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Chronic kidney disease
:star:4 months
:check:urine abnormalitis
:check…
Chronic kidney disease
:star:4 months
:check:urine abnormalitis
:check:imaging abnormality
:check:eGFR <60ml/min
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CKD-MBD
Pathogenesis
Bone disorders
:red_flag: Osteomalacia
:red_flag: Osteitis fibrosa cystica ( Hyperparathyroid bone disease
:red_flag:Osteoporosis
:red_flag:Osteosclerosis "rugger-jersey" spine
:red_flag:Adynamic bone disease- oversupression of VIt D
:red_flag:Aluminium bone disease- dialysate problem
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Maintenance dialysis
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Haemodialysis
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Chronic complications
:!: Vascular calcification & AV calcification
:!: CVD ( CAD, arrhythmia and CMY)
:!: Dialysis related amyloid
:!: Arthritis- gout and pseudogout
Renal transplantation
Screening
donor- contraindications
:green_cross:pre-existing renal disease
:green_cross: recent malignancy
:green_cross:Severe IHD
:green_cross: uncontrolled hypertension
:green_cross: Other idopathic disease ( MS, Sarcoid)
Recipients
Exclusion criteria
:forbidden: current or recent ( <2 years) malignancy
:forbidden: Severe COPD/ stroke/ dementia
:forbidden: PVD / vascular calcification ( esp of iliac vessels)
**CVS screening and optimisation**
:check:EF > 30%
:check: reversible coronary ischemia
:check: CAG/ revascularisation if needed
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