HIV: renal disorders

This chapter provides an overview of renal problems seen in patients who live with HIV. It outlines the causes of renal dysfunction, including acute and chronic renal failure. Assessment of a patient presenting with renal failure is discussed. The direct effect of HIV on the kidney is discussed. The effect of drugs on the kidneys and the need to modify drug doses are discussed.

2021 ◽  
Vol 71 (11) ◽  
pp. 2662-2664
Author(s):  
Lubna Razzak ◽  
Sherjeel Saulat

Uterovaginal prolapse is the downward descent of the pelvic organ, resulting in protrusion of the vagina, uterus, bladder or rectum. The association between POP and hydronephrosis has been shown by various studies, but severe hydronephrosis leads to renal dysfunction are rarely seen. We report a case of 70 years old female with massive vaginal prolapse and chronic renal impairement. She presented with urinary tract infection (UTI) and raised creatinine levels of 4.5mg/dl. After correction of UTI, she surgically managed to relieve her obstructive symptoms. After surgery her creatinine levels drop to 2.0mg/dl but chronic renal failure persisted. Advance stage prolapsed may damage renal function if left untreated. Timely diagnosis and management may prevent irreversible damage to kidneys Continuous...


2006 ◽  
Vol 48 (5) ◽  
pp. 300-306 ◽  
Author(s):  
Osamu Sasaki ◽  
Noriaki Hattori ◽  
Hajime Nakahama ◽  
Noriko Inoue ◽  
Satoko Nakamura ◽  
...  

1975 ◽  
Vol 49 (5) ◽  
pp. 481-484
Author(s):  
M. Kaye

1. The direct effect of calcium on the hyperparathyroidism of chronic renal failure was studied in rats with induced chronic renal failure, who were fed on a diet low in phosphate and who received supplemental phosphate by injection. They were given a normal (0·8%), or low (0·1%) or high (1·7%) calcium diet. 2. The animals on the low calcium diet had larger parathyroids and more severe bone disease at the end of 4 weeks, indicating the importance of calcium intake in directly influencing the degree of hyperparathyroidism. 3. Increasing the calcium content of the diet from 0·8% to 1·7% produced no additional benefits.


1993 ◽  
Vol 4 (5) ◽  
pp. 1172-1177
Author(s):  
S J Rosansky ◽  
K L Johnson ◽  
C Hutchinson ◽  
S Erdel

Blood pressure has a diurnal pattern primarily related to activity and sleep. Chronic renal failure patients may lack the normal nocturnal decline in blood pressure during sleep. In 33 subjects (14 with normal renal function and 19 with renal dysfunction), the relationship between depth of daytime sleep, as determined by electroencephalographic sleep phase, and change in mean arterial blood pressure (MAP) and heart rate measured oscillometrically, was correlated. In 15 chronic renal failure patients, the effect of daytime and nighttime sleep on MAP and heart rate was compared. The percent change in night asleep versus day awake MAP and heart rate was measured (with Space Labs ambulatory blood pressure monitors) and compared with the percent change in daytime sleep-related MAP and heart rate measured during a daytime sleep electroencephalographic study. During daytime sleep, MAP changes are not significantly different in the normal versus renal dysfunction groups. In the 33 study subjects, MAP declines progressively from the upright position to Phase 3/4 sleep (118 +/- 3.6 to 106 +/- 3.6 mm Hg). The largest decline occurs between the upright to recumbent position, before sleep. Heart rate declines moving from the upright to recumbent position, 76 +/- 2.3 to 70 +/- 2.1 beats/min, but does not decline further with sleep. In 15 chronic renal failure patients, heart rate (10.8 +/- 2.8%; P < 0.05), but not MAP, declines during nighttime sleep. Both MAP (7.7 +/- 3.3%) and heart rate (5.4 +/- 1.9%) decline significantly during daytime sleep. The responses of MAP and heart rate to daytime and nighttime sleep were in opposite directions in 3 of 15 subjects.(ABSTRACT TRUNCATED AT 250 WORDS)


1996 ◽  
Vol 6 (4) ◽  
pp. 172-177 ◽  
Author(s):  
Masakazu Washio ◽  
Seiya Okuda ◽  
Masato Ikeda ◽  
Hideki Hirakata ◽  
Fumio Nanishi ◽  
...  

1996 ◽  
Vol 10 (3) ◽  
pp. 288-293 ◽  
Author(s):  
Franz Schaefer ◽  
Anne-Margret Wingen ◽  
Mascha Hennicke ◽  
Sue Rigden ◽  
Otto Mehls ◽  
...  

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