SlideShare ist ein Scribd-Unternehmen logo

complications of HD case presentation

•Als PPT, PDF herunterladen•
•
Dr. Abrar Ali Katpar
Dr. Abrar Ali Katpar

in view of a case presentation who has some of complications of HD and was treated promptly.

Gesundheit & MedizinUnterhaltung & Humor
1 von 28
بسم الله الرحمن الرحيم
Case Presentation Dr. Abrar Ali Katpar Resident Nephrology / Medicine King Khalid Hospital, Hail, KSA
Pt’s Profile ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pt’s Profile ,[object Object],[object Object]
U/S reported
[object Object],[object Object],[object Object],[object Object]
[object Object]
Presentation of case for discussion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
12 lead ECG
Started HD session ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patient presentation. Suddenly after 3 hours of HD he started complaining of:- ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Q. WHAT Is happening?
Quick reflexes SEVERE HYPOTENSION? ,[object Object],[object Object],[object Object],[object Object]
Complications that occur during Hemodialysis session. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Frequency of common complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of Hypotension during HD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Common causes of hypotension ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Detection of hypotension ,[object Object],[object Object],[object Object]
Management of hypotension ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention of hypotension ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Muscle cramps ,[object Object],[object Object],[object Object],[object Object],[object Object]
Management of cramps ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANSWER is Now obvious. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Management of this case ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Follow up ,[object Object],[object Object],[object Object],[object Object],[object Object]
Thank You

Empfohlen

Acute complications of haemodialysis
Acute complications of haemodialysisAcute complications of haemodialysis
Acute complications of haemodialysisDr Narinder Sharma
 
Anemia in ckd
Anemia in ckdAnemia in ckd
Anemia in ckdPhilip Vaidyan
 
Advancing Dialysis Hypertension in Dialysis Patients
Advancing Dialysis Hypertension in Dialysis PatientsAdvancing Dialysis Hypertension in Dialysis Patients
Advancing Dialysis Hypertension in Dialysis PatientsAdvancingDialysis.org
 
Cardiovascular complications in CKD - Dr. Mohamed Mamdouh AbdAlBary
Cardiovascular complications in CKD - Dr. Mohamed Mamdouh AbdAlBaryCardiovascular complications in CKD - Dr. Mohamed Mamdouh AbdAlBary
Cardiovascular complications in CKD - Dr. Mohamed Mamdouh AbdAlBaryMNDU net
 
HTN in Hemodialysis Patients - A Clinical Approach of Management - Dr. Gawad
HTN in Hemodialysis Patients - A Clinical Approach of Management - Dr. GawadHTN in Hemodialysis Patients - A Clinical Approach of Management - Dr. Gawad
HTN in Hemodialysis Patients - A Clinical Approach of Management - Dr. GawadNephroTube - Dr.Gawad
 
Dialysis complications dr A elbeally
Dialysis complications dr A elbeallyDialysis complications dr A elbeally
Dialysis complications dr A elbeallyFarragBahbah
 
Hemodialysis Anticoagulation - Different Protocols / Protocol Selection - Dr....
Hemodialysis Anticoagulation - Different Protocols / Protocol Selection - Dr....Hemodialysis Anticoagulation - Different Protocols / Protocol Selection - Dr....
Hemodialysis Anticoagulation - Different Protocols / Protocol Selection - Dr....NephroTube - Dr.Gawad
 
Dialysis emergencies
Dialysis emergencies Dialysis emergencies
Dialysis emergencies FarragBahbah
 

Empfohlen

Acute complications of haemodialysis
Acute complications of haemodialysisAcute complications of haemodialysis
Acute complications of haemodialysisDr Narinder Sharma
 
Anemia in ckd
Anemia in ckdAnemia in ckd
Anemia in ckdPhilip Vaidyan
 
Advancing Dialysis Hypertension in Dialysis Patients
Advancing Dialysis Hypertension in Dialysis PatientsAdvancing Dialysis Hypertension in Dialysis Patients
Advancing Dialysis Hypertension in Dialysis PatientsAdvancingDialysis.org
 
