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CRF
CRF
CRF
1
ETIOLOGY:
< 5 years old:
• Hypoplasia / Dysplasia kidney
• Congenital structure of urinary tract
• Vesicoureteral reflux
• Congenital Nephrotic Syndrome
5 – 15 years old :
• Hereditary diseases: Alport’s syndrome,
sistinuri
• Primary glomerulonephritis: Nephritic
Syndrome
• Secondary glomerulonephritis : SLE, SHS
2
CLINICAL MANIFESTATIONS:
1. Diminished Renal Reserve
• No clinical signs
• Lab. Examinations: Leukocyturia, Haematuria
2. Renal Insufficiency:
• Non specific clinical signs: Malaise, fatigue, headache,
poor appetite, abdominal pain
3. Chronic Renal Failure:
• Signs of ARF Acute on CRF
• Stunted growth
• Pale skin
• Bone pain
4. End stage Renal Failure (ESRF):
• Unconscious
• Uremic coma (Blood Ureum & Creatinin increased very
high)
• Convulsion 3
TREATMENT
1. Conservative Treatment:
The aims of this treatment:
• Preparing the child & family for the treatment of
CRF
• Slowly progression to End Stage RF
2. Replacement therapy:
The aims is to replace the function of the unfunction
kidney by:
• Dialysis:
• Peritoneal dialysis (PD)
• Hemodialysis
• Transplantation 4
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Question
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