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Silence

Discussion in 'Nephrology' started by J.P.C. Peper, Jul 12, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Serious renal failure may cause no symptoms at all! This is why we do U&Es before surgery and other major interventions. The silence of renal disease creeps up on us (doctors and patients) with uncanny stealth which is as alarming as the image in ”˜Silence’, by Tiago Phelipe.

    'Silence' (Tiago Phelipe).jpg

    Microalbuminuria is a famously silent harbinger of serious renal and cardiovascular risk. In one study, 30% of those with type 2 diabetes mellitus died within ~5 years of developing microalbuminuria.

    This picture serves to remind us not to dismiss old chronic symptoms such as fatigue or ”˜not being quite with it’ without doing a blood test.

    Literature:

    ’Oxford Handbook of Clinical Medicine’ (8th edition).
     

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