Cardiovascular complications in CKD - Dr. Mohamed Mamdouh AbdAlBary
Cardiovascular complications in CKD - Dr. Mohamed Mamdouh AbdAlBaryCardiovascular complications in CKD - Dr. Mohamed Mamdouh AbdAlBary
Cardiovascular complications in CKD - Dr. Mohamed Mamdouh AbdAlBaryMNDU net
 
HTN in Hemodialysis Patients - A Clinical Approach of Management - Dr. Gawad
HTN in Hemodialysis Patients - A Clinical Approach of Management - Dr. GawadHTN in Hemodialysis Patients - A Clinical Approach of Management - Dr. Gawad
HTN in Hemodialysis Patients - A Clinical Approach of Management - Dr. GawadNephroTube - Dr.Gawad
 
Dialysis complications dr A elbeally
Dialysis complications dr A elbeallyDialysis complications dr A elbeally
Dialysis complications dr A elbeallyFarragBahbah
 
Hemodialysis Anticoagulation - Different Protocols / Protocol Selection - Dr....
Hemodialysis Anticoagulation - Different Protocols / Protocol Selection - Dr....Hemodialysis Anticoagulation - Different Protocols / Protocol Selection - Dr....
Hemodialysis Anticoagulation - Different Protocols / Protocol Selection - Dr....NephroTube - Dr.Gawad
 
Dialysis emergencies
Dialysis emergencies Dialysis emergencies
Dialysis emergencies FarragBahbah
 
Intra dialytic hypotension ,,, prof Alaa Sabry
Intra dialytic hypotension ,,, prof Alaa SabryIntra dialytic hypotension ,,, prof Alaa Sabry
Intra dialytic hypotension ,,, prof Alaa SabryFarragBahbah
 
Ckd
CkdCkd
CkdDrAnsuman Dash
 
ACUTE KIDNEY INJURY / ACUTE RENAL FAILURE
ACUTE KIDNEY INJURY / ACUTE RENAL FAILUREACUTE KIDNEY INJURY / ACUTE RENAL FAILURE
ACUTE KIDNEY INJURY / ACUTE RENAL FAILUREDennis Daniel
 
Diabetic Kidney Disease 2022 Update
Diabetic Kidney Disease 2022 UpdateDiabetic Kidney Disease 2022 Update
Diabetic Kidney Disease 2022 UpdateChristos Argyropoulos
 
Renal anemia
Renal anemiaRenal anemia
Renal anemiamohammad saad forghani
 
Hyperuricemia in CKD
Hyperuricemia in CKDHyperuricemia in CKD
Hyperuricemia in CKDSidney Erwin Manahan
 
Renal Failure and Cardiovascular Disease
Renal Failure and Cardiovascular DiseaseRenal Failure and Cardiovascular Disease
Renal Failure and Cardiovascular DiseaseNorthTec
 
Nephrotic syndrome
Nephrotic syndromeNephrotic syndrome
Nephrotic syndromehodmedicine
 
Management of Diabetes in Hemodialysis Patients
Management of Diabetes in Hemodialysis PatientsManagement of Diabetes in Hemodialysis Patients
Management of Diabetes in Hemodialysis PatientsMNDU net
 
Diabetic nephropathy
Diabetic nephropathy Diabetic nephropathy
Diabetic nephropathy ahmad tanweer
 
Disorders of Sodium (Hyponatremia& Hypernatremia) : Approach & Management
Disorders of Sodium (Hyponatremia& Hypernatremia) : Approach & ManagementDisorders of Sodium (Hyponatremia& Hypernatremia) : Approach & Management
Disorders of Sodium (Hyponatremia& Hypernatremia) : Approach & ManagementAbdullah Ansari
 
Complications of hemodialysis
Complications of hemodialysisComplications of hemodialysis
Complications of hemodialysisأحمد عبد الوهاب الجندي
 
Role of erythropoitin in chronic kidney disease
Role of erythropoitin in chronic kidney diseaseRole of erythropoitin in chronic kidney disease
Role of erythropoitin in chronic kidney diseaseAftab Siddiqui
 
