1. Kidney,Urinary Tract Care And Diabetes 1 Dr. Ruba Nashawati

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4. In Every Single Part of It 4

5. kidneyVesselsUrinary Tract Sexual Defects 5

6. The Kidney 6

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10. 10 The Vessels

11. Macrovasular Chronic Inflammation Injury to the Arterial wall Atherosclerosis 11

12. Microvascular Retinopathy Nephropathy 12

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14. Stage Diabetes Duration Manifestations 10 – 3-5 Renal hypertrophy  GFR 23-5 + Basement M thickening Mesangial expansion 37-15 + Microalbuminuria HPT 415-20 + Proteinuria HPT ↓ GFR 515 – 25+ESKD

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16. 16 Urinary Tract

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18. Bladder Problems 18

19. > 1/2 of Diabetics 19

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22. 22 Signals to the Bladder At the Wrong Time Squeeze without warning

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24. Poor Control of Sphincter Muscles 24

25. Poor Control of Sphincter Muscles Urine LeakageUrine Retention25

26. 26 Urethral Muscles Loose Leakage Stay Tight Retention

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28. 28 Urinary tract infection

29. Urinary Tract Infection Lower UTI Cystitis Upper UTI pyelonephritis

30. 30Pyelonephritis Kidney Infection go farther into the body Untreated Infection

31. What are the symptoms of cystitis? 31

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33. What are the symptoms of Pyelonephritis? 33

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36. Why Diabetes Poses a Risk 36

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38. Nephrolithiasis 38

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42. 42 Sexual Defect

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46. Who Is at Risk for Developing Sexual and Urologic Problems of Diabetes? 46

47. Those who 47

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49. Can Diabetes Related Sexual and Urologic Problems be Prevented ? 49

50. its Easy to achieve Yes its Easy to achieve 50

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54. Avoiding kidney damage medication ( NSAIDs ) unless necessary 54