7. Chronic Kidney Disease
1. The primary glomerular lesions
2. Secondary glomerular lesions caused by:
a) systemic connective tissue diseases
b) systemic vasculitis
c) diabetes of the first or the second-type
d) primary or secondary amyloidosis
e) hepatitis B or C, AIDS
e) hypertension of any origin
g) gestosis
g) other causes
3. Hereditary nephropathy (glomerular, tubular, cystic)
4. Non-communicable Chronic kidney disease
tubulointerstytsialni
5. Chronic pyelonephritis (complicated, uncomplicated)
6. Chronic lesions (disease) kidney transplant
2nd Congress of Nephrology Ukraine,
2005
8. 2. Acute kidney damage
1. Acute glomerulonephritis
2. Acute pyelonephritis (complicated, uncomplicated)
3. Acute nephritis tubulointerstytsialnyy
4. Acute renal failure
a) prerenal
b) renal
c) postrenalna
5. quickly progressing renal damage
1. quickly progressing glomerulonephritis
2. Secondary
3. Urinary tract infections
1. Urinary tract infections without defining topics
a) complicated
b) uncomplicated
2. Acute and chronic cystitis (complicated, uncomplicated)
3. urethritis, urethral syndrome
2nd Congress of Nephrology Ukraine,
2005
9.
10. AdrenalAdrenal
The outer shellThe outer shell
Pyramid MalpighiPyramid Malpighi
Renal pelvisRenal pelvis
Renal cupRenal cup
PapillaPapilla
Cortical substanceCortical substance
MedullaMedulla
UreterUreter
Renal veinRenal vein
Renal arteryRenal artery
AdrenalAdrenal
The right kidneyThe right kidney
The abdominal aortaThe abdominal aorta
Inferior vena cavaInferior vena cava
11.
12.
13.
14.
15.
16.
17.
18. Urine number ......
"......" ..................... 2015
Last name, first name and
patronymic. .....................
Age .................................................
Medical institution branch ...... ...... .palata
Plot ......... medical record № ......... ...
PHYSICAL AND CHEMICAL PROPERTIES
Number ........................... ... ......... .ml
Color ................................................... ..
Transparency ....................................... ...
Relative density ........................ ..
Reaction .................................................
Protein ............ ..h / L .................. ... ......... ..h%
Glucose ......... ..mmol / l ............ ... ......... d%
Ketone bodies .......................................
Reaction to blood .....................................
Bilirubin .............................................
Urobilinoyidy ....................................
Bile acids .............................. ...
Indican ..........................................
19.
20.
21.
22.
23.
24.
25. The relative density (specific gravity) - characteristic that determines the
concentration ability of the kidneys and urine output depends on, the concentration
of dissolved substances in the urine (urea, uric acid, salts, electrolytes, etc.)
Concentration ability of the kidneys evaluated by direct determination of osmotic
concentration of urine by krioskopiyi
26.
27.
28.
29. Zimnitskiy test allows to estimate concentration ability of the kidneys. They
carry urine sampling by the rules every 3 hours and got 8 glasses of urine
sent for study:
Zimnitskiy test allows to estimate concentration ability of the kidneys. They
carry urine sampling by the rules every 3 hours and got 8 glasses of urine
sent for study:
Daily urine
Night diuresis
46. In violation of the outflow of urine appears fever,
symptoms of intoxication, leukocytosis, leukocyte shift to
the left, increasing SHOЭ and anuria
47.
48.
49. «... The problem of the safety and efficacy of
medicinal products is becoming increasingly
important worldwide. This is due to the
introduction of the medical practice of a large
number of pharmacological agents, irrational
use of medicines, medical errors ... »
World Health Organization, 2006
50. Humanitarian disasters related to
drugs:
1937 - Mr. sulfanilamide in diyetylenhlykoli
1961 - thalidomide
1983 - zomepyrak
1983 - osmozyn
1982 - benoksaprofen
2001 - tseryvastatyn
2005 - problem koksybiv
2006 - problem antidepressants
51.
52. Nephrotoxicity drugs or "drug
nephropathy" - direct or indirect
(via the immune response)
poshkodzhuyacha effect of drugs
on urinary system and, above all,
on tubular and glomerular
apparatus
Nephrotoxicity drugs or "drug
nephropathy" - direct or indirect
(via the immune response)
poshkodzhuyacha effect of drugs
on urinary system and, above all,
on tubular and glomerular
apparatus