG selected ten key priorities for implementation. The criteria used for selecting these recommendations are listed in detail
More informationRenal Disease. Please refer to the assignment page Three online modules TBLs
Renal Disease Please refer to the assignment page Three online modules TBLs 1 Renal Embryology 2 Lab Tests UA CBC Enzymes Creatinine Creatinine clearance Ammonia Abs C Bx 3 BUN Creatinine Creatinine Clearance
More informationQUICK REFERENCE FOR HEALTHCARE PROVIDERS
KEY MESSAGES 1 SCREENING CRITERIA Screen: Patients with DM and/or hypertension at least yearly. Consider screening patients with: Age >65 years old Family history of stage 5 CKD or hereditary kidney disease
More informationProceeding of the ACVP Annual Meeting
http://www.ivis.org Proceeding of the ACVP Annual Meeting Oct.17-21, 2015 Minneapolis, MN, USA Next Meeting: Dec. 3-7, 2016 - New Orleans, LA, USA Reprinted in the IVIS website with the permission of the
More informationDr.Nahid Osman Ahmed 1
1 ILOS By the end of the lecture you should be able to Identify : Functions of the kidney and nephrons Signs and symptoms of AKI Risk factors to AKI Treatment alternatives 2 Acute kidney injury (AKI),
More informationKidney Condundrums: A Case-Based Approach to Common Issues in Pediatric Nephrology. Disclosures. Hot Off the Press! Learning Objectives
Kidney Condundrums: A Case-Based Approach to Common Issues in Pediatric Nephrology Darcy Weidemann MD MHS Children s Mercy Hospital Clinical Advances in Pediatrics September 26, 2018 Disclosures No conflicts
More informationThe Excretory System. The Elimina3on of Waste
The Excretory System The Elimina3on of Waste What is Excre3on? During our everyday ac/vi/es we produce a lot of waste. This build up of waste is toxic in our bodies and must be eliminated somehow Excre3on
More informationHey Doc, there s blood in my urine Evaluation of hematuria. Christian S. Kuhr, MD FACS May 4, 2018
Hey Doc, there s blood in my urine Evaluation of hematuria Christian S. Kuhr, MD FACS May 4, 2018 Objectives Understand the algorithm for hematuria evaluation Know the differential diagnosis for hematuria
More informationKidneys and Homeostasis
16 The Urinary System The Urinary System OUTLINE: Eliminating Waste Components of the Urinary System Kidneys and Homeostasis Urination Urinary Tract Infections Eliminating Waste Excretion Elimination of
More informationRoutine Clinic Lab Studies
Routine Lab Studies Routine Clinic Lab Studies With all lab studies, a Tacrolimus level will be obtained. These drug levels are routinely assessed to ensure that there is enough or not too much anti-rejection
More informationHMM 4401 Genito-urinary tract diseases
HMM 4401 Genito-urinary tract diseases Urine production Core elements: Glomerulus, proximal and distal convoluted tube, loop of Henle, collecting tubules, ureters, bladder, sphincter, uretra, and out
More informationHaematuria and Modern Bladder Cancer Treatment
Haematuria and Modern Bladder Cancer Treatment Mr Nikhil Vasdev MBBS MRCS MCh(Urol) FRCS(Urol) RCSEng/BAUS Robotic Fellowship Accredited and Trained Consultant Urological and Robotic Surgeon Hertfordshire
More informationClinical Laboratory Science: Urinalysis
Clinical Laboratory Science: Urinalysis Urine is produced by the kidney to maintain constant plasma osmotic concentration; to regulate ph, electrolyte and fluid balances and to excrete some 50 grams of
More informationObjectives. Pre-dialysis CKD: The Problem. Pre-dialysis CKD: The Problem. Objectives
The Role of the Primary Physician and the Nephrologist in the Management of Chronic Kidney Disease () By Brian Young, M.D. Assistant Clinical Professor of Medicine David Geffen School of Medicine at UCLA
More informationWestern Health Specialist Clinics Access & Referral Guidelines
Western Health Specialist Clinics Access & Referral Guidelines Paediatric Medicine Clinics at Western Health: Western Health operates the following Specialist Clinic services for patients who require assessment
More informationA clinical syndrome, composed mainly of:
