Roca-Tey Ramon, Roda Amparo, Ibrik Omar, Samon Rosa, González-Oliva Juna Carlos, Ugalde-Altamirano Jessica, Viladoms Jordi, Calls Jordi
{"title":"Association Between Blood Flow Rate of Arteriovenous Access and Mortality in Prevalent Haemodialysis Patients: A Five-Year Prospective Study","authors":"Roca-Tey Ramon, Roda Amparo, Ibrik Omar, Samon Rosa, González-Oliva Juna Carlos, Ugalde-Altamirano Jessica, Viladoms Jordi, Calls Jordi","doi":"10.36959/832/408","DOIUrl":"https://doi.org/10.36959/832/408","url":null,"abstract":"","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":"560 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77601692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case of Severe Acute Hyperphosphatemia Secondary to Ingestion of Phosphoric Acid Solution Treated with Continuous Renal Replacement Therapy","authors":"Lee Pei Shan, B. Shashidhar, Mayank Chawla","doi":"10.36959/832/409","DOIUrl":"https://doi.org/10.36959/832/409","url":null,"abstract":"","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78465946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Considerations in the Management of Covid-19 in Patients with Chronic Kidney Disease","authors":"C. Joshua, Hasni Kamran, S. Hafiz","doi":"10.36959/832/410","DOIUrl":"https://doi.org/10.36959/832/410","url":null,"abstract":"","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80403333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Non-steroidal anti-inflammatory drugs (NSAIDs) are among the most widely used drug classes worldwide. As a side effect of the therapy can occur an acute interstitial nephritis (AIN) or an acute tubular necrosis (ATN). In acute kidney injury, a major challenge is to distinguish between underlying etiologies. For instance, there are no disease-specific therapies for acute tubular necrosis, whereas acute interstitial nephritis requires immunosuppressive therapy. The differentiation of the two diseases is very important, but unfortunately, they present clinically and laboratory similarly. Good biomarker for differential diagnosis is lacking. Often renal biopsy is required for diagnosis. Renal biopsy is often associated with side effects and cannot be performed in all patients. Therefore, it is very important to know the small differences of the two diseases. Enclosed we present three typical cases in which we diagnosed ATN based on the clinic, history, and laboratory findings.
{"title":"NSAIDs, Dehydration and Acute Kidney Failure in the Young Adults: An Unrecognized Entity?","authors":"Czerlau Cecilia, Sidler Daniel, Vogt Bruno","doi":"10.36959/832/407","DOIUrl":"https://doi.org/10.36959/832/407","url":null,"abstract":"Non-steroidal anti-inflammatory drugs (NSAIDs) are among the most widely used drug classes worldwide. As a side effect of the therapy can occur an acute interstitial nephritis (AIN) or an acute tubular necrosis (ATN). In acute kidney injury, a major challenge is to distinguish between underlying etiologies. For instance, there are no disease-specific therapies for acute tubular necrosis, whereas acute interstitial nephritis requires immunosuppressive therapy. The differentiation of the two diseases is very important, but unfortunately, they present clinically and laboratory similarly. Good biomarker for differential diagnosis is lacking. Often renal biopsy is required for diagnosis. Renal biopsy is often associated with side effects and cannot be performed in all patients. Therefore, it is very important to know the small differences of the two diseases. Enclosed we present three typical cases in which we diagnosed ATN based on the clinic, history, and laboratory findings.","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81462231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-08DOI: 10.33552/aun.2021.03.000553
A. Muhammad
Background Urethrovaginal fistula is an abnormal communication between urethra and vagina by an epithelialized tract. In girls the cause can be congenital or post traumatic. Female genital mutilation may be associated with urethrovaginal fistula and the predominant presentation is that of continuous urinary incontinence. Presentation with bladder outlet obstruction and inability to pass urine is rare. We report a 12-year old girl with traumatic urethro-vaginal fistula post female genital mutilation who presented with inability to pass urine and bladder outlet obstruction. Case report This is a 12-year old girl who presented with urethral bleeding and inability to pass urine following female genital mutilation. She had suprapubic cystostomy due to failed urethral catheterization. Micturating cystourethrogram revealed huge bladder with tight bladder neck. The haemogram, urine microscopy, electrolyte urea and creatinine were within normal limits. She had examination under anaesthesia which revealed urethrovaginal fistula and obliteration of the bladder neck. She had multilayer repair of the fistula via abdominoperineal approach. Urethral catheter was removed after 6 weeks. She developed nocturnal enuresis post operatively which was managed with tolterodine. Conclusion Urethrovaginal fistula from female genital mutilation may present with bladder outlet obstruction. Micturating cystogram may not be diagnostic. Examination under anaesthesia may be necessary for proper diagnosis. Abdominoperineal multilayer repair is associated with good outcome.
