33:630:363 Lecture Notes - Lecture 10: Medical Nutrition Therapy, Kidney Stone Disease, Hematuria
21 Jan 2020
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Document Summary
Types of renal diseases: glomerular diseases, nephritic syndrome, nephrotic syndrome, acute kidney injury/acute renal failure (arf, chronic kidney disease (ckd, kidney stones. Inflammation of the glomerulus (filtering unit of kidneys) Primary manifestation: blood in the urine (hematuria) Medical nutrition therapy: maintain good nutritional status (adequate protein, adequate calories, heart heathy, cho controlled, restrict na if htn is present. Nephrotic syndrome (protein in the urine o in nephrotic and protein) Abrupt loss of decline in gfr, resulting in failure to maintain fluid, electrolyte and acid base balance. Medical diagnosis based on one of the following criteria: serum creatinine rises by >26 umol/l within 48 hours, serum creatinine rises >1. 5-fold from reference value, urine output is <0. 5 ml/kg/hr for >6 consecutive hours. Four phases of aki: initiation (gfr declines, extension (ischemia and inflammation, maintenance (gfr at lowest level, recovery (epithelial cell regeneration)
