Renal Transplant Examination Flashcards
(14 cards)
What are 4 features of Cushingoid facies?
Acronym = HAMP
Hirsute, Acne, Moon Face, Plethora
Name 2 complications unique to haemodialysis.
• Disequilibration syndrome
• Dialysis-related amyloidosis
What is the underlying pathophysiology of dialysis related amyloidosis?
Accumulation of beta2-microglobulin causing peripheral neuropathy etc.
What is the chief electrolyte abnormality in haemodialysis?
Hypokalaemia.
What is haemodialysis’ effect on BP?
Hypotension and Hypovolaemia.
Name 4 aspects of renal bone disease.
Oateomalacia.
Osteosclerosis.
Osteoporosis.
Hyperparathyroidism.
Indications for dialysis in chronic renal failure?
Split into systems:
Kidneys
Bone
Cardiovascular
Progressive renal failure (CKD 5)
Symptomatic uraemia despite Rx
Hyperkalaemia despite Rx
Renal bone disease
Pericarditis
Fluid overload despite fluid restriction and diuretics
What are 3 skin changes that can be expected from a Cushingoid picture?
• Thin skin
• Bruising
• Purple Striae
Apart from Cushingoid facies and skin changes, what are 2 other body changes that can be seen in Cushing’s?
• Muscle wasting
• Abdominal obesity
Name 2 things unique to the spleen that differentiates it from the kidney in examination.
• Spleen has a notch
• Spleen moves more on respiration.
Name 3 features of a kidney that differentiates it from the spleen on examination.
• Can get above a kidney
• Kidney is ballotable
• Kidney is resonant in percussion
Name 3 side effects of Ciclosporin
• Gingival Hypertrophy
• Warty Skin Lesions
• Hypertrichosis
What are the 6 F’s if abdominal distension?
Fat, fluid, flatus, faeces, fetus & fucking big masses.
What is the other name for a peritoneal dialysis catheter?
Tenckhoff Catheter.
