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Renal Transplant
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== Background == * '''Most common causes of ESRD (in descending order):''' *# '''Diabetes''' *# '''Hypertension''' *# Glomerulonephritis *# Cystic renal disease * '''ESRD in children may result in:''' ** '''Growth failure''' ** '''Poor nutrition''' ** '''Psychiatric problems''' * '''A hypercoagulable state can occur in nephrotic syndrome with urinary loss of the natural anticoagulants: antithrombin III, protein C, and protein S.''' * Patients age > 50 ย have a 20% mortality in the first year of dialysis ** '''The most common causes of death in patients with renal failure are heart disease, sepsis''', '''and stroke''' ** Survival after renal transplantation is significantly better than that of patients treated with dialysis * Hyperphosphatemia due to renal failure leads to severe itching, conjunctival irritation, and alterations in bone metabolism ** '''Phospho-soda enemas are contraindicated in patients with poor renal function as they cannot easily eliminate a large phosphate load.''' *** '''If the serum calcium ร phosphorus product > 60 mg2/dL2, vascular calcium deposits can lead to arterial thrombosis and calciphylaxis''' * '''Peritoneal dialysis solution containing icodextrin may lead to false point-of-care glucose readings'''
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