FAQ - Uremia
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What is the difference between hematuria and uremia?
Hematuria=blood in urine (stones, tumor etc can give it)
Uremia=uric acid in blood (usually related to kidney disease, end stage-this is the reason for dialysis) (+ info
Why does Uremia cause fibrinous pericarditis?
Uremic pericarditis is thought to result from inflammation of the visceral and parietal layers of the pericardium by metabolic toxins that accumulate in the body owing to kidney failure. Other factors may be involved, however, because pericarditis also may occur in patients with chronic renal failure who already are receiving dialysis therapy.
Renal failure(uremia) accounts for approximately 12% of cases.
In the predialysis era, pericarditis developed in 35-50% of patients with uremia who had chronic renal failure and less commonly in those with acute renal failure. Death often followed in several weeks.
With dialysis, the incidence rate is less than 10%.
Pericarditis occurs after the onset of dialysis in 8-12% of cases.
ECG commonly does not show the typical ST-T segment changes due to lack of inflammation.
In uremic patients, heart rates may be deceptively slow with tamponade, fever, and hypotension due to autonomic impairment.
Some authors suggest that uremic pericarditis is a different entity from dialysis-associated pericarditis.
Asymptomatic pericardial effusions can occur in 36-62% of patients with uremia who require dialysis. They are often small to moderate in size, and they can occur secondary to volume overload. They can lead to significant hemodynamic complications during routine dialysis. The presence of a large pericardial effusion that persists for longer than 10 days after intensive dialysis has a high likelihood of causing tamponade.
Treatment is intensive dialysis.
If no improvement is noted after 7-10 days or if the patient has hemodynamic instability, proceed with pericardiocentesis or pericardiectomy.
Intensive dialysis is beneficial to most patients with uremia who develop pericarditis prior to dialysis. Dialysis-induced pericarditis fails to respond to more intensive dialysis in 25-33% of patients. (+ info
how widespread is the disease uremia?
What do u mean how widespread it is? I didn't realize that it is widespread.
Uremia happens when you have an imbalance with your electrolytes. this usually happens to people with kidney failure. The kidney is essential for maintaining the body's acid and electrolyte balance. Once your kidney is damaged, this can lead to an increase of your urea in the blood thus will lead to a condition called uremia.
I don't think uremia is a disease per se but it is a disease process. (+ info
If untreated, uremia will result in the excretion of metabolic wastes through other organs within the body. Which ones and what wastes are excreted from them in a healthy individual?
I've been looking ALL over the internet and can't find anything useful.
In kidney failure, urea and other waste products, which are normally excreted into the urine, are retained in the blood. Early symptoms include anorexia and lethargy, and late symptoms can include decreased mental acuity and coma.
Urea is a substance produced by the liver and transported to the kidneys to be excreted from the body in the urine. From a medical perspective, urea is simply a poison containing nitrogen which must be eliminated from the body. Edgar Cayce recognized that urea in excess is toxic to the body but asserted that a certain amount of urea was necessary in the blood to assist with various functions such as coagulation and wound healing. The readings contain numerous examples of both kinds of urea imbalance, low and high. (+ info
is uremia hereditary?
in 1996, my best friend's mum died of uremia at the age of 45 or so; 6 years later my friend herself died of this disease too when she was only 26.
my own mum died of this disease exactly 2 years ago and it seemed that her father also suffered from the same disease (and other diseases) before he died (he was 75 then).
so is this dreadful disease hereditary? i've searched on the web via Google but some pages were not accessible; others were full of medical jargon that i never understand...
I am so sorry to hear about your loss. I researched it @ wikipedia.org and didn't see anything that says uremia is hereditary. This is what I did find....
Uremia is a toxic condition resulting from renal failure, when kidney function is compromised and urea, a waste product normally excreted in the urine, is retained in the blood. Uremia can lead to disturbances in the platelets and hypersomnia, among other effects.
Besides renal failure, the level of urea in the blood can also be increased by:
increased production of urea in the liver, due to:
high protein diet
increased protein breakdown (surgery, infection, trauma, cancer)
drugs (e.g. tetracyclines and corticosteroids)
decreased elimination of urea, due to:
decreased blood flow through kidney (e.g. hypotension, cardiac failure)
urinary outflow obstruction
Wish you nothing but the best, and stay healthy. (+ info
what are the symptoms of uremia?
Nausea, vomiting, fatigue, anorexia, weight loss, muscle cramps, pruritus, mental status changes, visual disturbances, and increased thirst.
http://emedicine.medscape.com/article/245296-overview (+ info
Which of the following complications associated with renal failure creates the greatest need for immediate dia?
Which of the following complications associated with renal failure creates the greatest need for immediate dialysis?
B. Increased creatinine
which condition is the result of crystalization of salts in the urine?
c. kidney stones
c. kidney stones is the most likely though all four may be inter-connected. If the crystals form in the pelvis (center) of the kidney you could develop small or very large stones with urate crystals or calcium. Most crystals in the urine are harmlessly dissolved in the urine and pass out every day with the urine. (+ info
What is Kimmelshel-Wilson Syndrome? It may be a rarely used term for the disease.?
This was listed as a cause of death, along with Diabetes Mellitus, followed by the last cause, Uremia.
Nephrotic syndrome and hypertension in diabetics associated with diabetic glomerulosclerosis.
In english, kidney failure with wasting of protein out of the kidney/urine and high blood pressure in a patient who already had some kidney problems because of their diabetes. (+ info
a patient enters a hospital after a motorcycle accident. he complains of midback pains. xray reveal both rib?
a patient enters a hospital after a motorcycle accident. he complains of midback pains. xray reveal both rib and pelvic fractures. his emergency room examination includes urinalysis. which of the following findings from the urinalysis would most likely suggest trauma to the kidneys from the accident. but not to the urinary bladder?
Albumin is protiens from the kidney and uria meaning urine. So together, it means, Protiens in Urine and that's related to the kidney. (+ info
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