Treatment of uremic neuropathy - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 08-04-2011
USMLE Forums Veteran
 
Steps History: Not yet
Posts: 258
Threads: 118
Thanked 294 Times in 115 Posts
Reputation: 304
Kidney Treatment of uremic neuropathy

A 56-year-old woman has been on dialysis for the past 10 years due to chronic renal failure from cystic kidney disease. Which of the following is the most reliable treatment for the peripheral neuropathy associated with her condition?
a. Thiamine supplements
b. Clonazepam
c. Phenytoin
d. Minoxidil
e. Renal transplant
Reply With Quote Quick reply to this message
The above post was thanked by:
aknz (09-13-2011), dr.digant (08-04-2011), m82_ghasemi (09-12-2011)



  #2  
Old 08-04-2011
examtaker's Avatar
USMLE Forums Addict
 
Steps History: Not yet
Posts: 131
Threads: 20
Thanked 90 Times in 33 Posts
Reputation: 100
Default

a. Thiamine supplements?
Reply With Quote Quick reply to this message
  #3  
Old 08-04-2011
USMLE Forums Veteran
 
Steps History: ---
Posts: 254
Threads: 21
Thanked 43 Times in 39 Posts
Reputation: 53
Default

thinking its renal transplant?
Reply With Quote Quick reply to this message
 
  #4  
Old 08-04-2011
examtaker's Avatar
USMLE Forums Addict
 
Steps History: Not yet
Posts: 131
Threads: 20
Thanked 90 Times in 33 Posts
Reputation: 100
Default

Quote:
Originally Posted by star123 View Post
thinking its renal transplant?
why so u think so??
Reply With Quote Quick reply to this message
  #5  
Old 08-04-2011
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,175
Threads: 38
Thanked 854 Times in 478 Posts
Reputation: 864
Default

Clonazepam?

Doesn't seem to be anything else?
__________________
PGY-3
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Reply With Quote Quick reply to this message
  #6  
Old 08-04-2011
examtaker's Avatar
USMLE Forums Addict
 
Steps History: Not yet
Posts: 131
Threads: 20
Thanked 90 Times in 33 Posts
Reputation: 100
Default

Quote:
Originally Posted by patelMD View Post
Clonazepam?

Doesn't seem to be anything else?
hmm...can it be uremic neuropathy???
which would i guess require a transplant...<not sure>
wild guess..
Reply With Quote Quick reply to this message
The above post was thanked by:
bebix (08-04-2011)
  #7  
Old 08-04-2011
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,175
Threads: 38
Thanked 854 Times in 478 Posts
Reputation: 864
Default

Quote:
Originally Posted by examtaker View Post
hmm...can it be uremic neuropathy???
which would i guess require a transplant...<not sure>
wild guess..
I was thinking of just solving the peripeheral neuropathy, normally this can be done with gabapectin, but since Clorazepam is a benzo it should have similiar actions.
__________________
PGY-3
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Reply With Quote Quick reply to this message
  #8  
Old 08-04-2011
dr.digant's Avatar
USMLE Forums Addict
 
Steps History: Step 1 Only
Posts: 127
Threads: 21
Thanked 103 Times in 53 Posts
Reputation: 113
Default

answer is E...RENAL TRANSPLAT...case is uremic neuropathy..!!


http://peripheralneuropathycenter.uc.../kidney.shtml:)
Reply With Quote Quick reply to this message
The above post was thanked by:
m82_ghasemi (09-12-2011)
  #9  
Old 09-12-2011
USMLE Forums Addict
 
Steps History: CK Only
Posts: 178
Threads: 61
Thanked 250 Times in 105 Posts
Reputation: 260
Default Uremic Neuropathy

Uremic neuropathy is a distal sensorimotor polyneuropathy caused by uremic toxins.

Available therapies for uremic neuropathy, including dialysis and vitamin supplementation, are not satisfactory. Erythropoietin has showed improvement in motor nerve conduction velocity in predialysis patients. Renal transplantation in early stage uremic neuropathy has achieved a favorable outcome.
Reply With Quote Quick reply to this message
  #10  
Old 09-12-2011
laurier's Avatar
USMLE Forums Addict
 
Steps History: CK Only
Posts: 105
Threads: 19
Thanked 69 Times in 32 Posts
Reputation: 79
Default

a. Thiamine supplements
Reply With Quote Quick reply to this message
  #11  
Old 09-12-2011
USMLE Forums Addict
 
Steps History: CK Only
Posts: 178
Threads: 61
Thanked 250 Times in 105 Posts
Reputation: 260
Warning! Uremic Neuropathy

Quote:
Originally Posted by laurier View Post
a. Thiamine supplements
The development of uremic neuropathy is exceedingly common in chronic renal disease, with prevalence rates of 60-90% in the dialysis population.
This patient has been under dialysis for 10 years, therefore the neuropathy in this patient is highly possible to be secondary to uremia. The development of clinically relevant neuropathy tends to be a late complication that is typically limited to patients with end-stage kidney disease.
Renal transplantation remains the only cure for uremic neuropathy and must be considered in any patient with progressive neuropathy.
Reply With Quote Quick reply to this message
The above post was thanked by:
aknz (09-14-2011), donofitaly (09-13-2011)
  #12  
Old 09-13-2011
USMLE Forums Guru
 
Steps History: Not yet
Posts: 417
Threads: 74
Thanked 131 Times in 94 Posts
Reputation: 141
Default

yeh only renal transplant makes sense!
Reply With Quote Quick reply to this message
  #13  
Old 09-13-2011
USMLE Forums Master
 
Steps History: Not yet
Posts: 674
Threads: 264
Thanked 963 Times in 394 Posts
Reputation: 973
Send a message via Yahoo to ricko335
Default

renal transplant makes sense
Reply With Quote Quick reply to this message
  #14  
Old 09-13-2011
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 623
Threads: 111
Thanked 424 Times in 264 Posts
Reputation: 434
Default

a. Thiamine supplements
Reply With Quote Quick reply to this message



Reply

Tags
Pathology-, Renal-, Step-1-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Neuropathy and skin lesion! 1TA2B USMLE Step 2 CK Forum 6 06-23-2011 03:48 AM
Risk of Hemolytic Uremic Syndrome after E coli diarrhea treatment Ace3 USMLE Step 2 CK Forum 3 06-14-2011 05:38 PM
Treatment of uremic pericarditis with NSAIDs? Haisook USMLE Step 2 CK Forum 3 03-18-2011 07:39 AM
The mechanism of Progressive Peripheral neuropathy in B12 deficiency laxitjn USMLE Step 1 Forum 1 03-11-2011 02:53 AM
Hemolytic Uremic Syndrome and Antibiotics! FSUSTC USMLE Step 2 CK Forum 1 03-01-2010 10:03 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)