How to retard the progression of ckd dr Tareq tantawy
How to retard the progression of ckd dr Tareq tantawyHow to retard the progression of ckd dr Tareq tantawy
How to retard the progression of ckd dr Tareq tantawyFarragBahbah
 
Hemodialysis complications
Hemodialysis complications Hemodialysis complications
Hemodialysis complications FarragBahbah
 
Dry weight management mansoura 2017
Dry weight management mansoura 2017Dry weight management mansoura 2017
Dry weight management mansoura 2017FarragBahbah
 
Acute Kidney Injury in Patients with Cancer
Acute Kidney Injury in Patients with CancerAcute Kidney Injury in Patients with Cancer
Acute Kidney Injury in Patients with CancerChristos Argyropoulos
 
Hepatorenal syndrome recent advances
Hepatorenal syndrome recent advancesHepatorenal syndrome recent advances
Hepatorenal syndrome recent advancesKushal Dp
 
Cpg diabetic nephropathy
Cpg diabetic nephropathyCpg diabetic nephropathy
Cpg diabetic nephropathyAzwani Sezali
 
HEMODIALYSIS EMERGENCIES
HEMODIALYSIS EMERGENCIESHEMODIALYSIS EMERGENCIES
HEMODIALYSIS EMERGENCIESMNDU net
 
Dialysis unit
Dialysis unitDialysis unit
Dialysis unitKnowlittle Matharu
 
Dialysis in elderly patients wkd 2014
Dialysis in elderly patients wkd 2014Dialysis in elderly patients wkd 2014
Dialysis in elderly patients wkd 2014Muhamed Al Rohani
 

Weitere ähnliche Inhalte

Was ist angesagt?

Intra dialytic hypotension ,,, prof Alaa Sabry
Intra dialytic hypotension ,,, prof Alaa SabryIntra dialytic hypotension ,,, prof Alaa Sabry
Intra dialytic hypotension ,,, prof Alaa SabryFarragBahbah
 
ACUTE KIDNEY INJURY / ACUTE RENAL FAILURE
ACUTE KIDNEY INJURY / ACUTE RENAL FAILUREACUTE KIDNEY INJURY / ACUTE RENAL FAILURE
ACUTE KIDNEY INJURY / ACUTE RENAL FAILUREDennis Daniel
 
Renal Failure and Cardiovascular Disease
Renal Failure and Cardiovascular DiseaseRenal Failure and Cardiovascular Disease
Renal Failure and Cardiovascular DiseaseNorthTec
 
Nephrotic syndrome
Nephrotic syndromeNephrotic syndrome
Nephrotic syndromehodmedicine
 
Management of Diabetes in Hemodialysis Patients
Management of Diabetes in Hemodialysis PatientsManagement of Diabetes in Hemodialysis Patients
Management of Diabetes in Hemodialysis PatientsMNDU net
 
Diabetic nephropathy
Diabetic nephropathy Diabetic nephropathy
Diabetic nephropathy ahmad tanweer
 
Disorders of Sodium (Hyponatremia& Hypernatremia) : Approach & Management
Disorders of Sodium (Hyponatremia& Hypernatremia) : Approach & ManagementDisorders of Sodium (Hyponatremia& Hypernatremia) : Approach & Management
Disorders of Sodium (Hyponatremia& Hypernatremia) : Approach & ManagementAbdullah Ansari
 
Role of erythropoitin in chronic kidney disease
Role of erythropoitin in chronic kidney diseaseRole of erythropoitin in chronic kidney disease
Role of erythropoitin in chronic kidney diseaseAftab Siddiqui
 
How to retard the progression of ckd dr Tareq tantawy
How to retard the progression of ckd dr Tareq tantawyHow to retard the progression of ckd dr Tareq tantawy
How to retard the progression of ckd dr Tareq tantawyFarragBahbah
 
Hemodialysis complications
Hemodialysis complications Hemodialysis complications
Hemodialysis complications FarragBahbah
 
Dry weight management mansoura 2017
Dry weight management mansoura 2017Dry weight management mansoura 2017
Dry weight management mansoura 2017FarragBahbah
 
