what componets of glomerular filtration barrier does contribute to charge barrierheparan sulfate in basement membrane renal May 28, 2019, 10:48 PM HirotoShishido
which chromosomal aneuploidy syndromes are associated w/ horseshoe kidneyturner syndrome, trisomies 13,18,21 renalurology May 15, 2019, 1:58 AM HirotoShishido
paraneoplastic syndromes of RCCPEAR-aneoplastic
PTHrP(parathyroid hormone-related protein)→ ↑Ca (SCC of the lung)
☆Ectopicerythropoietin(EPO)→ polycythemia
(* RCC can also cause both anemia of chronic disease and iron deficiency anemia due to chronic hematuria)
Management of chronic kidney disease• diet
■ preventing HTN and volume overload
■ ☆low-protein diet
• Na+ restriction
■ preventing electrolyte imbalances
■ target of <2 g/d (5 g/d of salt)
• K+ restriction (40-60 mmol/d)
• PO43– restriction (1 g/d)
• avoid extra-dietary Mg2+ (e.g. antacids)
■ preventing uremia and potentially delaying decline in GFR
• protein restriction with adequate caloric intake (☆25-35kcal/kg day) in order to limit endogenous protein catabolism renal国試過去3年 Oct 17, 2020, 11:16 PM HirotoShishido
definition of chronic kidney disease①尿異常，画像診断，血液，病理で腎障害の存在が明らか．特に蛋白尿の存在が重要．
②糸球体濾過量（GFR：glomerular filtration rate）＜60mL/分/1.73m2
①，②のいずれか，または両方が3ヵ月以上持続する．