{"title":"Traumatic Urethrovaginal Fistula from Female Genital Mutilation Presenting as Bladder Outlet Obstruction: A Rare Case Report","authors":"A. Muhammad","doi":"10.33552/aun.2021.03.000553","DOIUrl":"https://doi.org/10.33552/aun.2021.03.000553","url":null,"abstract":"Background Urethrovaginal fistula is an abnormal communication between urethra and vagina by an epithelialized tract. In girls the cause can be congenital or post traumatic. Female genital mutilation may be associated with urethrovaginal fistula and the predominant presentation is that of continuous urinary incontinence. Presentation with bladder outlet obstruction and inability to pass urine is rare. We report a 12-year old girl with traumatic urethro-vaginal fistula post female genital mutilation who presented with inability to pass urine and bladder outlet obstruction. Case report This is a 12-year old girl who presented with urethral bleeding and inability to pass urine following female genital mutilation. She had suprapubic cystostomy due to failed urethral catheterization. Micturating cystourethrogram revealed huge bladder with tight bladder neck. The haemogram, urine microscopy, electrolyte urea and creatinine were within normal limits. She had examination under anaesthesia which revealed urethrovaginal fistula and obliteration of the bladder neck. She had multilayer repair of the fistula via abdominoperineal approach. Urethral catheter was removed after 6 weeks. She developed nocturnal enuresis post operatively which was managed with tolterodine. Conclusion Urethrovaginal fistula from female genital mutilation may present with bladder outlet obstruction. Micturating cystogram may not be diagnostic. Examination under anaesthesia may be necessary for proper diagnosis. Abdominoperineal multilayer repair is associated with good outcome.","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41506010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-23DOI: 10.33552/aun.2021.03.000552
Mouhamed Nashawi MD
Denys-Drash Syndrome (DDS) is a rare cause of end-stage renal disease (ESRD) stemming from genetic mutations in the Wilms’ tumor 1 (WT1) gene. Albeit uncommon, it and other congenital nephropathies (e.g., Frasier syndrome) may warrant a clinical workup of cardiovascular disease in symptomatic patients with cardiopulmonary deficits, as the latter is associated with renal dysfunction given the multifarious physiologic roles and nodes of action concerning the kidneys. These include not only serving as a site of neural and hormonal stimuli that affect systemic equilibrium, but the regulation of blood pressure and osmolality as well. The cardiorenal demise classically seen in later stages of chronic kidney disease (CKD) in relatively older adults may arise earlier in these patients. We report the case of an 18-year-old 46, XY phenotypic female with DDS who complained of increasingly nettlesome dyspnea. Initially, she presented with a low index of suspicion for diminished cardiopulmonary fitness. However, further clinical workup which included catheterization and cardiac imaging was significant for findings of pulmonary hypertension.