Acute Kidney Injury in Patients with Cancer
Acute Kidney Injury in Patients with CancerAcute Kidney Injury in Patients with Cancer
Acute Kidney Injury in Patients with CancerChristos Argyropoulos
 
Hepatorenal syndrome recent advances
Hepatorenal syndrome recent advancesHepatorenal syndrome recent advances
Hepatorenal syndrome recent advancesKushal Dp
 
Cpg diabetic nephropathy
Cpg diabetic nephropathyCpg diabetic nephropathy
Cpg diabetic nephropathyAzwani Sezali
 
HEMODIALYSIS EMERGENCIES
HEMODIALYSIS EMERGENCIESHEMODIALYSIS EMERGENCIES
HEMODIALYSIS EMERGENCIESMNDU net
 

Was ist angesagt? (20)

Intra dialytic hypotension ,,, prof Alaa Sabry
Intra dialytic hypotension ,,, prof Alaa SabryIntra dialytic hypotension ,,, prof Alaa Sabry
Intra dialytic hypotension ,,, prof Alaa Sabry
 
Ckd
CkdCkd
Ckd
 
ACUTE KIDNEY INJURY / ACUTE RENAL FAILURE
ACUTE KIDNEY INJURY / ACUTE RENAL FAILUREACUTE KIDNEY INJURY / ACUTE RENAL FAILURE
ACUTE KIDNEY INJURY / ACUTE RENAL FAILURE
 
Diabetic Kidney Disease 2022 Update
Diabetic Kidney Disease 2022 UpdateDiabetic Kidney Disease 2022 Update
Diabetic Kidney Disease 2022 Update
 
Renal anemia
Renal anemiaRenal anemia
Renal anemia
 
Hyperuricemia in CKD
Hyperuricemia in CKDHyperuricemia in CKD
Hyperuricemia in CKD
 
Renal Failure and Cardiovascular Disease
Renal Failure and Cardiovascular DiseaseRenal Failure and Cardiovascular Disease
Renal Failure and Cardiovascular Disease
 
Nephrotic syndrome
Nephrotic syndromeNephrotic syndrome
Nephrotic syndrome
 
Management of Diabetes in Hemodialysis Patients
Management of Diabetes in Hemodialysis PatientsManagement of Diabetes in Hemodialysis Patients
Management of Diabetes in Hemodialysis Patients
 
Diabetic nephropathy
Diabetic nephropathy Diabetic nephropathy
Diabetic nephropathy
 
Disorders of Sodium (Hyponatremia& Hypernatremia) : Approach & Management
Disorders of Sodium (Hyponatremia& Hypernatremia) : Approach & ManagementDisorders of Sodium (Hyponatremia& Hypernatremia) : Approach & Management
Disorders of Sodium (Hyponatremia& Hypernatremia) : Approach & Management
 
Complications of hemodialysis
Complications of hemodialysisComplications of hemodialysis
Complications of hemodialysis
 
Role of erythropoitin in chronic kidney disease
Role of erythropoitin in chronic kidney diseaseRole of erythropoitin in chronic kidney disease
Role of erythropoitin in chronic kidney disease
 
How to retard the progression of ckd dr Tareq tantawy
How to retard the progression of ckd dr Tareq tantawyHow to retard the progression of ckd dr Tareq tantawy
How to retard the progression of ckd dr Tareq tantawy
 
Hemodialysis complications
Hemodialysis complications Hemodialysis complications
Hemodialysis complications
 
Dry weight management mansoura 2017
Dry weight management mansoura 2017Dry weight management mansoura 2017
Dry weight management mansoura 2017
 
Acute Kidney Injury in Patients with Cancer
Acute Kidney Injury in Patients with CancerAcute Kidney Injury in Patients with Cancer
Acute Kidney Injury in Patients with Cancer
 
Hepatorenal syndrome recent advances
Hepatorenal syndrome recent advancesHepatorenal syndrome recent advances
Hepatorenal syndrome recent advances
 
