scholarly journals Calcium Stimulation Test for Insulinoma Localization in an End-stage Renal Disease Patient on Diazoxide

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Stephanie Kim ◽  
Miles Conrad ◽  
Eunice Chuang ◽  
Larry Cai ◽  
Umesh Masharani ◽  
...  
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Esrd Patient ◽  
Disease Patient ◽  
The Body ◽  
Stimulation Test ◽  
Delay In Diagnosis ◽  
Calcium Stimulation ◽  
Stage Renal Disease ◽  
End Stage

Abstract Insulinomas are rare, and even rarer in patients with end-stage renal disease (ESRD). Clear criteria for the biochemical diagnosis of insulinomas in patients with renal failure have not been established, and hypoglycemia is often attributed to the renal disease itself, frequently leading to a delay in diagnosis. We describe a case of a patient who presented with asymptomatic recurrent hypoglycemia during hemodialysis. Disease progression and biochemical testing strongly suggested an insulinoma. Computed tomography (CT) of the abdomen and pelvis, 111In-pentetreotide scintigraphy and endoscopic ultrasound did not localize a pancreatic tumor. A calcium stimulation test was performed while the patient was taking diazoxide due to severe hypoglycemia with fasting for a couple of hours without treatment. The test showed a marked increase in insulin after calcium infusion in the dorsal pancreatic artery, localizing the tumor to the body and tail of the gland. Exploratory surgery easily identified a tumor at the body of the pancreas and pathology confirmed an insulin-secreting pancreatic neuroendocrine tumor. On follow-up, there was resolution of the hypoglycemia. We review the challenges of diagnosing an insulinoma in ESRD and describe a successful intra-arterial calcium stimulation test done in an ESRD patient while continuing diazoxide.

scholarly journals Nurse’s Experience As Educator in Hemodialysis Care to End Stage Renal Disease Patient in Hospital X: a Phenomenology Study

2019 ◽  
Author(s):  
Karolus Yosef Woitila Wangi ◽  
Dessy Permata Sela ◽  
Christina Evi Ambarsar
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Esrd Patient ◽  
Disease Patient ◽  
Lifestyle Changes ◽  
Future Research ◽  
Ethical Perspective ◽  
Stage Renal Disease ◽  
End Stage ◽  
Esrd Patients

End Stage Renal Disease (ESRD) is progressive and irreversible damage to kidney function,which can reduce the quality of life of patients and death due to accumulation of uremia toxins in the blood. Hemodialysis is a temporary therapy used to prolong the life of the patient. The uncertainty of the treatment provides a unique response which became an interesting phenomenon for researchers to conduct research Sethe qualitative strategy for explore the nurses’ experience and to describe it especially in the nurses’ role as educator in hemodialysis care to ESRD patient in Hospital X.Aim of this study to provide an overview of nurse’s experience as educator in ESRD patients during hemodialysis therapy in the Hemodialysis Unit Hospital X. this research used a qualitative method with a phenomenological approach has been conducted. The data collection technique used was using in-depth interviews. A purposive sampling was used to recruited the participant and, namely ten nurses were involded in this study with inclusion critearia as follows: (1) work as an executive nurse in HD unit, (2) have minimum Diploma III as basic education level. Data analysis using Colaizzi’s method and then using thematic analysis. Four themes were found in this study: lifestyle changes, uncooperative patients, responsive patients, and patients do not want to stop dialysis. Future research can be conduct in fourth theme concerning withdrawal dialysis in ESRD patients in various perspectives including: ethical perspective and decision making for futile treatment, health coverage policies, and palliative care.

scholarly journals Use of Hypertonic Continuous Venovenous Hemodiafiltration to Control Intracranial Hypertension in an End-Stage Renal Disease Patient

2010 ◽  
Vol 2010 ◽  
pp. 1-2 ◽  
Author(s):  
Stephen I. Rifkin ◽  
Ali R. Malek ◽  
Reza Behrouz
Keyword(s):  
Renal Disease ◽  
Cerebral Edema ◽  
End Stage Renal Disease ◽  
Esrd Patient ◽  
Disease Patient ◽  
Continuous Venovenous Hemodiafiltration ◽  
Alternative Treatment Option ◽  
Stage Renal Disease ◽  
End Stage ◽  
Esrd Patients