{"title":"Pulmonary Hypertension from Cardiorenal Sequelae in an 18-Year-Old 46, XY Phenotypically Female Patient with Denys-Drash Syndrome: Case Report and Review of Literature","authors":"Mouhamed Nashawi MD","doi":"10.33552/aun.2021.03.000552","DOIUrl":"https://doi.org/10.33552/aun.2021.03.000552","url":null,"abstract":"Denys-Drash Syndrome (DDS) is a rare cause of end-stage renal disease (ESRD) stemming from genetic mutations in the Wilms’ tumor 1 (WT1) gene. Albeit uncommon, it and other congenital nephropathies (e.g., Frasier syndrome) may warrant a clinical workup of cardiovascular disease in symptomatic patients with cardiopulmonary deficits, as the latter is associated with renal dysfunction given the multifarious physiologic roles and nodes of action concerning the kidneys. These include not only serving as a site of neural and hormonal stimuli that affect systemic equilibrium, but the regulation of blood pressure and osmolality as well. The cardiorenal demise classically seen in later stages of chronic kidney disease (CKD) in relatively older adults may arise earlier in these patients. We report the case of an 18-year-old 46, XY phenotypic female with DDS who complained of increasingly nettlesome dyspnea. Initially, she presented with a low index of suspicion for diminished cardiopulmonary fitness. However, further clinical workup which included catheterization and cardiac imaging was significant for findings of pulmonary hypertension.","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44896507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-26DOI: 10.33552/aun.2021.03.000551
M. Hashmi
Situs Inversus totalis is rare disorder in which there is transposition of organs position. Polycystic kidney disease is a disorder in which water containing cysts are formed in kidneys. Though named as polycystic kidney disease but cysts are formed in other organs such as liver, pancreas, seminal vesicles & arachnoid membrane. Association of these two conditions is rare.
{"title":"Situs Inversus & Adult Polycystic Kidney Disease","authors":"M. Hashmi","doi":"10.33552/aun.2021.03.000551","DOIUrl":"https://doi.org/10.33552/aun.2021.03.000551","url":null,"abstract":"Situs Inversus totalis is rare disorder in which there is transposition of organs position. Polycystic kidney disease is a disorder in which water containing cysts are formed in kidneys. Though named as polycystic kidney disease but cysts are formed in other organs such as liver, pancreas, seminal vesicles & arachnoid membrane. Association of these two conditions is rare.","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44398140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Toru, Ono Tomoaki, Ono Takashi, Nagata Masaharu, Nakamura Yasuko, Iida Mikako, Fukumitsu Toma
The prevalence of malnutrition especially of essential amino acid (EAA) is a significant concern in end-stage renal disease (ESRD) and hemodialysis (HD) patients. The present study evaluates the efficacy of Amiyu® Granule (AG), a pharmaceutically manufactured oral EAA and histidine supplement, in the improvement of the nutritional indices of the ESRD and HD elderly patients (> 80-year-old).
{"title":"Effects of Different Doses of Oral Essential Amino Acid Supplementation in the Patients Aged over 80 Years on Chronic Hemodialysis","authors":"S. Toru, Ono Tomoaki, Ono Takashi, Nagata Masaharu, Nakamura Yasuko, Iida Mikako, Fukumitsu Toma","doi":"10.36959/832/406","DOIUrl":"https://doi.org/10.36959/832/406","url":null,"abstract":"The prevalence of malnutrition especially of essential amino acid (EAA) is a significant concern in end-stage renal disease (ESRD) and hemodialysis (HD) patients. The present study evaluates the efficacy of Amiyu® Granule (AG), a pharmaceutically manufactured oral EAA and histidine supplement, in the improvement of the nutritional indices of the ESRD and HD elderly patients (> 80-year-old).","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73244504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-13DOI: 10.33552/aun.2021.02.000550
Valerie Nwanji, Aria Ghahramani, Mujahed Dauleh, N. Ghahramani
Background Knowledge about benefits of kidney transplantation (KT) is an important determinant of the patients' decision to pursue KT. We investigated factors associated with End Stage Renal Disease (ESRD) patients' knowledge about KT benefits. Methods We randomly invited 1,400 dialysis patients to complete a survey about benefits of KT. Using multivariate analysis, we calculated odds ratios for the probability of choosing the correct responses. Results Of 673 participants, 17.6% agreed with benefit of KT for older patients, 36.5% agreed with benefit of KT for diabetic patients, and 31.5% agreed with benefit of pre-emptive KT. Non-white (OR: 0.68) and older (OR: 0.65) participants were less likely to agree with the survival benefit of KT. Older participants were less likely to agree with benefit of KT for older (OR: 0.64), and diabetic patients (OR: 0.54). Participants with less than high school education were less likely to agree with benefit of pre-emptive KT (OR: 0.58). Participants with a previous KT were more likely to agree with benefit of KT for older (OR: 2.32), and diabetic patients (OR: 2.50), and with the benefit of pre-emptive KT (OR: 2.34). Participants who had received 3 or more modes of education about KT were more likely to agree with benefit of KT for diabetic patients (OR: 2.04), and with benefit of pre-emptive KT (OR:1.67). Conclusions Dialysis patients have limited knowledge about benefits of KT. Previous KT, exposure to 3 or more modes of KT education, and education attainment are significant contributors to knowledge about KT benefits.
