Renal Disease Quiz (BMS Learning Outcomes)

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Questions and Answers

What is a primary function of the kidneys in the body?

  • Regulation of normal body fluid volume and composition (correct)
  • Enhancement of digestive enzyme activity
  • Storage of vitamins
  • Production of hormones

Which of the following conditions is NOT a cause of loss of renal function?

  • Hypertension
  • Asthma (correct)
  • Diabetes
  • Kidney stones

What gastrointestinal effect is associated with kidney disease?

  • Diarrhea
  • Nausea and vomiting (correct)
  • Improved digestion
  • Increased appetite

What symptom is commonly observed in patients with kidney disease?

<p>Blood in urine (A)</p> Signup and view all the answers

Which of the following is NOT a recommended dietary management for patients with kidney disease?

<p>High sodium intake (A)</p> Signup and view all the answers

What oral manifestation may occur as a result of kidney disease?

<p>Metallic taste (C)</p> Signup and view all the answers

What haematological effect is associated with kidney disease?

<p>Anaemia due to erythropoietin deficiency (B)</p> Signup and view all the answers

Which of the following is a cardiovascular effect of kidney disease?

<p>Hypertension (D)</p> Signup and view all the answers

What is a potential dermatological effect of kidney disease?

<p>Rashes (B)</p> Signup and view all the answers

Which infection can be a dental relevance in patients with kidney disease?

<p>Cytomegalovirus (C)</p> Signup and view all the answers

Flashcards

Renal function

The ability of the kidneys to filter waste products from the blood and maintain normal fluid balance in the body.

Renal disease

Conditions affecting the kidneys, leading to a decrease in their ability to function properly.

Uremia

A buildup of waste products and toxins in the blood due to impaired kidney function.

Renal hypertension

A condition characterized by high blood pressure due to dysfunctional kidneys.

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Glomerulonephritis

Inflammation of the tiny filtering units in the kidneys, leading to a decline in kidney function.

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Kidney stones

A condition caused by the formation of stones in the urinary tract, obstructing urine flow and potentially impairing kidney function.

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Low protein diet for kidney disease

A low-protein diet helps reduce strain on the kidneys by limiting the amount of waste they need to process.

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Dialysis for kidney disease

A procedure that artificially removes waste and excess fluid from the blood, acting as an artificial kidney.

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Candida infections in kidney disease

An infection of the mouth caused by the yeast Candida albicans, more common in patients with weakened immune systems due to kidney disease.

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Dry mouth in kidney disease

A condition characterized by dry mouth, often associated with kidney disease due to altered salivary gland function.

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Study Notes

Importance of Renal Function

  • Maintaining normal body fluid volume and composition is crucial.
  • Essential for removing waste products and drugs from the body.

Causes of Renal Function Loss

  • Renal disease: Infections, glomerulonephritis, high blood pressure (hypertension), diabetes, and congenital defects.
  • Renal hypofunction: Severe shock or significant blood loss (hemorrhage).
  • Obstruction of renal outflow: Kidney stones or prostate tumors.

Effects of Kidney Disease on the Body

  • Cardiovascular: Hypertension and atherosclerosis (hardening and narrowing of arteries).
  • Gastrointestinal: Loss of appetite, weight loss, nausea/vomiting, peptic ulcers, and hiccups.
  • Neuromuscular: Headaches, drowsiness, and tremors.
  • Hematological: Bleeding (due to platelet dysfunction or anticoagulants), and anemia (due to reduced erythropoietin production).
  • Other: Bruising, rashes, increased susceptibility to infections.

Symptoms of Kidney Disease

  • Weight loss and poor appetite.
  • Shortness of breath (dyspnea).
  • Swelling in ankles, feet, and hands (edema).
  • Blood in urine (hematuria).
  • Increased urination frequency, insomnia, and itchy skin.

General Management of Kidney Disease Patients

  • Low-protein diet.
  • Potassium restriction.
  • Control of salt and water intake.
  • Dialysis or kidney transplant.
  • Preventing further kidney damage.

Dental Relevance and Management

  • Increased risk of infections: Candidiasis, herpes simplex/zoster, cytomegalovirus, Epstein-Barr virus.
  • Increased risk of cancers: Skin, lip, cervical cancer, Kaposi's sarcoma, lymphomas.
  • Dental implications: Reduced salivary flow, bad breath (halitosis), stunted growth, metallic taste, and salivary gland swelling.
  • Developmental issues: Delayed tooth eruption and enamel hypoplasia.

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