Obstructive Renal Disease in Cancer Patients

Jul 17, 2017 by in NEPHROLOGY Comments Off on Obstructive Renal Disease in Cancer Patients

Fig. 15.1 Electrolyte abnormalities associated with obstruction and post obstruction Case # 1 Follow-Up and Discussion The patient presented with newly diagnosed lymphoma as seen in the CT scan shows…

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Tumor Lysis Syndrome

Jul 17, 2017 by in NEPHROLOGY Comments Off on Tumor Lysis Syndrome

Laboratory TLS: two or more of (within − 3 to + 7 days relative to treatment) Clinical symptoms (any of) Clinical I Clinical II Clinical III Clinical IV Uric acid  >8 mg/dL (476 µmol/L)…

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Electrolyte Disorders in Cancer Patients

Jul 17, 2017 by in NEPHROLOGY Comments Off on Electrolyte Disorders in Cancer Patients

Fig. 7.1 The principal participants in normal bone remodelling include three cell types (bone marrow stromal cells, osteoblasts [OB], and osteoclasts [OC]) and three proteins (receptor activator of nuclear factor…

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Rational Dosing of Chemotherapy in Patients with Kidney Failure

Jul 17, 2017 by in NEPHROLOGY Comments Off on Rational Dosing of Chemotherapy in Patients with Kidney Failure

Drug CrCl 60–46 mL/min CrCl 45–30 mL/min CrCl 29–10 mL/min Dialysis Nephrotoxicity presentation/comments Arsenic trioxide No adjustment needed No adjustment needed Drug exposure may be higher, monitor for toxicity, and lower doses may…

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Cancer in the Kidney Transplant Recipient

Jul 17, 2017 by in NEPHROLOGY Comments Off on Cancer in the Kidney Transplant Recipient

Cancer type SIR Observed incidence/100,000 person-years Non-Hodgkin lymphoma 7.54 194 Lung 1.97 173 Liver 11.56 120 Kidney 4.65 97 Colorectum 1.24 80.9 Melanoma 2.38 49.2 Thyroid 2.95 30.7 Urinary bladder…

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Biological Cancer Therapies and the Kidney

Jul 17, 2017 by in NEPHROLOGY Comments Off on Biological Cancer Therapies and the Kidney

Class Examples Kidney toxicity Antiangiogenic therapy Bevacizumab, sunitinib, sorafenib, pazopanib, everolimus Hypertension, proteinuria, TMA, AKI EGFR inhibitors Cetuximab, erlotinib, gefitinib, lapatinib, panitumumab Hypomagnesemia, hypokalemia Multifunctional TKIs Imatinib, dasatinib, ponatinib, bosutinib…

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Radiation Nephropathy

Jul 17, 2017 by in NEPHROLOGY Comments Off on Radiation Nephropathy

Fig. 12.1 Thrombotic microangiopathy. The figure showing changes of TMA (a hematoxylin and eosin stain, b periodic acid-Schiff stain) with peripheral capillary wall thickening and focal glomerular basement membrane duplication….

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