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Dr. Sandeep G. Huilgol
MBBS., DNB (Int.Med)., MMedSci
(Nephro)
CHRONIC KIDNEY DISEASE
 KIDNEY FAILURE
 URINARY TRACT INFECTION
 KIDNEY STONE
 KIDNEY CANCER
Outline of Discussion
Kidneys…??
Why are Kidneys important for us?
Why should care for our kidneys?
What are the potentially preventable causes of
chronic kidney failure ?
Take home messages
Kidneys…..???
Normal Kidneys And Bladder
Why are Kidneys important for us?
 Kidneys filter all the waste and excess fluid from our
body.
 Regulate the Blood pressure.
 Involved in maintaining the concentration of the
electrolyte (Na, K, Mg, etc).
 Helps in production of blood.
 Normal growth of bones of our body
Why should care for our kidneys?
“Prevention is better than cure when it comes to
kidney failure as well”.
 Help available ??? i.e. No. of experts
 Cost involved??
 Infections??
Indian Society of Nephrology-around 900
members
One nephrologist for every 70-80 lakhs !!
This ratio will worsen with time….
Kidney Disease In India
Kidney Disease In India
 Well-equipped hospitals with facilities for treatment
of kidney disease, reside in the big cities.
 But - 70% of the population are in the smaller towns
and villages.
Symptoms of kidney failure
 Asymptomatic
 Weakness
 Breathing difficulty
 Swelling (Face and/or Legs)
 Anorexia
Kidney Failure
 Acute Kidney Failure
 Chronic Kidney Failure
Acute kidney failure
 Dehydration (vomiting, diarrhea)
 Infection
 Drugs
Pain killers, Antibiotics
Chronic kidney failure
 Diabetes Mellitus
 Hypertension
 Primary Glomerular Disease
Each year 1,50,000 pt needs dialysis
15,000 pt will be initiated on dialysis
20%
will die
60%
drop out
20% will
continue
Take Home messages
 Screening for kidney failure
 Tight control of blood sugar
 Tight control of blood pressure
 Avoid self medications
 Do not neglect seemingly minor infections
HAEMODIALYSIS
Patient undergoing Peritoneal Dialysis (CAPD)
Haemodialysis
 Can be through a
Central Venous
Catheter
 AV Shunt
OR
 Through a Arterio –
Venous Fistula
 Sythetic Graft
Synthetic Graft
A B
Blood pump
Trip chamber
Transplanted Kidney
Questions???
Thank you

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Chronic kidney disease