Kidney,Urinary Tract Care And Diabetes 1 Dr. Ruba Nashawati
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In Every Single Part of It 4
kidneyVesselsUrinary Tract Sexual Defects 5
The Kidney 6
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10 The Vessels
Macrovasular Chronic Inflammation Injury to the Arterial wall Atherosclerosis 11
Microvascular Retinopathy Nephropathy 12
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Stage Diabetes Duration Manifestations 10 – 3-5 Renal hypertrophy GFR Basement M thickening Mesangial expansion Microalbuminuria HPT Proteinuria HPT ↓ GFR 515 – 25+ESKD
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16 Urinary Tract
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Bladder Problems 18
> 1/2 of Diabetics 19
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22 Signals to the Bladder At the Wrong Time Squeeze without warning
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Poor Control of Sphincter Muscles 24
Poor Control of Sphincter Muscles Urine LeakageUrine Retention25
26 Urethral Muscles Loose Leakage Stay Tight Retention
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28 Urinary tract infection
Urinary Tract Infection Lower UTI Cystitis Upper UTI pyelonephritis
30Pyelonephritis Kidney Infection go farther into the body Untreated Infection
What are the symptoms of cystitis? 31
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What are the symptoms of Pyelonephritis? 33
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Why Diabetes Poses a Risk 36
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Nephrolithiasis 38
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42 Sexual Defect
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Who Is at Risk for Developing Sexual and Urologic Problems of Diabetes? 46
Those who 47
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Can Diabetes Related Sexual and Urologic Problems be Prevented ? 49
its Easy to achieve Yes its Easy to achieve 50
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Avoiding kidney damage medication ( NSAIDs ) unless necessary 54