1. Dr. Sandeep G. HuilgolMBBS., DNB (Int.Med)., MMedSci(Nephro)CHRONIC KIDNEY DISEASE

2. KIDNEY FAILURE URINARY TRACT INFECTION KIDNEY STONE KIDNEY CANCER 3. Outline of DiscussionKidneys??Why are Kidneys important for us?Why should care for our kidneys?What are the potentially preventable causes ofchronic kidney failure ?Take home messages 4. Kidneys..??? 5. Normal Kidneys And Bladder 6. Why are Kidneys important for us? Kidneys filter all the waste and excess fluid from ourbody. Regulate the Blood pressure. Involved in maintaining the concentration of theelectrolyte (Na, K, Mg, etc). Helps in production of blood. Normal growth of bones of our body 7. Why should care for our kidneys?Prevention is better than cure when it comes tokidney failure as well. Help available ??? i.e. No. of experts Cost involved?? Infections?? 8. Indian Society of Nephrology-around 900membersOne nephrologist for every 70-80 lakhs !!This ratio will worsen with time.Kidney Disease In India 9. Kidney Disease In India Well-equipped hospitals with facilities for treatmentof kidney disease, reside in the big cities. But - 70% of the population are in the smaller townsand villages. 10. Symptoms of kidney failure Asymptomatic Weakness Breathing difficulty Swelling (Face and/or Legs) Anorexia 11. Kidney Failure Acute Kidney Failure Chronic Kidney Failure 12. Acute kidney failure Dehydration (vomiting, diarrhea) Infection DrugsPain killers, Antibiotics 13. Chronic kidney failure Diabetes Mellitus Hypertension Primary Glomerular Disease 14. Each year 1,50,000 pt needs dialysis15,000 pt will be initiated on dialysis20%will die60%drop out20% willcontinue 15. Take Home messages Screening for kidney failure Tight control of blood sugar Tight control of blood pressure Avoid self medications Do not neglect seemingly minor infections 16. HAEMODIALYSIS 17. Patient undergoing Peritoneal Dialysis (CAPD) 18. Haemodialysis Can be through aCentral VenousCatheter AV ShuntOR Through a Arterio Venous Fistula Sythetic Graft 19. Synthetic Graft 20. A BBlood pumpTrip chamber 21. Transplanted Kidney 22. Questions??? 23. Thank you