Clinical Queries: Nephrology最新文献

Duplex Doppler ultrasound for detection of significant renal artery stenosis in transplant kidney with end to side arterial anastomosis 双多普勒超声在端侧动脉吻合移植肾明显肾动脉狭窄诊断中的应用

Clinical Queries: Nephrology Pub Date : 2016-10-01 DOI: 10.1016/j.cqn.2016.07.004

Shruti Gandhi , Kajal Patel , Vivek Kute , Maulik Mehta

{"title":"Duplex Doppler ultrasound for detection of significant renal artery stenosis in transplant kidney with end to side arterial anastomosis","authors":"Shruti Gandhi , Kajal Patel , Vivek Kute , Maulik Mehta","doi":"10.1016/j.cqn.2016.07.004","DOIUrl":"10.1016/j.cqn.2016.07.004","url":null,"abstract":"<div><h3>Objective</h3><p><span>To evaluate the accuracy of velocity parameters and to define optimum threshold values of these parameters in detection of >60% renal artery<span> stenosis in patients with end to side </span></span>arterial anastomosis.</p></div><div><h3>Methods</h3><p><span><span><span>The study group composed of 17 patients of transplant renal artery stenosis confirmed by </span>CT angiography; and 25 control patients with normal Doppler study. Doppler parameters like PSV in main transplanted renal artery, PSV in interlobar artery, PSV in </span>iliac artery<span>, acceleration time, and resistive index were evaluated. Pre-PSV ratio and Post-PSV ratio were calculated. Patients were divided into group A (>60% stenosis) and B (<60% stenosis) according to CT angiography reports. Control group assigned as group C. Difference between Doppler parameters were evaluated by individual </span></span><em>t</em> test. Receiver operating curve was performed to determine optimal parameter for diagnosis of >60% stenosis.</p></div><div><h3>Results</h3><p>Considering better sensitivity and specificity for diagnosis of >60% stenosis the best threshold for Intrarenal RI, acceleration time, PSV, Pre-PSV ratio and Post-PSV ratio were determined to be 0.058, 0.071s, 3.1m/s, 2 and 10 respectively. <em>P</em> value of acceleration time between group B and C; and <em>P</em> value of PSV in main renal artery, Pre-PSV ratio and Intrarenal RI between group A and B is >0.05.</p></div><div><h3>Conclusion</h3><p>Post-PSV ratio is the best parameter for diagnosis of significant stenosis and its optimum threshold value is 10.</p></div>","PeriodicalId":100275,"journal":{"name":"Clinical Queries: Nephrology","volume":"5 2","pages":"Pages 37-39"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cqn.2016.07.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77158540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A rare cause of low back pain: A report of presacral schwannoma 腰痛的罕见病因:骶前神经鞘瘤的报告

Clinical Queries: Nephrology Pub Date : 2016-10-01 DOI: 10.1016/j.cqn.2016.07.003

Shruti P. Gandhi , Syed Jamal Rizvi , Kamlesh S. Suthar , Kajal N. Patel

引用次数: 1

Distal renal tubular acidosis with hypokalemic paralysis as primary presentation of Sjogren's syndrome without sicca symptoms: An unusual case presentation 远端肾小管酸中毒伴低钾血症性麻痹为干燥综合征无干燥症状的主要表现:一个不寻常的病例表现

Clinical Queries: Nephrology Pub Date : 2016-10-01 DOI: 10.1016/j.cqn.2016.09.001

Umesh T. Varyani, Pankaj R. Shah, Vivek B. Kute, Aruna V. Vanikar, H.L. Trivedi

引用次数: 1

Imaging of forgotten indwelling D.J. stent with encrustment 遗忘留置dj支架伴包覆的影像学分析

Clinical Queries: Nephrology Pub Date : 2016-10-01 DOI: 10.1016/j.cqn.2016.07.002

Harsh Sutariya, Vaidehi Pandya

引用次数: 0

Tubular ectasia of rete testis – A diagnostic dilemma 睾丸网管状扩张-诊断困境

Clinical Queries: Nephrology Pub Date : 2016-10-01 DOI: 10.1016/j.cqn.2016.07.001

Vaidehi K. Pandya, Harsh C. Sutariya, Kajal M. Patel

引用次数: 1

Renal recovery after dengue induced acute kidney injury (DAKI): A future perspective 登革急性肾损伤(DAKI)后肾脏恢复:未来展望

Clinical Queries: Nephrology Pub Date : 2016-10-01 DOI: 10.1016/j.cqn.2016.08.001

