som
Forum Guru
Topics: 59
Posts: 308
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24 yr male with lethargy, anorexia, tachpnea, weaknes.
labs:
bun=150mg/dl
cr=16mg/dl
potassium=6.2meq/l
cxr=incresed pulm. vascularity, dilated heart
Mx:
emergrency kidney transplantiation
creation and immediate use of arteriovenous fistula
kaeyxalate enema
100 gm protein diet
cardiac biopsy via femoral vein catheterization
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| GDS2008
Forum Elite
Topics: 9
Posts: 144
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This question is not very clear. However, based on whatever is given it seems that this patient has renal injury (high creatnine, BUN/Cr ratio of ~10) and volume overload, I would go for immediate dialysis. The only answer which corresponds to this is creation and immediate use of arteriovenous fistula.
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| mazinger
Forum Guru
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Agree
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| som
Forum Guru
Topics: 59
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this was the exact que frm pretest. but the ans given is kaeyxalate enema for faster action. the expl as goes is: it takes approx. 2wks for the use of an AVfistula for dialysis, so if it has to be immediate dialysis it has to be a peritoneal dialysis. hence of the options given, kaeyxalate enema suits this pt.
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| study_ing
Forum Fanatic
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nice q..som thanx
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| wyvern
Forum Guru
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Ya u need to wait for arterialization of the vein before being able to use the fistula.....
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| frank100
Forum Guru
Topics: 48
Posts: 586
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great point, thaks
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