Continuous venovenous hemodiafiltration (CVVHDF) using solutions designed to maintain hypernatremia is described in an end-stage renal disease (ESRD) patient with cerebral edema (CE) due to an intracerebral hemorrhage (ICH). Hypernatremia was readily achieved and maintained without complication. CVVHDF should be considered as an alternative treatment option in ESRD patients with cerebral edema who require hypertonic saline therapy.

scholarly journals The Combination of Probiotic and Calcium Carbonate Decrease Monocyte Count of End-Stage Renal Disease Patient

2018 ◽  
Vol 13 (3) ◽  
pp. 297-303
Author(s):  
Ari Yulistianingsih ◽  
Mohammad Sulchan ◽  
Taufik Maryusman ◽  
Shofa Chasani
Keyword(s):  
Calcium Carbonate ◽  
Treatment Group ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Esrd Patient ◽  
Disease Patient ◽  
Control Group ◽  
Monocyte Count ◽  
Stage Renal Disease ◽  
End Stage

Elevated monocyte count is correlated to the decrease of renal function and disease progressivity on end-stage renal disease (ESRD) patients. Probiotic that utilize lactobacillus species is known to play a role in maintaining imunity system balance by inducing the monocyte apoptosis. The combination between probiotic and calcium carbonate could increase probiotic colonization in the gatrointestinal tract. The aim of this study was to analyze the effect of probiotic and calcium carbonate combination toward reduction of monocyte count on ESRD patient at Rumah Sehat Terpadu Dompet Dhuafa Bogor Hospital. This study was true experimental research with randomized pre-post test control group design. Twenty four ESRD patient were randomly enrolled into treatment group (n=12) and control (n=12). The treatment group received probiotic and calcium carbonate, whereas control group received standardized calcium carbonate for 21 days. There was a significant decrease of monocyte (p=0.03) after administration of probiotic and calcium carbonate.

Fatal case of Herbaspirillum seropedicae bacteremia secondary to pneumonia in an end-stage renal disease patient with multiple myeloma

2015 ◽  
Vol 82 (4) ◽  
pp. 331-333 ◽  
Author(s):  
Nuntra Suwantarat ◽  
La’Tonzia L. Adams ◽  
Mark Romagnoli ◽  
Karen C. Carroll
Keyword(s):  
Multiple Myeloma ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Fatal Case ◽  
Disease Patient ◽  
Herbaspirillum Seropedicae ◽  
Stage Renal Disease ◽  
End Stage

Hemodialysis Adequacy and the Hospitalized End-Stage Renal Disease Patient-Raising Awareness

2012 ◽  
Vol 25 (5) ◽  
pp. 516-519 ◽  
Author(s):  
Nigel Suren Kanagasundaram
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Disease Patient ◽  
Raising Awareness ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Anemia and nutrition in end stage renal disease patient

2013 ◽  
Vol 56 (7) ◽  
pp. 592 ◽  
Author(s):  
Chan Young Oak ◽  
Nam Ho Kim
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Disease Patient ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Coexisting Tertiary Hyperparathyroidism and Severe Hypothyroidism in an End-Stage Renal Disease Patient on Hemodialysis

2015 ◽  
Vol 7 (2) ◽  
Author(s):  
Yahya Osman Malik ◽  
Syed Mohsin Raza ◽  
Sophia Arunselvan
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Disease Patient ◽  
Tertiary Hyperparathyroidism ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Disseminated Cryptococcosis with Rapidly Growing Lung Nodules in an End-stage Renal Disease Patient

2017 ◽  
Vol 56 (3) ◽  
pp. 377-380 ◽  
Author(s):  
Atsushi Inaba ◽  
Akira Okada ◽  
Taiko Yoshida ◽  
Satoshi Itoyama ◽  
Tatsuro Nakai ◽  
...  
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Disease Patient ◽  
Lung Nodules ◽  
Stage Renal Disease ◽  
End Stage

Baclofen Induced Encephalopathy in an End Stage Renal Disease Patient on Hemodialysis

2019 ◽  
Author(s):  
S. Ovu ◽  
T.A. Cox ◽  
J. Tom ◽  
A. Carter ◽  
R. Zarnegar
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Disease Patient ◽  
Stage Renal Disease ◽  
End Stage
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