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βοΈβοΈ *HEARTIEST CONGRATULATIONS* βοΈβοΈ
To
*Dr Saeed Khan*
For passing *MRCP UK PART 1*
He has been keen member of our part 1 group.
We wish him the best for his future.
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*π IMPORTANT 472π*
*Few Complications Of ADPKD*
ESRD
Rupture of Berry`s aneurysm = SAH = Neurological deficit
Recurrent urinary infections & Recurrent abdominal pain
2ry polycythemia = Hyper-Coagulable State
HTN
MVP (Mitral Valve Prolapse)
Recurrent Kideny Stones (Uric Acid/Oxalate)
Good Luck
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*π IMPORTANT 471π*
*Few Complications Of Nephrotic Syndrome*
Renal vein thrombosis (protein C & S deficiency)= Sudden loin pain and hematuria, AKI.
Atheroma & IHD
Malnutrition
Recurrent Infections (Loss of Immunoglobulins in urine)
DVT (Hypercoagulable state)
Good Luck
2 521
*π IMPORTANT 470π*
*Few Indications for Surgery of crohn,s disease*
Persistent Symptoms Despite High Dose Steroids
Toxic Megacolon
Strictures
Intractable Fistula
Perforation Or Cancer
Good Luck
2 521
Dear coalleagues
I regret to inform you that our tomorrow's session is cancelled due to a family gathering.
We will start our sessions again after a couple of weeks.
I am sorry for any inconvenience.
2 521
βοΈβοΈ *HEARTIEST CONGRATULATIONS* βοΈβοΈ
To
*Dr Munmun Nipa*
*Dr Suleman khan*
*Dr Sana Rafique*
For passing *MRCP UK PART 1*
They have been keen member of our part 1 group.
We wish them the best for their future.
2 521
*π IMPORTANT 469π*
*Common causes of Inherited Chronic Haemolytic Anemia*
Spherocytosis (Autosomal dominant )
Thalassemia (Autosomal recessive )
Sickle cell Anemia ( Autosomal Recessive )
Good Luck
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*π IMPORTANT 468π*
*Complications Of Thalassemia*
Complications Of the treatment ( chelating agents )
Corneal deposits,sensory-neural hearing loss, Renal failure, arthropathy, agranulocytodsis
Good Luck
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*π IMPORTANT 467π*
*Complications Of Thalassemia*
Complications Of the blood transfusion
Infections (HBV, HCV, HIV)
Secondary hemochromatosis
Cardiomyopathy
Diabetes mellitus (pancreas)
Diabetes insipidus (pituitary)=Polyuria
Liver cirrhosis
Good Luck
2 521
*π IMPORTANT 466π*
*Complications Of Thalassemia*
Complications Of The Disease
Skeletal deformities
Severe Anemia
Heart failure
Gall stones
Good Luck
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*π IMPORTANT 465π*
*Causes of Tender Hepatomegaly*
Acute Viral hepatitis
Budd-Chiari syndrome
Congestive cardiac failure
Malignancy
Tricuspid regurgitation (pulsatile)
Good Luck
2 521
*π IMPORTANT 464π*
*Tip for station 2 ( History taking )*
When the scenario involves a patient with a known disease that presents with uncontrolled symptoms, noncompliance with currently prescribed medications can be a common differential that you have to explore in detail during the consultation.
Good Luck
2 521
*π IMPORTANT 463π*
Always mention to avoid contact sports in a case of APKD.
Good Luck
2 521
*π IMPORTANT 462π*
*Ultrasound diagnostic criteria in people with positive family history of ADPKD*
β’ < 30 years old: at least two unilateral or bilateral cysts (consider rescanning after 30 years old if criteria not met)
β’ 30β60 years old: two cysts in each kidney
β’ > 60 years old: more than four cysts in each kidney.
Good Luck
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*π IMPORTANT 461π*
*possible differentials for bilateral palpable kidneys*
Bilateral hydronephrosis
Amyloidosis
Renal cell carcinoma
Bilateral kidney cysts
Tuberous sclerosis
Von Hippel Lindau.
Good Luck
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*π IMPORTANT 460π*
*Few complications of APKD*
Cysts in other organs (liver)
Anaemia
Abdominal pain (if a cyst bleeds or gets infected)
Aneurysms in brain
Mitral valve prolapse
Polycythaemia
Good Luck
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*π IMPORTANT 459π*
*Few complications of renal transplant*
1. Infection:
β’ More prone to usual bacterial infections.
β’ Cytomegalovirus, Pneumocystis pneumonia.
2. Malignancies:
β’ Post-transplant lympho-proliferative disease.
β’ Skin-cancer-like squamous cell carcinoma.
Good Luck.
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*π IMPORTANT 458π*
*Tip for a case of renal transplant*
For the complications of the end-stage renal failure look for
β’ Signs of anaemia
β’ Signs of hyperparathyroidism
β’ Scars from parathyroidectomy.
Good Luck.
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*π IMPORTANT 457π*
*Tip for a case of renal transplant*
For signs of immunosuppression look for
β’ Gum hypertrophy
β’ Cushingoid signs
β’ Skin warts (papillomas)
β’ Hand tremors.
Good Luck.
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*π IMPORTANT 456π*
*Tip for a case of renal transplant*
For the previous RRT modes look for
β’ Scars on the chest from previous sites of vascular access
β’ Unused or nonfunctioning fistulas on the arms
β’ Abdominal scars from previous peritoneal dialysis
Good Luck.
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