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Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
Acute Kidney Injury III: Clinical Manifestations01:29

Acute Kidney Injury III: Clinical Manifestations

Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
Acute Kidney Injury II: Pathophysiology01:29

Acute Kidney Injury II: Pathophysiology

Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
Renal Corpuscle01:20

Renal Corpuscle

The glomerulus and Bowman's capsule are two essential components of the nephron, which is the functional unit of the kidney. These microscopic structures play a critical role in the process of blood filtration to produce urine.
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous capillaries...
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...

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Updated: Jun 23, 2026

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
07:50

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts

Published on: September 20, 2018

Brucellosis with kidney failure.

Esmat Ghanei1, Amirhossein Miladipour, Alireza Nasrollahi

  • 1Department of Internal Medicine, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. dr_e_ghanei@yahoo.com

Iranian Journal of Kidney Diseases
|April 28, 2009
PubMed
Summary
This summary is machine-generated.

Brucellosis, a multisystem disease, can affect multiple organs. This case highlights rare kidney involvement alongside hepatitis, pancytopenia, and arthritis, emphasizing the diverse clinical presentations of brucellosis.

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Published on: August 5, 2016

Area of Science:

  • * Infectious Diseases
  • * Nephrology
  • * Hepatology

Background:

  • * Brucellosis is a zoonotic infection caused by Brucella species, presenting a wide array of clinical symptoms.
  • * Commonly affects reticuloendothelial system organs like liver and spleen, and musculoskeletal system.
  • * Renal involvement in brucellosis is infrequent but can lead to significant complications.

Observation:

  • * A patient presented with constitutional symptoms suggestive of brucellosis.
  • * Clinical manifestations included hepatitis, pancytopenia, peripheral arthritis, and acute kidney injury.
  • * Diagnostic workup confirmed Brucella infection as the underlying cause.

Findings:

  • * The case illustrates a rare presentation of brucellosis with concurrent hepatitis, pancytopenia, peripheral arthritis, and kidney failure.
  • * Laboratory and imaging findings supported the diagnosis of disseminated brucellosis.
  • * Renal biopsy, if performed, would provide further insight into the specific pathological changes.

Implications:

  • * This case underscores the importance of considering brucellosis in the differential diagnosis of multisystem diseases, especially in endemic areas.
  • * Highlights the potential for severe renal complications, necessitating early recognition and management.
  • * Emphasizes the need for comprehensive evaluation to identify all affected organ systems in brucellosis patients.