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Related Concept Videos

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...
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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...
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 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...
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...

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5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
05:34

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats

Published on: April 4, 2025

Crosstalk between thyroid dysfunction and kidney dysfunction in intensive care unit patients.

Alicja Filipczyk1, Karol P Steckiewicz1, Seweryn Niewiadomski1

  • 1Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Medical University of Gdansk, Gdansk, Poland; Department of Anesthesiology and Intensive Therapy, University Clinical Centre, Gdansk, Poland.

Advances in Medical Sciences
|June 16, 2026
PubMed
Summary
This summary is machine-generated.

Critically ill patients with kidney problems often develop thyroid issues, like low T3 levels. Understanding this thyroid-kidney crosstalk is key for better intensive care unit (ICU) patient management.

Keywords:
Acute kidney injuryEuthyroid sick syndromeHypothyroidismIntensive care unitRenal insufficiency

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Last Updated: Jun 18, 2026

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05:34

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Published on: April 4, 2025

Area of Science:

  • Nephrology
  • Endocrinology
  • Critical Care Medicine

Background:

  • Thyroid and kidney dysfunction are common in intensive care unit (ICU) patients.
  • Critical illness and acute kidney injury (AKI) significantly impact thyroid hormone regulation.
  • Non-thyroidal illness syndrome (NTIS) and low triiodothyronine (T3) are prevalent in renal impairment.

Purpose of the Study:

  • To review the bidirectional relationship between thyroid and kidney dysfunction in the ICU.
  • To explore mechanisms linking critical illness, AKI, and thyroid dysregulation.
  • To discuss the effects of thyroid hormones on renal function and the impact of renal replacement therapy (RRT).

Main Methods:

  • Literature review of scientific articles.
  • Analysis of the interplay between thyroid and kidney function in critically ill patients.
  • Examination of hormonal changes and physiological impacts.

Main Results:

  • Critical illness and AKI cause thyroid dysregulation, often presenting as NTIS with low T3 levels.
  • Hypothyroidism reduces renal blood flow and glomerular filtration rate (GFR), potentially hindering AKI recovery.
  • Hyperthyroidism can lead to glomerular hyperfiltration, while RRT affects thyroid hormone levels.

Conclusions:

  • The crosstalk between thyroid and kidney dysfunction is a critical factor in ICU patient outcomes.
  • Accurate interpretation of thyroid function tests is essential in patients with renal impairment.
  • Managing thyroid status is important for optimizing renal recovery in critically ill patients.