Nephrology

Chronic Renal Disease: J.H. and ESRD J. H. is a 55-year-old African American male who presented himself to the Emergency Department with a progressively worsening headache. He had a blood pressure (BP) of 233/134, with complaints of regular abdominal pain with nausea and vomiting and shortness of breath with exertion. Alert and oriented, he stated non-compliance with his BP medications and refusal to do dialysis since his initial diagnosis. Pathophysiology ESRD is the fifth and final stage…

Background Statement This case study involves an office manager of a nephrology clinic and the Chief Medical Officer. The Chief Medical Officer, Dr. Rosenberg, established a scheduling policy, stating doctors are not to cancel their appointments unless there is a family emergency, and the cancellation needs to be approved. In this case, the office manager, Sandra, allowed one of the doctors of the practice, Dr. Griffith, to cancel his afternoon appointments so that he could go golfing. Sandra…

There are multiple kidney diseases that are known to the Medical world, but there will be a discussion about Henoch Shönlein Purpura today. Many young kids have had this Kidney disease and it is not to be taken lightly. At first it comes off as something simple, and it looks like the victim has probably just pulled a muscle, has a fever or has a stomach ache because they are vomiting but no, that is just the beginning of this horrid kidney disease. There are probably many questions going around…

2) What is your diagnosis for this patient (be specific)? How does this condition arise? What biological marker would you look for to confirm your diagnosis? My diagnosis is that Susan has post streptococcal glomerulonephritis. This condition is due to an antigen and antibody interaction which comes about right after strep throat infection has healed. Strep throat, is a bacterial infection caused by an antigen, group A streptococci. Post streptococcal glomerulonephritis, arises because…

RESEARCH BACKGROUND: The end stage renal disease (ESRD) is a debilitating, chronic condition whereby the renal failure requires dialysis or renal replacement therapy (RRT) to survive (USRDS, 2002) According to the National Health Survey (NHS) 2009 it is evident that the Chronic Kidney Disease (CKD) among the adults in England is around 13%. Over the last four decades, there has been a major development in treatment of CKD that has improved the life expectancy when compared to previous years…

Population: mortality. 0.208% of all deaths in South Dakota are linked with chronic kidney disease, or 156 of 75,000 deaths; this means that the person could have died from other reasons, but the patient did have chronic kidney disease (Midwest Kidney Network. Dialysis Deaths, 2015), (South Dakota Department of Health. At a Glance in 2014, 2015). Nationally, 0.0149% of all deaths are from some stage of chronic kidney disease, meaning that the death is as a result of this disease (Center for…

Urine testing can be a useful way to reflect on an individual’s overall health status. Examining the waste products found in urine by using chemical reagent dipsticks can reveal information about the health of a patient (Mulryan, 2011, p. 234). Properly analyzing the chemical reagent dipstick can help aid in the diagnosis of an individual. According to Mulryan (2011), specific tests are found on the reagent dipstick, including, blood, bilirubin, urobilinogen, protein, nitrite, leukocytes,…

Reality has sank in after the first week of the kidney failure news. Emotions were high and there was lots of crying during those first two weeks. I cried thinking of my children. I asked myself that who would take care of my kids when I die. I asked God a challenging question on why this was happening to me. Why me was the main questions to God. However, as each day passed, I acquired a new understanding of the disease and the treatment. Doctors, nurses and close friends in medical field took…

Although the human eye’s complexity is extensive, it is unable to handle time prolonged computer screen viewing, as the eyes are most comfortable switching between various focal distances and light complexities. Chris’ eyes will be under extreme strain due to her age and slowly degrading eye functionality, as well as the constant use of a digital screen. The pressure on the eye from an iPad screen is due to the screens fixated distance, which is not encouraging the activity of the eye. Two sets…

Septic Shock Affecting Mental Capacity The assignment is to support an insight into a safeguarding issue where the patient is self-neglecting due to the lack of circumstantial mental capacity to take a decision. I have chosen the Gibbs’ reflective cycle (Oxford Brookes University, 2016) to comprehend and reflect the scenario. The Gibbs’ reflective cycle will enable to follow step by step; focusing on the description of the issue, how I felt about it, initial evaluation and the analysis of the…