Renal Diseases DTH23 Student Copy Part 2 of 2 PDF
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This document provides information on renal diseases, including signs and symptoms of kidney disease. It also covers general management, kidney dialysis, renal transplantations, post transplantation, implications for treatment, dental relevance, and useful references. The document likely supports learning or teaching medical topics.
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What are the signs and symptoms of kidney disease? Signs & Symptoms of kidney disease Weight loss Shortness of and poor breath appetite (dyspnoea) Incr...
What are the signs and symptoms of kidney disease? Signs & Symptoms of kidney disease Weight loss Shortness of and poor breath appetite (dyspnoea) Increased need Swollen to urinate ankles, feet or (especially at hands – due to night) water Insomnia retention Itchy skin Blood In urine (haematuria) General Management Low protein Potassium Salt or water Dialysis/ Prevention of diet restriction control Transplant further renal damage Questions to think about What foods contain protein? Which foods contain potassium? What measures would a patient have to take to control salt and water intake? General Management (continued) Dialysis can give normal life to up to 20% of patients but cannot prevent all complications Over 70% of patients on haemodialysis survive at least 5 years Renal transplant may then become necessary Kidney Dialysis Renal transplantations This is now common and survival of the graft can be up to 90% at one year Patients need to be immunosuppressed after the transplant Usual medications are: Corticoste Azathiopri Cyclospori roid ne ne Post Transplantation Patients may still have some of the problems associated with renal failure They are susceptible to infection (immunosuppression) What are the implications for you treating this patient? Think about what you have heard Make a list of problems you might encounter when treating a patient with kidney disease Dental Relevance Patient also require steroid cover Herpes Simplex or Cytomegalovirus & Candida Infections Virus infections Zoster Epstein- Barr Cyclosporine may Lymphomas and to Skin, lip and Kaposi’s Sarcoma cause gingival a less degree cervical cancer overgrowth Dental Relevance Bleeding tendencies Underlying disease Infections Impaired drug with hepatitis excretion B and other viruses Hypertensio n Bone lesions of the jaw Corticosteroid or other immunosuppr Diet essive treatment Clinical Dental Relevance Salivary gland Dry mouth Halitosis Metallic taste swelling Growth may be Tooth eruption Enamel hypoplasia stunted delayed Useful References Waugh, A. and Grant, A. (2018) Ross & Wilson Anatomy And Physiology In Health And Illness. 14th ed. Elsevier. And finally a helpful video https://youtu.be/fv53QZRk4hs