Cpg diabetic nephropathy
Cpg diabetic nephropathyCpg diabetic nephropathy
Cpg diabetic nephropathy
 
HEMODIALYSIS EMERGENCIES
HEMODIALYSIS EMERGENCIESHEMODIALYSIS EMERGENCIES
HEMODIALYSIS EMERGENCIES
 

Andere mochten auch

Dialysis in elderly patients wkd 2014
Dialysis in elderly patients wkd 2014Dialysis in elderly patients wkd 2014
Dialysis in elderly patients wkd 2014Muhamed Al Rohani
 
Hemodialysis Dr. Sanaa Kamal
Hemodialysis Dr. Sanaa KamalHemodialysis Dr. Sanaa Kamal
Hemodialysis Dr. Sanaa Kamalsubauday
 
Complications of hemodialysis
Complications of hemodialysisComplications of hemodialysis
Complications of hemodialysisReynel Dan
 
Nutritional and metabolic considerations in elderly dialysis patients
Nutritional and metabolic considerations in elderly dialysis patientsNutritional and metabolic considerations in elderly dialysis patients
Nutritional and metabolic considerations in elderly dialysis patientsMarc Evans Abat
 
Nursing Care of Patient on Dialysis
Nursing Care of Patient on DialysisNursing Care of Patient on Dialysis
Nursing Care of Patient on DialysisShanta Peter
 

Andere mochten auch (10)

Dialysis unit
Dialysis unitDialysis unit
Dialysis unit
 
Dialysis in elderly patients wkd 2014
Dialysis in elderly patients wkd 2014Dialysis in elderly patients wkd 2014
Dialysis in elderly patients wkd 2014
 
Urine Under Microscope
Urine Under MicroscopeUrine Under Microscope
Urine Under Microscope
 
Hemodialysis Dr. Sanaa Kamal
Hemodialysis Dr. Sanaa KamalHemodialysis Dr. Sanaa Kamal
Hemodialysis Dr. Sanaa Kamal
 
Kidney dialysis
Kidney dialysisKidney dialysis
Kidney dialysis
 
Complications of hemodialysis
Complications of hemodialysisComplications of hemodialysis
Complications of hemodialysis
 
Nutritional and metabolic considerations in elderly dialysis patients
Nutritional and metabolic considerations in elderly dialysis patientsNutritional and metabolic considerations in elderly dialysis patients
Nutritional and metabolic considerations in elderly dialysis patients
 
Nursing Care of Patient on Dialysis
Nursing Care of Patient on DialysisNursing Care of Patient on Dialysis
Nursing Care of Patient on Dialysis
 
Dialysis
DialysisDialysis
Dialysis
 
Urine analysis
Urine analysisUrine analysis
Urine analysis
 

Ähnlich wie complications of HD case presentation

Dry Weight Dr Rosna
Dry Weight Dr RosnaDry Weight Dr Rosna
Dry Weight Dr Rosnaedwinchowyw
 
Acute pancreatitis by dr zulakha
Acute pancreatitis by dr zulakhaAcute pancreatitis by dr zulakha
Acute pancreatitis by dr zulakhaWest Medicine Ward
 
Fluid management in Abdominal Emergency
Fluid management in Abdominal EmergencyFluid management in Abdominal Emergency
Fluid management in Abdominal EmergencyMithun Chowdhury
 
cardiac emergencice im pediatrics
cardiac emergencice im pediatricscardiac emergencice im pediatrics
cardiac emergencice im pediatricsSheikah Bawazir
 
Hemodialysis catastrope
Hemodialysis catastropeHemodialysis catastrope
Hemodialysis catastropeFAARRAG
 
Acute gastroenteritis
Acute gastroenteritis Acute gastroenteritis
Acute gastroenteritis ksaigowtham
 
Fluid _electrolytes_in_the_surgical_cli
Fluid _electrolytes_in_the_surgical_cliFluid _electrolytes_in_the_surgical_cli
Fluid _electrolytes_in_the_surgical_cliKevin West
 
Thyroid disease and the Heart
Thyroid disease and the HeartThyroid disease and the Heart
Thyroid disease and the HeartABM Kamrul Hasan
 
