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An elderly female patient has a history of osteoporosis, chronic type II…
An elderly female patient has a history of osteoporosis, chronic type II diabetes mellitus, and high blood
pressure. She has come to the doctor today because she has noticed blood in her urine.
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Anatomy of the Kidneys
Located in the retroperitoneal space; only their anterior surface is covered with parietal peritoneum
Their fibrous capsule adheres their external surface to maintain their shape, protect from trauma, and prevent infection
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Diabetes Mellitus 2: this type of diabetes can be treated with lifestyle changes. Symptoms include an polyuria, polydyspia, polyphagia, fatigue, and blurred vision.
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Osteoporosis effect on the Kidneys: hyperparathyroidism occurs which leads to a deficiency in vitamin D which functions to absorb calcium levels essential for bones. Hyperparathyroidism also leads to kidney failure. With this in mind, the osteoporosis will get worse over time. The kidneys also filter medications prescribed to help....yikes...
Diabetes Mellitus 2 effect on the Kidneys: hyperglycemia over time damages the kidneys. Waste products isn't filtered properly because of polyuria.
High Blood Pressure effect on the Kidneys: ADH works to conserve water. This presents a problem when you are constantly needing to pee due to diabetes.
Your kidneys are essential in the creation of bones which is significant with osteoporosis. Medications will try to slow down the disease through increasing the amount of calcium is absorbed, etc.
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