FAQ - Uremia
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What disease is this?


Can you help me with this hw assignment. I need to diagnose this "patient" and lists tests that helped me diagose it and include an outline of the procedure I can follow in accpmplishing this task. Here is the question..

"Your patient is extremly overweight. They are experiencing the most common inherited disease related to this organ. This organ is not doing it's job and is causing uremia. This disease is prgressive and ultimatly fatal. Identify this disease and the organ it affects."

I was thinking chronic kidney disease but I am not sure.


Please help!
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Well because they're overweight it could be anything including the heart or pancreas (possible type II diabetes). However, I would say possible kidney disease because anything that has to do with urine problems usually has to do with the kidney. Kidney disease is usually inherited; heart problems and type II diabetes are too, but can be caused by being overweight.

Word of advice though, next time you ask a homework question on Y!A, either post it in the homework section, or if you put it in the health section don't mention it's a homework question :)  (+ info)

glucose level...............?


amanda is a 15-yr old female her fasting blood glucose level was determined to be 145 mg/dl therefore she may be at risk for

A anemia
B hypoglycemia
C homoglycemia
D uremia
E diabetes
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E diabetes  (+ info)

Urine Questions?


1) Analysis of a urine sample reveals the presence of plasma protein, a condition called:

Dysuria, Albuminuria, Pyuria, Hematuria, Uremia?

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2) Molecules secreted into urine as it is being formed in the nephron include which of the following?

Water, Nitrogen Containing Waste, Salts, Hydrogen Ions, All of the Above?

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3) A sudden fall in urine volume is:

Uremia, Dysuria, Oliguria, Anuria, Pyuria?

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4) Visualization of the urinary system via contrast dyes and X-ray examination is the test called:

Intravenous Pyelogram, GFR, Hydrolithotripsy, Cystoscopic Examination, Creatinine Clearance?

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5) Which of the following signs and symptoms indicate the need for examination by a physician?

Dysuria, Blood or Pus in Urine, Edema, Both Dysuria & Blood/Pus in Urine, All of the Above
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1.) Albuminuria

Albumin is a protein that is in your plasma
It's not Dysuria (thirsty), Pyuria (pus in the urine), Hematuria (blood in the urine)

2.) All of the Above

I included a link at the bottom of this that talks about what the kidneys filter. All of those are mentioned there :)

3.) Oliguria

Uremia means high wastes in the blood, it's what happens when someone's kidneys fail
Dysuria, again is thirst
Anuria is no urine output at all
pyuria, again is puss in the urine

4.) Intravenous Pyelogram
I actually just saw one of these done 3 days ago

5.) All of the Above,

Being thirsty all the time can be a sign of diabetes, blood or pus in the urine is always a concern , maybe an infectino, edma can mean the body is retaining water. That's why I picked all of the above.

Hope that helps :)  (+ info)

kidney disease friends?


Dearest kidney disease friends,
I am Guomei Li, 63 years old woman from Ningbo of China. I had chronic nephritis from my 15 years old, until 1966, nephritis turn to uremia. During those 11 years I rely on hemodialysis to continue my life. One week three times in hospital for hemodialysis, it bring me many inconvenience not only to my own life, but also endless worry and heavy economy matter to my families.
Because my illness, I have not marriage during my life. Many years thanks to my deal elder sister and her son take care me, without them I might have left this world.During those years,there comes many subsequent syndrome,for example high blood pressure,tummy bug, heart problem, osteoporosis, joints distortion and so on.Trust many of kidney patients have the same feeling.Who want go to see god at this time.
Today I am writing to you, aim to know which kind of way you used to cure those kind of subsequent syndrome. I’d like hear your guide and experience. Via internet, I hope we could communicate information with each other, create more friendship and happiness during this bitter travel of survival for life. I’d like to know how much money you will pay for daily dialyse at your country,if you have any other question or want communicate with me please contact with me via [email protected]. Any of your questions I will try give you a satisfaction reply.
Dear friends do you want be one of my friend.