{"title":"Knowledge about Benefits of Kidney Transplantation: A Survey of Dialysis Patients.","authors":"Valerie Nwanji, Aria Ghahramani, Mujahed Dauleh, N. Ghahramani","doi":"10.33552/aun.2021.02.000550","DOIUrl":"https://doi.org/10.33552/aun.2021.02.000550","url":null,"abstract":"Background\u0000Knowledge about benefits of kidney transplantation (KT) is an important determinant of the patients' decision to pursue KT. We investigated factors associated with End Stage Renal Disease (ESRD) patients' knowledge about KT benefits.\u0000\u0000\u0000Methods\u0000We randomly invited 1,400 dialysis patients to complete a survey about benefits of KT. Using multivariate analysis, we calculated odds ratios for the probability of choosing the correct responses.\u0000\u0000\u0000Results\u0000Of 673 participants, 17.6% agreed with benefit of KT for older patients, 36.5% agreed with benefit of KT for diabetic patients, and 31.5% agreed with benefit of pre-emptive KT. Non-white (OR: 0.68) and older (OR: 0.65) participants were less likely to agree with the survival benefit of KT. Older participants were less likely to agree with benefit of KT for older (OR: 0.64), and diabetic patients (OR: 0.54). Participants with less than high school education were less likely to agree with benefit of pre-emptive KT (OR: 0.58). Participants with a previous KT were more likely to agree with benefit of KT for older (OR: 2.32), and diabetic patients (OR: 2.50), and with the benefit of pre-emptive KT (OR: 2.34). Participants who had received 3 or more modes of education about KT were more likely to agree with benefit of KT for diabetic patients (OR: 2.04), and with benefit of pre-emptive KT (OR:1.67).\u0000\u0000\u0000Conclusions\u0000Dialysis patients have limited knowledge about benefits of KT. Previous KT, exposure to 3 or more modes of KT education, and education attainment are significant contributors to knowledge about KT benefits.","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":"2 5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45576716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-07DOI: 10.33552/aun.2021.02.000549
Muhammad Tanzeel Abbasi
Primary or idiopathic membranous nephropathy (MN) is distinctive and one of the most common causes of nephrotic syndrome in adults. It is quite prevalent in all races and has no gender predisposition. However, white adults are at more risk of MN. It is a relatively less common entity in pediatric population. We report a case of 12 years old female with idiopathic MN. She had no symptoms suggestive of nephrotic syndrome and was normotensive. She had incidental finding of proteinuria which was investigated, and renal biopsy revealed the features of MN.
{"title":"Idiopathic Membranous Nephropathy at a Young Age","authors":"Muhammad Tanzeel Abbasi","doi":"10.33552/aun.2021.02.000549","DOIUrl":"https://doi.org/10.33552/aun.2021.02.000549","url":null,"abstract":"Primary or idiopathic membranous nephropathy (MN) is distinctive and one of the most common causes of nephrotic syndrome in adults. It is quite prevalent in all races and has no gender predisposition. However, white adults are at more risk of MN. It is a relatively less common entity in pediatric population. We report a case of 12 years old female with idiopathic MN. She had no symptoms suggestive of nephrotic syndrome and was normotensive. She had incidental finding of proteinuria which was investigated, and renal biopsy revealed the features of MN.","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49016573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：