Tauqeer Hussain Mallhi, Amer Hayat Khan, Azmi Sarriff, Azreen Syazril Adnan, Yusra Habib Khan

引用次数: 0

Pathophysiology of sepsis-associated AKI [SA-AKI] 脓毒症相关性AKI的病理生理学研究

Clinical Queries: Nephrology Pub Date : 2016-01-01 DOI: 10.1016/j.cqn.2016.04.005

L.P. Saikumar Doradla, Narayan Prasad

引用次数: 1

Acute kidney injury in malaria: An update 疟疾引起的急性肾损伤:最新进展

Clinical Queries: Nephrology Pub Date : 2016-01-01 DOI: 10.1016/j.cqn.2016.04.004

Anand Chellappan, D.S. Bhadauria

{"title":"Acute kidney injury in malaria: An update","authors":"Anand Chellappan, D.S. Bhadauria","doi":"10.1016/j.cqn.2016.04.004","DOIUrl":"10.1016/j.cqn.2016.04.004","url":null,"abstract":"<div><p><span>Malaria is a mosquito-borne infectious disease with active transmission in the tropics. Malaria is becoming a global threat with the increasing number of cases of ‘imported malaria’. According to the World Health Organization, half of the world's population is at the risk of malaria. Severe malaria is associated with high mortality. There has been a change in the spectrum of manifestations of severe malaria over the past two decades. Acute kidney injury (AKI) in malaria is being frequently reported. AKI is commonly caused by </span><span><em>Plasmodium falciparum</em></span>. However, <em>Plasmodium vivax</em> and <span><em>Plasmodium knowlesi</em></span><span><span><span><span> are also shown to cause AKI. A combination of hemorheological, inflammatory and humoral responses has been implicated in the pathogenesis. AKI in malaria is frequently oliguric and hyper-catabolic. </span>Cerebral malaria and jaundice are often associated with acute kidney injury and portend a poor prognosis. The KDIGO criteria enable earlier detection of acute kidney injury in malaria. </span>Acute tubular necrosis<span> is the most consistent histological feature. A lot of uncertainty surrounds fluid management in severe malaria. A conservative approach to fluid replacement is recommended. Artesunate is the recommended first choice </span></span>antimalarial<span><span> for the treatment of severe malaria. Prompt recognition and early institution of </span>renal replacement therapy reduces the mortality.</span></span></p></div>","PeriodicalId":100275,"journal":{"name":"Clinical Queries: Nephrology","volume":"5 1","pages":"Pages 26-32"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cqn.2016.04.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85803315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Acute kidney injury in pregnancy 妊娠期急性肾损伤

Clinical Queries: Nephrology Pub Date : 2016-01-01 DOI: 10.1016/j.cqn.2016.04.003

C. Praveen, Anupama Kaul, R.K. Sharma

{"title":"Acute kidney injury in pregnancy","authors":"C. Praveen, Anupama Kaul, R.K. Sharma","doi":"10.1016/j.cqn.2016.04.003","DOIUrl":"10.1016/j.cqn.2016.04.003","url":null,"abstract":"<div><p><span>Pregnancy-related acute kidney injury<span><span> (P-AKI) incidence has reduced over the recent years with better accessibility and advances in health care<span>. It is still a concern in developing countries where septic abortions and </span></span>puerperal sepsis persist due to lack of health facilities. Recent advances have helped in a better understanding of pathogenesis of disorders like pre-eclampsia, acute </span></span>fatty liver<span><span><span><span> of pregnancy, and thrombotic microangiopathy which has helped the physicians to solve the enigma in both diagnosis and management of these conditions. Diagnosis of P-AKI is challenging due to normal maternal physiological changes. Usual definitions of AKI are not very accurate in pregnancy and newer markers for diagnosis of AKI are not well studied in pregnancy. Early identification of the cause of P-AKI and its prompt </span>treatment holds the key in the management of P-AKI. It is of utmost importance to maintain the </span>hemodynamics and </span>acid base balance<span><span> for ensuring proper utero-placental blood flow and fetal well being in P-AKI. There is neither particular modality of RRT which is better than other nor a preset dialysis prescription for P-AKI, and </span>renal replacement therapy should be individualized to provide optimal care.</span></span></p></div>","PeriodicalId":100275,"journal":{"name":"Clinical Queries: Nephrology","volume":"5 1","pages":"Pages 8-15"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cqn.2016.04.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84610540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Management of acute kidney injury in sepsis 脓毒症急性肾损伤的处理

Clinical Queries: Nephrology Pub Date : 2016-01-01 DOI: 10.1016/j.cqn.2016.04.006

B Karthikeyan, R Sharma

引用次数: 0