photo credit: euthman
Autosomal dominant polycystic kidney disease (ADPKD) is the most common genetic disease of the kidney. For many years the treatment of this condition has been at a relative standstill when compared to the advances in therapy in other kidney diseases. However exciting new developments are currently in the research pipeline. These may [...]
FSGS or focal and segmental glomerulosclerosis is the most common non diabetic cause of nephrotic syndrome in the world. This is particularly true among African Americans. The treatment of this disorder is frequently complicated by non response to the primary modality of treatment which is steroids. Combine this with the need for high doses to [...]
This question is asked more times than can be counted. A patient is informed that they have stage 4 kidney disease and they need to make a choice as to what modality of dialysis they prefer while they await transplantation.
The patient is usually confused and unsure, already overwhelmed with dealing with the reality of having [...]
Previously aspirin and clopidogrel were found to having an increase risk of mortality in patients on haemodialysis. However warfarin is known to have a survival advantage in patients with atrial fibrillation as the drug prevents clot formation in the poorly contracting left atrium of the heart. Any reduction in clot formation results in a reduction [...]
Low dose aspirin is a well established means of prevention of a second heart attack or stroke also known as secondary prevention. The evidence is less compelling for patients who have never had a heart attack or stroke, with the preventative benefit competing with a steadily increasing risk of bleeding from the intestines over time. [...]
So you just found out you have a kidney stone and the doctor told you that you need to have a procedure called lithotripsy and you have already started to panic. Well first things first, stop breathe and read….
Lithotripsy refers to a medical procedure that uses shockwaves to break up kidney stones. The kidney stones [...]
Diabetic nephropathy may be slowed by several means, the standard of care is blood pressure control, prescription of drugs which reduce protein in the urine and dietary changes. However the condition is almost always progressive despite these interventions.
Pirfenidone is not a particularly new drug, it has been known as an antifibrotic agent in that it [...]
A recent study has found that patients with Type I diabetes who underwent combined kidney and pancreas transplantation were found to have continued elevated levels of markers of endothelial dysfunction. The Study done in Austria comprised five different groups matched for age, gender, and body mass index. The groups comprised 10 type 1 diabetes SPK [...]
When a patient has been diagnosed with chronic kidney disease he or she is staged according to the national kidney foundation staging system. If they are staged as 4 to 5 then preparation is made for dialysis in the medium to short term. If the patient chooses hemodialysis as the preferred method of renal replacement [...]
http://www.flickr.com/photos/sriram/ / CC BY-NC 2.0
We have a problem, every year the number of patients with chronic kidney disease increases while the number of patients living on hemodialysis increases as well. This leads for an ever increasing need for dialysis which ultimately may exceed our ability to provide it. Patients enter the system on one end [...]
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