Dear friends and colleagues, Passing the MRCP UK is an important step in the medical career. PACES is the practical clinical exam and require a wide breadth of knowledge. This blog is a space to share materials, information and knowledge and I hope you find it useful. Am open for any ideas or suggestion and would value your contributions and comments.
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Best wishes, Dr Elmuhtady Said
AV fistula - as said before.. it's radio cephalic. Should be able to comment on whether it is functioning by feeling for a thrill, or listening for the buzzing.
Quick question - on the previous picture highligting typical case of renal transplant.. there was a comment saying - the patient has a functiong transplanted kidney in the LIF - how would one be able to comment on whether or not the transplanted kidney is working. And if there is evidence of recently used fistula site (as mentioned in the picture).. isn't likely to be a failed transplant and back on HD?
is it tendon xanthoma & so you go on to examine for abdominal aortic aneurysm and renal artery stenosis
ReplyDeleteany other thoughts in the contest of "renal problem"?
ReplyDeleteAn arteriovenous fistula, most likely radio-cephalic fistula
ReplyDeleteAV fistula - as said before.. it's radio cephalic. Should be able to comment on whether it is functioning by feeling for a thrill, or listening for the buzzing.
ReplyDeleteQuick question - on the previous picture highligting typical case of renal transplant.. there was a comment saying - the patient has a functiong transplanted kidney in the LIF - how would one be able to comment on whether or not the transplanted kidney is working. And if there is evidence of recently used fistula site (as mentioned in the picture).. isn't likely to be a failed transplant and back on HD?
no clue, can u enlighten me on how to know clinically whether or not the transplanted kidney is working?
ReplyDeleteis it by looking at the urine amount?
thanks