Diabetic kidney disease

Jul 23, 2019 by in NEPHROLOGY Comments Off on Diabetic kidney disease

1. Define the terms diabetic nephropathy (DN) and diabetic kidney disease (DKD). The terms DN and DKD are used interchangeably to describe a set of characteristic clinical and pathologic findings….

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Membranoproliferative glomerulonephritis

Jul 23, 2019 by in NEPHROLOGY Comments Off on Membranoproliferative glomerulonephritis

1. What is membranoproliferative glomerulonephritis (MPGN)? (MPGN) is a rare form of glomerular disease that occurs in both children and adults. It is characterized by a unique histopathologic feature, namely…

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Membranous nephropathy

Jul 23, 2019 by in NEPHROLOGY Comments Off on Membranous nephropathy

1. What is membranous nephropathy (MN)? MN is a common immune-mediated glomerular disease that remains the leading cause of nephrotic syndrome in white adults. It is a histologic diagnosis based…

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Focal segmental glomerulosclerosis

Jul 23, 2019 by in NEPHROLOGY Comments Off on Focal segmental glomerulosclerosis

1. What is focal segmental glomerulosclerosis? Focal segmental glomerulosclerosis (FSGS) is a class of glomerular diseases defined by focal and segmental patterns of scar in the kidney glomeruli. This disease…

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Minimal change disease

Jul 23, 2019 by in NEPHROLOGY Comments Off on Minimal change disease

1. What are the diagnostic criteria for nephrotic syndrome? Nephrotic syndrome is a syndrome that results from severe proteinuria. Heavy glomerular protein losses (≥3.5 g in an adult or >40…

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Drug dosing in patients with chronic kidney disease

Jul 23, 2019 by in NEPHROLOGY Comments Off on Drug dosing in patients with chronic kidney disease

1. How can chronic kidney disease (CKD) alter the pharmacokinetic behavior of most drugs? CKD directly and indirectly affects the pharmacokinetic properties of most drugs. Alterations of drug pharmacokinetics in…

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Clinical management of chronic kidney disease

Jul 23, 2019 by in NEPHROLOGY Comments Off on Clinical management of chronic kidney disease

1. How do you recognize progressive kidney failure? Progressive kidney failure is recognized by an increasing serum creatinine over time. However, some patients may have a normal creatinine early in…

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Nutrition

Jul 23, 2019 by in NEPHROLOGY Comments Off on Nutrition

1. What is malnutrition? To define malnutrition, an expert panel of the International Society of Renal Nutrition and Metabolism (ISRNM) has recommended the use of the term “protein-energy wasting” (PEW)…

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Dyslipidemia

Jul 23, 2019 by in NEPHROLOGY Comments Off on Dyslipidemia

1. What is the typical lipid profile in patients with chronic kidney disease (CKD)? Dyslipidemias are common in patients with CKD, those on dialysis (both hemodialysis and peritoneal dialysis), and…

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