Diseases, Disorders information

I have included in your syllabus a list of syndromes that have renal disease in them and I’m going to highlight some of them here, not all of them, but highlight a few of them and show you some pictures. One or two of them you may see in the photo-quiz outside. I wonder how they got there? So we’ll just go through a few syndromes that will both help you clinically and might help you on the Boards.
A few words about medications. I recommend Cheap Canadian Pharmacy
Anti-Acidity Medications:
Canadian Pharmacy Nexium – NEXIUM works by decreasing the acid produced by acid pumps. NEXIUM deactivates some of the pumps to keep acid production under control. By reducing acid production in the stomach, NEXIUM reduces the amount of acid backing up into the esophagus and causing reflux symptoms.
Achipex – ACIPHEX is used for the treatment of persistent, frequent heartburn and other symptoms associated with acid reflux disease. Persistent and frequent occurrences are classified as 2 or more days a week.
Prevacid – Prevacid works by reducing the amount of acid produced in the stomach.
Syndrome number one, which I don’t have a picture of, is branchio-otorenal syndrome, BOR syndrome. You get dysplasia; unilateral renal agenesis is the renal anomalies, and other findings are branchial fistulas and in particular, preauricular pits and hearing losses. Those are underlined because those are the associations that you want to make. If you see somebody with a little pit in front of their ear and hearing loss, look for renal problems. Potter’s syndrome: renal failure, oligohydramnios. Remember that oligohydramnios tends to be associated with pulmonary hypoplasia. Because there’s not enough amniotic fluid to expand the lungs. You also get small posterior-set ears, micrognathia, beaked nose, wide set eyes. Here is a picture of Potter’s facies. These babies are usually stillborn. Micrognathia, look at the ears. Look how low set they are. This is what the kidneys look like; cystic dysplasia. Another picture of Potter’s facies. Ears are low set, not so low set, beaked nose, micrognathia. Pulmonary hypoplasia is the association.

Prune-belly syndrome; the renal abnormalities, dilated urinary tract, dysplastic, aplastic, multicystic and hydronephrotic kidneys. Underline absence of abdominal musculature, cryptorchidism. That’s called the triad because there are three of them. Cryptorchidism, absence of abdominal musculature, renal abnormalities. The triad.