Congestive heart failure
Congestive heart failure Congestive heart failure
Congestive heart failure Kanchan Devi
 
Farrag case presention
Farrag case presentionFarrag case presention
Farrag case presentionFarragBahbah
 
CONGESTIVE HEART FAILURE.pptx
CONGESTIVE HEART FAILURE.pptxCONGESTIVE HEART FAILURE.pptx
CONGESTIVE HEART FAILURE.pptxAnjana KS
 

Ähnlich wie complications of HD case presentation (20)

Dry Weight Dr Rosna
Dry Weight Dr RosnaDry Weight Dr Rosna
Dry Weight Dr Rosna
 
Presentation2
Presentation2Presentation2
Presentation2
 
Shock states in children
Shock states in childrenShock states in children
Shock states in children
 
08. fluid and electrolytes
08. fluid and electrolytes08. fluid and electrolytes
08. fluid and electrolytes
 
Dry Weight 2018
Dry Weight 2018Dry Weight 2018
Dry Weight 2018
 
Acute pancreatitis by dr zulakha
Acute pancreatitis by dr zulakhaAcute pancreatitis by dr zulakha
Acute pancreatitis by dr zulakha
 
Management of shock
Management of shockManagement of shock
Management of shock
 
Fluid management in Abdominal Emergency
Fluid management in Abdominal EmergencyFluid management in Abdominal Emergency
Fluid management in Abdominal Emergency
 
cardiac emergencice im pediatrics
cardiac emergencice im pediatricscardiac emergencice im pediatrics
cardiac emergencice im pediatrics
 
Hemodialysis catastrope
Hemodialysis catastropeHemodialysis catastrope
Hemodialysis catastrope
 
Acute gastroenteritis
Acute gastroenteritis Acute gastroenteritis
Acute gastroenteritis
 
Fluid _electrolytes_in_the_surgical_cli
Fluid _electrolytes_in_the_surgical_cliFluid _electrolytes_in_the_surgical_cli
Fluid _electrolytes_in_the_surgical_cli
 
Thyroid disease and the Heart
Thyroid disease and the HeartThyroid disease and the Heart
Thyroid disease and the Heart
 
Thyroid diseade and the Heart
Thyroid diseade and the HeartThyroid diseade and the Heart
Thyroid diseade and the Heart
 
Intraoperative Hypothermia
Intraoperative Hypothermia Intraoperative Hypothermia
Intraoperative Hypothermia
 
Dengue
DengueDengue
Dengue
 
Dengue dos and donts
Dengue dos and dontsDengue dos and donts
Dengue dos and donts
 
Congestive heart failure
Congestive heart failure Congestive heart failure
Congestive heart failure
 
Farrag case presention
Farrag case presentionFarrag case presention
Farrag case presention
 
CONGESTIVE HEART FAILURE.pptx
CONGESTIVE HEART FAILURE.pptxCONGESTIVE HEART FAILURE.pptx
CONGESTIVE HEART FAILURE.pptx
 

Mehr von Dr. Abrar Ali Katpar

Mehr von Dr. Abrar Ali Katpar (7)

Hypophosphatemia
HypophosphatemiaHypophosphatemia
Hypophosphatemia
 
early vs late dialysis
early vs late dialysisearly vs late dialysis
early vs late dialysis
 
Greetings
GreetingsGreetings
Greetings
 
Uremic Encephalopathy
Uremic EncephalopathyUremic Encephalopathy
Uremic Encephalopathy
 
Alports Syndrome Pp
Alports Syndrome PpAlports Syndrome Pp
Alports Syndrome Pp
 
Uremic Pericarditis
Uremic PericarditisUremic Pericarditis
Uremic Pericarditis
 
RVD
RVDRVD
RVD
 

Kürzlich hochgeladen

Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...chandars293
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableDipal Arora
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...Neha Kaur
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...narwatsonia7
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...indiancallgirl4rent
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...narwatsonia7
 

Kürzlich hochgeladen (20)

Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
 

complications of HD case presentation