Nephritic syndrome We will discuss: 1)Nephritic syndrome: -Acute postinfectious (poststreptococcal) GN -IgA nephropathy -Hereditary nephritis 2)Rapidly progressive GN (RPGN) A clinical syndrome, composed
More informationSemester Six Renal Module Study Guide
Spiral Two Semester Six Renal Module Study Guide A Course Title Renal MODULE B Course Co-ordinator: Dr. Irfan Ashraf C Course Committee Dr.Irfan Ashraf, Dr.Rubia Kashif Objectives of Study 1. To inform
More informationHIHIM 409 7/26/2009. Kidney and Nephron. Fermamdo Vega, M.D. 1
Function of the Kidneys Nephrology Fernando Vega, M.D. Seattle Healing Arts Center Remove Wastes Regulate Blood Pressure Regulate Blood Volume Regulates Electrolytes Converts Vitamin D to active form Produces
More informationMeredith L. Seamon, MD February 11, 2016
Meredith L. Seamon, MD February 11, 2016 DISCLOSURE I have no relevant financial relationships to disclose in regard to the content of this presentation Objectives Hematuria List some common causes of
More informationNursing Care for Children with Genitourinary Dysfunction I
Nursing Care for Children with Genitourinary Dysfunction I 1 Assessment of renal function Clinical manifestations Laboratory tests Urinalysis Urine culture and sensitivity Renal/bladder ultrasound Testicular
More informationRapid Laboratories In House Tests
Electrolytes CL CL (CHLORIDE) Electrolytes CO2 CO2 (BICARBONATE) Electrolytes K K (POTASSIUM) Electrolytes NA NA (SODIUM) Basic Metabolic Panel (BMP) GLU GLU (GLUCOSE) Basic Metabolic Panel (BMP) CA CA
More informationAssisting in the Analysis of Urine. Copyright 2011, 2007, 2003, 1999 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Assisting in the Analysis of Urine Urinalysis Why is Urine is analyzed? To detect extrinsic conditions those in which the kidney is functioning normally, but abnormal end-products of metabolism are excreted
More informationRENAL HISTOPATHOLOGY
RENAL HISTOPATHOLOGY Peter McCue, M.D. Department of Pathology, Anatomy & Cell Biology Sidney Kimmel Medical College There are no conflicts of interest. 1 Goals and Objectives! Goals Provide introduction
More informationWe are gong to focus on: Unit 9. Before we begin: Chronic Renal Failure/Uremia ESRD/Dialysis Prostate Cancer Testicular Cancer Renal Cancer
Unit 9 Problems with excretion Before we begin: You are to understand on your own: A & P of Renal System Common terms of renal system How to perform a focused health history How to perform a Physical Exam
More informationCHRONIC KIDNEY DISEASE WHY WOMEN MAY BE AT RISK?
CHRONIC KIDNEY DISEASE WHY WOMEN MAY BE AT RISK? Dr. Judy A Geissler, DNP, APNP, FNP-BC, CNN Vascular Access Advanced Practice Provider Employer- Medical College of Wisconsin No financial disclosures Barbara
More informationDiabetes and Hypertension
Diabetes and Hypertension M.Nakhjvani,M.D Tehran University of Medical Sciences 20-8-96 Hypertension Common DM comorbidity Prevalence depends on diabetes type, age, BMI, ethnicity Major risk factor for
More informationVA/DoD Clinical Practice Guideline for the Management of Chronic Kidney Disease in Primary Care (2008) PROVIDER REFERENCE CARDS Chronic Kidney Disease
VA/DoD Clinical Practice Guideline for the Management of Chronic Kidney Disease in Primary Care (2008) PROVIDER REFERECE CARDS Chronic Kidney Disease CKD VA/DoD Clinical Practice Guideline for the Management
More informationAcute Kidney Injury. I. David Weiner, M.D. Division of Nephrology, Hypertension and Transplantation University of Florida and NF/SGVHS
Acute Kidney Injury I. David Weiner, M.D. Division of Nephrology, Hypertension and Transplantation University of Florida and NF/SGVHS 374-6102 David.Weiner@medicine.ufl.edu www.renallectures.com Concentration
More informationDiabetic Nephropathy
Diabetic Nephropathy Outline Introduction of diabetic nephropathy Manifestations of diabetic nephropathy Staging of diabetic nephropathy Microalbuminuria Diagnosis of diabetic nephropathy Treatment of
More informationPhysicians are required to be scrupulously honest in their dealings with the College.
