Dr Andy Stein

Diagnosis not to miss: nephrotic syndrome and bilateral retinal detachment

Why is this case important? Nephrotic syndrome is rare, as is bilateral retinal detachment. When two unusual things happen at the same time (especially in different body systems), you should always ask yourself ‘are they connected?’ Also, a rapid diagnosis is required when permanent visual loss is a possibility. What happened? In a recent case

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CKD and pregnancy

CKD and pregnancy If you have CKD (and you may not know it), pregnancy can worsen kidney function – and that decreased kidney function may interfere with the pregnancy. A woman with mild-to-moderate CKD who is considering becoming pregnant should discuss the possible risks with her nephrologist and obstetrician before trying to conceive. Patients with

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What are the clinical findings of CKD patients?

What are the clinical findings of CKD patients? This article is primarily for health professionals. Often, in mild-moderate CKD (CKD1-2 and CKD3A), there is nothing to find. In 0ther words, the patient is normal. However, at later stages, there are typical clinical findings in CKD.   General Uraemic foetor: ammonia-like smell of the breath. This

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Common causes of ESRD in children

The commonest causes of dialysis in children, leading to end-stage renal disease (ESRD), vary depending on geographic location and population demographics. However, several primary underlying causes are consistently observed in paediatric ESRD (kidney failure, CKD5) cases worldwide. These common causes include: 1. Birth defects. A birth defect occurs when part of a baby’s body does

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