ACUTE RENAL FAILURE

السلا م عليكم انشاء الله حيكون عندا كل مرة حالة نقوم بدراستها , يعنى الحاجات اللازم الطلبة يكون عارفينها فى هذا الحالة ونسال شنو فى الhistory والحاجات المهمة الفى examination و investigations المهمة فى كل حالة والتشخيص التفريقى وبعدين حيكون في مجموعة اسئلة. على بركت الله نبدأ


acute renal faliure:

مايجب معرفته:
1. pathophysiology of acute renal failure
2. metabolic consequences of significant reductions in renal function
3. indications for dialysis
4. management of the patient with renal failure

تانيا

History:
Students should be able to assess:

o baseline renal functional status
o family history of renal disease
o potential nephrotoxin exposure
o for co-morbid conditions which may cause renal disease

Physical exam:

Students should be able to evaluate:

* volume status
* effective arterial circulating volume
* clinical signs and symptoms of uremia


Differential Diagnosis:

Students should be able to differentiate:

o acute vs chronic renal failure
o prerenal vs parenchymal vs post renal obstruction

Laboratory Findings:

Students should be able to interpret:

o urine lytes
o creatinine clearance
o spot urine protein: creatinine ratio
o urinalysis
o renal ultrasound
o renal biopsy
تالتا:
Procedure Skills:

o IV placement
o arterial blood gas
o Foley placement
رابعا:
Management Skills: - Students should be able to manage:

o drug dosing adjustments
o renal dietary restriction
o volume states
o electrolyte imbalance
o acid-base disturbances
o intoxications


ودى مجموعة اسئلة اذا اى حد عاوز اجابه سؤال معين يكتبه وانشاء الله نجواب ليه عليه:
السؤال الاول:
What are the three broad categories that acute renal failure can be divided into?

السؤال التانى:
Utilizing the urine and blood chemistry values, how can one distinguish between prerenal azotemia and acute tubular necrosis

السؤال التالت:
What are the indications for dialysis in general?

السؤال الرابع:
What EKG abnormalities are associated with hyperkalemia?