This lecture was conducted during the Nephrology Unit Grand Ground by Nephrology Registrar under Nephrology Division, Department of Medicine in King Saud.

Slides:

Advertisements

Similar presentations

MNT Approaches to Acute and Chronic Kidney Disease

Advertisements

Bone Disease in Renal Failure Dr Anne Kleinitz and Dr Cherelle Fitzclarence

MINERAL AND BONE DISORDERS IN CHRONIC KIDNEY DISEASE PEDRAM.AHMADPOOR SHAHID BEHESHTI MEDICAL UNIVERSITY.

Introduction to Nephrology Sandeep K. Shori, D.O. Dialysis Associates Fort Worth, TX.

Management of Secondary and Tertiary Hyperparathyroidism - Joint Hospital Grandround Henry Joeng Department of Surgery United Christian Hospital,

Uncontrolled secondary hyperparathyroidism in a haemodialysis patient Jordi Bover, MD, PhD Fundació Puigvert Barcelona, Spain © Springer Healthcare, a.

West Midlands Guidelines for managing CKD Mineral and Bone Disorders in Haemodialysis Patients

Calcium & phosphor disturbance CKD- MBD Dr. Atapour.

This lecture was conducted during the Nephrology Unit Grand Ground by Consultant under Nephrology Division under the supervision and administration of.

Hyperparathyroidism in Chronic Kidney Disease 醫五李政霆.

This lecture was conducted during the Nephrology Unit Grand Ground by a Sub-intern under Nephrology Division, Department of Medicine in King Saud University.

Nephrology Grand Rounds 5/13/08. Refractory Hyperparathyroidism Brad Weaver.

Metabolic Bone Disorders Dr. Mohammed M. Zamzam Associate Professor & Consultant Pediatric Orthopedic Surgeon.

Hyperparathyroidism.

This lecture was conducted during the Nephrology Unit Grand Ground by Medical Student under Nephrology Division, Department of Medicine in King Saud University.

This lecture was conducted during the Nephrology Unit Grand Ground by Nephrology Registrar under Nephrology Division, Department of Medicine in King Saud.

This lecture was conducted during the Nephrology Unit Grand Ground by a Sub- intern under Nephrology Division, Department of Medicine in King Saud University.

VITAMIN D and Pathologies. vitamin D 2 (diet) 1,25(OH) 2 D 3 calcitriol Synthesis of active vitamin D 10%, 90%, Bile Salts Tightly regulated 25-hydroxylase.

~ Make a Difference ~ Become a Nephrology Nurse. Incidence (rate of occurrence) –220 per million in 1992 –334 per million in 2000 Prevalence (number of.

Osteoporosis What is osteoporosis? Osteoporosis is a condition of reduced bone density with increased susceptibility to fractures. The causes of osteoporosis.

Kidney Stones Adil Daniel INTRODUCTION Kidney stone is a renal hereditary disease apart from that it can occur in people which drink less water.

This lecture was conducted during the Nephrology Unit Grand Ground by a Sub-intern under Nephrology Division, Department of Medicine in King Saud University.

Bone and Mineral Disorders in Chronic Kidney Disease

This lecture was conducted during the Nephrology Unit Grand Ground by a Sub-intern under Nephrology Division, Department of Medicine in King Saud University.

Chronic Kidney Disease-Mineral and Bone Disorder

Md.Kausher ahmed Electrical department. Biomedical engineering Code:6875.

Pharmacology of drugs used in calcium & vitamin D disorders

Vitamin D, Rickets and Osteoporosis

Disorders of the Urinary System

This lecture was conducted during the Nephrology Unit Grand Ground by a Sub- intern under Nephrology Division, Department of Medicine in King Saud University.

Store Manager with Acute Renal Failure Mrs. Calley, 35 yo, 5’3”, 125# Admitted post MVA in ER after car accident. Fractured leg, broken ribs, collapsed.

URINARY DISORDERS.

Essential Questions  What are the functions of the urinary system?  What are some disorders of the urinary system?  How are disorders of the urinary.

Secondary Hyperparathyroidism in Chronic Kidney Disease 2009/11/13 신장내과 R3 이완수.

Parathormone (PTH) and electrolytes in end stage renal disease (ESRD) and hemodialysis (HD) patients. Focus on magnesium Coordinator: Gliga Mirela MD,Phd.

Pharmacology of drugs used in calcium & vitamin D disorders

This lecture was conducted during the Nephrology Unit Grand Ground by a Sub-intern under Nephrology Division, Department of Medicine in King Saud University.

This lecture was conducted during the Nephrology Unit Grand Ground by a Sub-intern under Nephrology Division, Department of Medicine in King Saud University.