CENSURE: IC1902 DR. AARON MATTIS MELLON On September 19, 2014, in accordance with Section 47(1)(c) of The Medical Act, the Investigation Committee censured Dr. Mellon as a record of its disapproval of
More informationCKDinform: A PCP s Guide to CKD Detection and Delaying Progression
CKDinform: A PCP s Guide to CKD Detection and Delaying Progression Learning Objectives Describe suitable screening tools, such as GFR and ACR, for proper utilization in clinical practice related to the
More informationChronic Kidney Disease: Optimal and Coordinated Management
Chronic Kidney Disease: Optimal and Coordinated Management Michael Copland, MD, FRCPC Presented at University of British Columbia s 42nd Annual Post Graduate Review in Family Medicine Conference, Vancouver,
More informationHAEMATURIA and it s management. Dr Sanjeev Bandi MBBS.,FRCSI, FRACS(Urology) Consultant Urologist Mackay Urology
HAEMATURIA and it s management Dr Sanjeev Bandi MBBS.,FRCSI, FRACS(Urology) Consultant Urologist Mackay Urology Definition: Haematuria is the presence of red blood cells in the urine. The presence of 10
More informationGOOD MORNING. Welcome Applicants! Friday, October 31, (Happy Halloween!)
GOOD MORNING Welcome Applicants! Friday, October 31, 2014 (Happy Halloween!) PREP QUESTION A 14-year-old girl has had 3 days of new, unremitting headache associated with vomiting and awakening from sleep
More informationRenal Disease Survey Bracco Italiano Club of America Heath Committee, November 2012
Renal Disease Survey Bracco Italiano Club of America Heath Committee, November 2012 Kidney disease is currently one of the most pressing health issues for the Bracco Italiano breed, as the etiology is
More informationHenoch-Schonlein Purpura Guidelines
Henoch-Schonlein Purpura Guidelines Henoch-Schonlein purpura (HSP) is the commonest vasculitis of childhood which is selflimiting in majority of cases. Epidemiology: Incidence varies from 10-20 per 100000
More informationEastern Maine Medical Center Patient Price Information Effective October 1, 2017 September 30, 2018
Eastern Maine Medical Center Patient Price Information Effective October 1, 2017 September 30, 2018 To help our patients make informed health care decisions, Eastern Maine Medical Center has provided pricing
More informationThe Urinary System. BIOLOGY OF HUMANS Concepts, Applications, and Issues. Judith Goodenough Betty McGuire
BIOLOGY OF HUMANS Concepts, Applications, and Issues Fifth Edition Judith Goodenough Betty McGuire 16 The Urinary System Lecture Presentation Anne Gasc Hawaii Pacific University and University of Hawaii
More informationDefinition Elevated Adjusted Calcium > 2.6 mmol/l (adjusted for albumin), taken without using a cuff.
Hypercalcaemia Definition Elevated Adjusted Calcium > 2.6 mmol/l (adjusted for albumin), taken without using a cuff. Mild (usually no symptoms) 2.6 3.0 mmol/l Moderate (start to develop symptoms) 3.0 3.4
More informationPrimary Care Approach to Management of CKD
Primary Care Approach to Management of CKD This PowerPoint was developed through a collaboration between the National Kidney Foundation and ASCP. Copyright 2018 National Kidney Foundation and ASCP Low
More informationPatient Description and Diagnosis: Sarah Jones is a 50-year-old female, 5 4, 131
Julia Kaesberg Counseling Session KNH 413 February 27 th, 2014 Patient Description and Diagnosis: Sarah Jones is a 50-year-old female, 5 4, 131 pounds and her usual body weight is 125 pounds. Her %UBW
More informationManagement of Nephrotic Syndrome
Management of Nephrotic Syndrome 1. Introduction Incidence 2-4/100,000. Boys > girls 3:2; age of onset 2-6 years 80% of cases in children is due to minimal change (MCD) of which 80% will respond to steroid
More informationCONCORD INTERNAL MEDICINE CHRONIC KIDNEY DISEASE PROTOCOL. Revised May 30, 2012
CONCORD INTERNAL MEDICINE CHRONIC KIDNEY DISEASE PROTOCOL Douglas G. Kelling, Jr., MD C. Gismondi-Eagan, MD, FACP George C. Monroe III, MD Revised May 30, 2012 The information contained in this protocol
More informationA Rare Cause of Renal Stone Formation in Two Siblings. Chris Stockdale
A Rare Cause of Renal Stone Formation in Two Siblings Chris Stockdale Index case-patient A Born 2000 Parents (first cousins) from Indian sub-continent Paternal Grandmother received dialysis for ESRF Possible
More information1. Disorders of glomerular filtration
RENAL DISEASES 1. Disorders of glomerular filtration 2. Nephrotic syndrome 3. Disorders of tubular transport 4. Oliguria and polyuria 5. Nephrolithiasis 6. Disturbances of renal blood flow 7. Acute renal
More informationDefinition Elevated Adjusted Calcium > 2.6 mmol/l (adjusted for albumin), taken without using a cuff.
