Renal Diseases Biomedical Science - Student Copy - PDF

Renal Diseases Biomedical Science Coralie Frances GDC Learning Outcomes 1.1.3 Explain general and systemic disease and their relevance to oral health 1.11.2 Explain and take account of the impact of the patient’s periodontal and general health on the overall treatment plan and outcomes L...

Renal Diseases Biomedical Science Coralie Frances GDC Learning Outcomes 1.1.3 Explain general and systemic disease and their relevance to oral health 1.11.2 Explain and take account of the impact of the patient’s periodontal and general health on the overall treatment plan and outcomes Learning Outcomes At the end of the session the student should be able to: Explain the importance of renal function, effects on body of its loss & the dental relevance List the causes of loss of renal function Describe the effects on the body of kidney disease List the symptoms of kidney disease State the general management of a patient with kidney disease State the dental relevance & dental management Describe related oral manifestations Why study kidney diseases? Clinical Associated oral presentation manifestations Dental management Renal Function Renal function is needed to: Maintain normal body fluid volume and composition Essential for excretion of waste products and drugs Some previously fatal renal diseases can now be managed successfully The numbers of patients treated with kidney transplants is growing. Loss of Renal function - causes Renal Disease E.g. renal tract infections, glomerulonephritis, hypertension, diabetes, congenital abnormalities, Renal Hypofunction e.g. severe shock or haemorrhage Blockage of Renal outflow E.g. kidney stones , prostate tumours Chronic kidney disease (aka chronic renal failure) Effects most body systems This may follow on from loss of renal function Later all kidney functions It results from progressive , irreversible kidney damage are reduced At first there are no symptoms Potential impact of chronic kidney disease Potential impact of chronic kidney disease Metabolic Cardiovascular Gastrointestinal Neuromuscular Haematological Skin Immunological Metabolic effect Thirst Urination at night Glucose Electrolyte in urine disturbances Cardiovascular Effect Hypertension Atheroma Gastrointestinal Effects A Loss of appetite B Weight Loss C Nausea and vomiting D Peptic ulcer E Hiccups Neuromuscular Headaches Drowsiness Tremors Haematological effects Bleeding due to platelet dysfunction and/or anticoagulant medication Anaemia due to deficiency of erythropoietin Other effects of chronic kidney disease Bruises Rashes Prone to infection