Looking forward your letter.

Yours,
Guomei Li
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In a lot of countries the medicare or government health care system will pay for the dialisis for the patient.  (+ info)

Need desparate help with this clinical question regarding glomerulonephritis please?


Scenario clinical question:

A 6-year-old boy is diagnosed with glomerulonephritis secondary to a streptococcal throat infection. He had been diagnosed with nephrotic syndrome several months ago. At this time the following manifestations are noted: a decrease in urine output, increasing lethargy, hyperventilation, and generalized edema. Trace amounts of protein are detected in his urine. Blood analysis reveals the following: pH = 7.30, HCO3- = 18 mEq/L, hematocrit (Hct) = 29%, Na = 132 mEq/L, K = 5.6 mEq/L, blood urea nitrogen (BUN) = 62 mg/dL, creatinine = 4.1 mg/dL, albumin = 2 g/dL.

Interpret his laboratory values. Which are significant, and why?

Is he progressing to uremia? How can you tell?

Please, I really need help with this and am struggling to find answers. Thank you
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Let's list some facts before interpreting these lab values:

Glomerulonephritis (glo-mer-u-lo-nuh-FRI-tis) is a type of kidney disease that hampers your kidneys' ability to remove waste and excess fluids. Some cases of acute glomerulonephritis, especially those that follow a strep infection, often improve on their own and require no specific treatment.

The kidneys are powerful chemical factories that perform the following functions:

remove waste products from the body
remove drugs from the body
balance the body's fluids
release hormones that regulate blood pressure
produce an active form of vitamin D that promotes strong, healthy bones
control the production of red blood cells

Creatinine is a waste product in your blood that comes from muscle activity.

Urea nitrogen is a normal waste product in your blood that comes from the breakdown of protein from the foods you eat and from your body metabolism. Uremia is a clinical syndrome associated with fluid, electrolyte, and hormone imbalances and metabolic abnormalities, which develop in parallel with deterioration of renal function. The term uremia, which literally means urea in the blood.

When your kidneys are damaged, protein leaks into your urine. Loss of blood protein may cause an increase in blood cholesterol and blood triglycerides.

This will explain why there is protein in the urine and why there is a decrease in blood albumin.

Since the kidneys are unable to filtrate and rid the body of key substances, you will see symptoms related to those substances. Hyperventilation could be related to an acid/base imbalance.

The low Hct could cause the fatigue/lethargy. Blood in the urine could lower the HcT. There is no Hgb which will indicate the kidney's inability to control the production of red blood cells which are the oxygen carriers in the blood.

The K and Na seems elevated slightly (I don't know the highs/lows of your specific lab values) but they are related to the decrease in kidney function to balance electrolytes.

Treatment for nephrotic syndrome includes treating the underlying condition that’s causing it and taking medications

As you see above, this is temporary related to the treatment of his strep throat so I doubt he will progress to the more serious uremic syndrome which may require emergency dialysis.


I hope this helps in time.  (+ info)

Need desperate help with this clinical question regarding glomerulonephritis please?


Scenario clinical question:

A 6-year-old boy is diagnosed with glomerulonephritis secondary to a streptococcal throat infection. He had been diagnosed with nephrotic syndrome several months ago. At this time the following manifestations are noted: a decrease in urine output, increasing lethargy, hyperventilation, and generalized edema. Trace amounts of protein are detected in his urine. Blood analysis reveals the following: pH = 7.30, HCO3- = 18 mEq/L, hematocrit (Hct) = 29%, Na = 132 mEq/L, K = 5.6 mEq/L, blood urea nitrogen (BUN) = 62 mg/dL, creatinine = 4.1 mg/dL, albumin = 2 g/dL.

Interpret his laboratory values. Which are significant, and why?

Is he progressing to uremia? How can you tell?

Please, I really need help with this and am struggling to find answers. Thank you
----------

  (+ info)

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