Authoriser: Fiona Davidson Page 1 of 5 Hypercalcaemia Definition Elevated Adjusted Calcium > 2.6 mmol/l (adjusted for albumin), taken without using a cuff. Mild (usually no symptoms) 2.6 3.0 mmol/l Moderate
More informationVA/DoD Clinical Practice Guideline for the Diagnosis and Management of Hypertension - Pocket Guide Update 2004 Revision July 2005
VA/DoD Clinical Practice Guideline for the Diagnosis and Management of Hypertension - Pocket Guide Update 2004 Revision July 2005 1 Any adult in the health care system 2 Obtain blood pressure (BP) (Reliable,
More informationMODULE 5: HEMATURIA LEARNING OBJECTIVES DEFINITION. KEY WORDS: Hematuria, Cystoscopy, Urine Cytology, UTI, bladder cancer
MODULE 5: HEMATURIA KEY WORDS: Hematuria, Cystoscopy, Urine Cytology, UTI, bladder cancer LEARNING OBJECTIVES At the end of this clerkship, the learner will be able to: 1. Define microscopic hematuria.
More information11/9/2015. Childhood Nephrotic Syndrome: The Clinical Pathway. Learning Objectives. Nephrotic Syndrome - Definition. Proteinuria.
Childhood Nephrotic Syndrome: The Clinical Pathway Cherry Mammen, MD, FRCPC, MHSc Douglas G. Matsell, MDCM, FRCPC Division of Nephrology, BC Children s Hospital Grand Rounds Nov 13th, 2015 Learning Objectives
More informationPaediatrics Dr. Bakr Lecture 3 Nephrotic Syndrome
P a g e 1 DEFINITION Paediatrics Dr. Bakr Lecture 3 Nephrotic Syndrome Definition: nephrotic syndrome is a disorder characterized by heavy proteinuria with hypoprpteinimia,hyper lipidemia and edema. It
More informationSwindon Diabetes Guidelines: Management of Chronic Kidney Disease Associated with Diabetes Mellitus
Swindon Diabetes Guidelines: Management of Chronic Kidney Disease Associated with Diabetes Mellitus 1 Contents Executive Summary... 3 How to Screen for Diabetic Nephropathy... 4 What to Measure... 4 Frequency
More informationNORTHERN IRELAND GUIDELINES FOR MANAGEMENT OF CHRONIC KIDNEY DISEASE
NORTHERN IRELAND GUIDELINES FOR MANAGEMENT OF CHRONIC KIDNEY DISEASE Practical points for use of estimated GFR + quality outcome framework indicators Developed by GAIN and the Northern Ireland Nephrology
More information(Calcium and Phosphorus are a part of the CKD objectives)
Course Objectives Electrolytes and Water: 1. Differentiate the effects of changes in sodium content from changes in water content 2. Describe how the body compensates for volume loss and volume overload
More informationURINARY CALCIUM CREATININE RATIO AND HYPERCALCIURIA
URINARY CALCIUM CREATININE RATIO AND HYPERCALCIURIA B. Rath M.K. Aggarwal T.K. Mishra B. Talukdar N.S. Murthy B.C. Kabi ABSTRACT Random urine samples of 352 children in the age group of 5-12 yrs were studied
More informationApproach to Glomerular Diseases: Clinical Presentation Nephrotic Syndrome Nephritis
GLOMERULONEPHRITIDES Vivette D Agati Jai Radhakrishnan Approach to Glomerular Diseases: Clinical Presentation Nephrotic Syndrome Nephritis Heavy Proteinuria Renal failure Low serum Albumin Hypertension
More informationSpecial Challenges and Co-Morbidities
Special Challenges and Co-Morbidities Renal Disease/ Hypertension/ Diabetes in African-Americans M. Keith Rawlings, MD Medical Director Peabody Health Center AIDS Arms, Inc Dallas, TX Chair, Internal Medicine
More information