Podcast
Questions and Answers
Which symptom is commonly associated with kidney disease?
Which symptom is commonly associated with kidney disease?
What is a common dietary management strategy for patients with kidney disease?
What is a common dietary management strategy for patients with kidney disease?
After a renal transplantation, what is a necessary treatment for patients?
After a renal transplantation, what is a necessary treatment for patients?
What is the main challenge for patients on dialysis?
What is the main challenge for patients on dialysis?
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Which of the following is NOT a symptom of kidney disease?
Which of the following is NOT a symptom of kidney disease?
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What oral health issue can be caused by Cyclosporine in patients receiving treatment for kidney disease?
What oral health issue can be caused by Cyclosporine in patients receiving treatment for kidney disease?
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Which of the following conditions should be considered when treating a patient with kidney disease?
Which of the following conditions should be considered when treating a patient with kidney disease?
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Which infection is particularly relevant for dental professionals to consider in patients with kidney disease?
Which infection is particularly relevant for dental professionals to consider in patients with kidney disease?
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When treating a patient with kidney disease, what dental issue may arise due to impaired drug excretion?
When treating a patient with kidney disease, what dental issue may arise due to impaired drug excretion?
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Which symptom is commonly observed in kidney disease patients that might affect dental treatment?
Which symptom is commonly observed in kidney disease patients that might affect dental treatment?
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Study Notes
Signs and Symptoms of Kidney Disease
- Weight loss and poor appetite
- Swollen ankles, feet or hands due to water retention
- Shortness of breath
- Increased need to urinate, especially at night
- Insomnia
- Itchy skin
- Blood in urine (haematuria)
General Management
- Low protein diet
- Potassium restriction
- Salt and water control
- Dialysis
- Transplantation
Dialysis
- Can give normal life to up to 20% of patients
- Does not prevent all complications
- Over 70% of patients on hemodialysis survive at least 5 years
Renal Transplantation
- Common, with 90% graft survival at one year
- Patients are immunosuppressed after transplant
Medications
- Corticosteroids
- Azathioprine
- Cyclosporine
Post Transplantation
- Patients may still have problems associated with renal failure
- Susceptible to infection due to immunosuppression
Dental Relevance
- Herpes simplex, Candida infections, zoster
- Cytomegalovirus and Epstein Barr virus infections
- Lymphomas and skin, lip, cervical cancers
- Kaposi’s Sarcoma
- Gingival overgrowth caused by cyclosporine
- Bleeding tendencies
- Impaired drug excretion
- Infections with hepatitis B and other viruses
- Hypertension
- Bone lesions of the jaw
- Corticosteroid or other immunosuppressive treatments
- Dry mouth
- Halitosis
- Metallic taste
- Salivary gland swelling
- Growth may be stunted
- Tooth eruption may be delayed
- Enamel hypoplasia
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