George, 60 yrs old teacher seen by his Nephrologist for lack of urination and gradual decline in his kidney functions. Known diabetic for 20 years, poorly controlled and he is getting dialysis three times a week. Physical examination is significant for high blood pressure and edema. Based on the above history and findings, please answer the following:

1. What's the diagnosis for George?
2. Clinical Manifestations for this condition
3. What are the lab tests to confirm the diagnosis?
4. What are the complications of this diagnosis.
5. Treatment for this condition.

Diagnosis for George is Chronic Kidney Disease.

Explanation:

1.Diagnosis on the basis of the above mentioned scenario, George is diagnosed with Chronic Kidney Disease.

2.Clinical Manifestations for this condition are Swelling of legs, tiredness, pain, nausea, incontinence.

3.Lab test to confirm diagnosis  Complete urine analysis, Complete blood count, ultrasound or CT scan, kidney biopsy, calculation of GFR.

4.Complications of CKD are Gout, Anemia,  Metabolic acidosis, Bone disease, Hyperphosphatemia,  Heart disease,  High potassium (hyperkalemia) , Fluid retention.

5.Treatment for CKD is Dialysis mainly but other treatment and preventions are

Control your blood sugar if you have diabetes.

Keep a healthy blood pressure.

Follow a low-salt, low-fat diet.

Exercise at least 30 minutes on most days of the week.

Keep a healthy weight.

Do not smoke or use tobacco.

Limit alcohol.

Talk to your doctor about medicines that can help protect your kidneys.

Call 911, whats going on are her eyes white?

Chemotherapy works by stopping or slowing the growth of cancer cells, which grow and divide quickly. It can also harm healthy cells that divide quickly, such as those that line your mouth and intestines or cause your hair to grow. Damage to healthy cells may cause side effects. Chemotherapy kills cells that are in the process of splitting into 2 new cells. Because cancer cells divide much more often than most normal cells, chemotherapy is much more likely to kill them. Some drugs kill dividing cells by damaging the part of the cell's control centre that makes it divide.