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Physical signs in CKD

Explore the physical manifestations of Chronic Kidney Disease (CKD) from head to toe in this informative seminar by Dr. AlShelleh and Sameeha. Learn to identify signs such as pallor, rash, tattoos, and more, indicating complications like uremic pericarditis, liver disease, and calciphylaxis. From the head and neck to the limbs, discover key indicators like edema, amputations, and renal bruits. Gain insights into the importance of dialysis catheters, scars from renal transplants, and assessment of AVF or graft sites. Enhance your knowledge of CKD with this comprehensive guide.

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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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