DIALYSIS Dr. Frank Edwin.

This lecture was conducted during the Nephrology Unit Grand Ground by a Sub-intern under Nephrology Division, Department of Medicine in King Saud University.

Lesson 3 How can you ensure a healthy urinary system? The Urinary System Include healthful sources of fluids to help maintain the function of your urinary.

CKD Dr;BASHARDOOST. CKD –SOME DEFINITIONS IRREVERSIBLE LOSS OF GFR CKD results when a disease process damages the structural or functional integrity of.

By Emily Gilhool. Softening and weakening of the bones Different Types: Hypophosphatemic Rickets Kidney Rickets Nutritional Rickets Rickets.

Vitamin D, Rickets and Osteoporosis

This lecture was conducted during the Nephrology Unit Grand Ground by a Sub-intern under Nephrology Division, Department of Medicine in King Saud University.

Disorders of the Urinary System Disorders? Really? You gotta be kidney me! Bio&Soc-Per.6.

This lecture was conducted during the Nephrology Unit Grand Ground by Nephrology Registrar under Nephrology Division, Department of Medicine in King Saud.

This lecture was conducted during the Nephrology Unit Grand Ground by Medical Student rotated under Nephrology Division under the supervision and administration.

This lecture was conducted during the Nephrology Unit Grand Ground by Nephrology Registrar under Nephrology Division, Department of Medicine in King Saud.

Welcome To Our Presentation

Hyperphosphataemia in chronic kidney disease Support for education and learning for children and young people’s renal services: slide set March 2013 NICE.

METABOLIC BONE DISEASES Amro Al-Hibshi, MD, FRCSC, MEd.

Calcium and Vit D and exam prep… Miriam Salib. Aims and Objective… Help you pass the exam??

Parathyroid Gland & Calcium Metabolism

Osteoporosis Risk Factors... Are You at Risk? Osteoporosis is a disease that leads to decreased bone density and leaves the bones weak and easily fractured.

The FRACTURE Study (Ongoing). Source West SL, Lok CE, Jamal SA. Fracture Risk Assessment in Chronic Kidney Disease, Prospective Testing Under Real World.

Chronic renal failure It is defined as either kidney damage or a decreased kidney glomerular filtration rate (GFR) of less than 60 mL/min/1.73 m2 for 3.

Parathyroid Gland & Calcium Metabolism

Chronic Kidney disease

HYPERPHOSPHAT EMIA Group 5. Outlines -Disease manifestation (symptoms,signs), pathogenesis and pathophysiology. -Plan of treatment -Brief detail on pharmacology.

Chronic kidney disease and pre-dialysis

Disorders of the Urinary System

Disorders of the Urinary System

Disturbances of the Parathyroid

Volume 67, Pages S33-S36 (June 2005)

Charles R. Nolan, Wajeh Y. Qunibi Kidney International

International and Racial Differences in Mineral and Bone Disorder Markers and Treatments Over the First 5 Years of Hemodialysis in the Dialysis Outcomes.

Ionized-to-total magnesium (Mg) and calcium (Ca) ratios are lower in patients on hemodialysis than those in patients not on dialysis. Ionized-to-total.

Caring for the Resident with Osteopenia and Risk for Fractures

Presentation transcript:

This lecture was conducted during the Nephrology Unit Grand Ground by Nephrology Registrar under Nephrology Division, Department of Medicine in King Saud University. Nephrology Division is not responsible for the content of the presentation for it is intended for learning and /or education purpose only.

Renal osteodystrophy By Al hanouf Althaydi

Definition and incidince Renal osteodystrophy is a bone disease that occurs when your kidneys fail to maintain the proper levels of calcium and phosphorus in your blood In 90 % of dialysis patients.

renal osteodystrophy "silent crippler."

Signs and symptoms may exhibit no symptoms, if it does show symptoms, they include: Bone pain Joint pain Bone deformation specially in children Bone fracture

Diagnosis Decreased ca level Decreased calcitriol level Increased p level Increased PTH level

X-ray : Chondrocalcinosis at the knees and pupic symphysis. Osteopenia Bone fractures Bone deformation

Chondrocalcinosis

Bone deformation :

Treatment : Control PTH level

Diet Increase ca intake Decrease p intake.

Medication : Ca. Vit D. Calcitriol pills or injection. Phosphate binders such as : Calcium carbonate and calcium acetate. cinacalcet hydrochloride (Imitating ca ).

Dialysis treatment

Surgical removal of PTG

Renal transplant

Prognosis : Recovery from renal osteodystrophy has been observed post renal transplantation. Renal osteodystrophy is a chronic condition with a conventional hemodialysis schedule.

Thank you