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Physical signs in CKD

Physical signs in CKD. By: Dr.AlShelleh,Sameeha Students seminars. Lets go from up  down!. Head and neck. Earthy colour/pallor. +/- swollen face. Eyes:arcus senilous,pallor,don’t forget the fundal exam( HTN,DM,vasculitis,SBE..). Mouth: odor. Rash: lupus, vasculitis, CTD.

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Physical signs in CKD

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  1. Physical signs in CKD By: Dr.AlShelleh,Sameeha Students seminars

  2. Lets go from up  down!

  3. Head and neck

  4. Earthy colour/pallor. • +/- swollen face. • Eyes:arcus senilous,pallor,don’t forget the fundal exam( HTN,DM,vasculitis,SBE..). • Mouth: odor. • Rash: lupus, vasculitis, CTD. • Neck: look for the access.

  5. IJ HD catheter

  6. SCV HD catheter

  7. Chest: • Dialysis catheter. • Signs of liver disease (HRD,CKD with chronic liver disease). • Tattoos. • Scratch marks. • Browns tumor affecting the ribs.

  8. Heart and CV. • Friction rub indicating uremic pericarditis,S3 or S4,muffled heart sounds in pericardial effusion. • Pulses and blood pressure. • AVF or graft and complications.

  9. AVF or Graft?

  10. Graft or AVF?

  11. What is this?

  12. Abdomen: • Ascitis: in nephrotic syndrome. • Scratch marks. • PD cath. • Scar of renal transplant. • Polycystic kidneys. • renal bruit. • Calciphylaxis:

  13. Calciphylaxis

  14. Calciphylaxis

  15. PD catheter:

  16. Parasternal PD cath

  17. Renal transplant scar:

  18. Donors!!

  19. Limbs • Edema. • Amputations. • Scratch marks. • AVF or graft, femoral lines. • Calciphylaxis. • Pulses.

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