PETER CANEPA CLINICAL CASE STUDY 30 CHRONIC RENAL FAILURE
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PETER CANEPA CLINICAL CASE STUDY 30 CHRONIC RENAL FAILURE/ PETER CANEPA CLINICAL CASE STUDY 30 CHRONIC RENAL FAILURE/ PETER CANEPA CLINICAL CASE STUDY 30 CHRONIC RENAL FAILURE/ PETER CANEPA CLINICAL CASE STUDY 30 CHRONIC RENAL FAILURE
peter canepa clinical case study 30 chronic renal failure
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PETER CANEPA CLINICAL CASE STUDY 30
CHRONIC RENAL FAILURE
, Peter canepa
Park ave. clinical Case study 30 chronic renal failure
Patient Case Question 1. Based on the information provided above, which two types of
acute renal failure are most likely?
Based on the information we can infer that the person has chances of kidney failure. The partial pressure of
carbon dioxide is lower than normal value of 45 mm Hg. This indicates alkalosis which can be caused by
kidney dysfunction, diarrhoea etc.
Prerenal ARF - This condition is where blood is not sufficiently reaching organs. This condition is
caused by dehydration,heart failure and atherosclerosis. The patient has these in his past medical
history (PMH).
intrinsic ARF - This is damage within the kidneys caused by thrombosis, toxin accumulation and
vascular disease.
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er as
co
Patient Case Question 2. List four major risk factors that are likely to be contributing to
eH w
lhe patient's kidney failure.
o.
1. deep vein thrombosis. rs e
ou urc
2. Heart failure and myocardial infarction.
3. High hypertension.
4. Diarrhea, vomiting, excessive sweating.
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aC s
vi y re
Patient Case Question 3. What is the significance of (a) poor skin turgor and (b) an
absence of itching?
ed d
ar stu
I. Skin turgor is the elasticity of skin. When you pinch the skin, skin comes back to its original state. In
cases of severe dehydration there is poor skin turgor where skin takes a lot of time to come back to
its original state. This dehydaration and skin turgor is seen in kidney failure
II. Chronic renal failure causes itching in body due to accumulation of metabolic waste. Absence of
is
itching means the person has acute renal failure and not chronic type.
Th
Patient Case Question 4. What is the importance of the absence of ND and HJR?
sh
Absence of jugular vein distension means he has no right sided heart failure.
Patient Case Question 5. What is the significance of the "faint s/ cardiac sound?
A third heart sound occurs early in diastole. In young people and athletes it is a normal
phenomenon. In older individuals it indicates the presence of congestive heart failure. The
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