All improves after dialysis except:
Correct Answer: Peripheral neuropathy
Description: Answer is B (Peripheral Neuropathy) The response to dialysis in Peripheral Neuropathy and seizures is variable. These abnormalities may persist even after initiation of dialysis. Effect of dialysis and related therapy: (I) denotes an abnormality that usually improves after dialysis and related therapy (P) denotes an abnormality that tends to persist or even progress after dialysis and related therapy (D) denotes an abnormality that usually develops after dialysis and related therapy Fluid and electrolyte disturbances Volume expansion (I) Hyponatremia (I) Hyperkalemia (I) Hyperphosphatemia (I) Endocrine metabolic disturbances Secondary hyperparathyroidism (I or P) Adynamic bone (D) Vitamin D deficient osteomalacia (I) Carbohydrate resistance (I) Hyperuricemia (I or P) Hyperiglyceridemia (I or P) Increased Lp(a) level (P) Deacreased high density lipoprotein level (P) Proteinenergy malnutrition (I or P) Impaired growth and development (P) Infeility and sexual dysfunction (P) Amenorrhea (FP) B2-Microglobulin associated amyloidosis (P or D) Neuromuscular disturbances Fatigue (I) Sleep disorders (P) Headache (P) Impaired mentation (I) Lethargy (I) Asterixis (I) Muscular irritability Peripheral neuropathy (I or P) Restless leg syndrome (I or P) Myoclonus (I) Seizures (I or P) Coma (I) Muscle cramps (P or D) Dialysis disequilibrium syndrome (D) Myopathy (P or D) Cardiovascular and pulmonary disturbances Aerial hypeension (I or P) Congestive hea failure or pulmonary edema (I) Pericarditis (I) Hyperophic or dilated cardiomyopathy (I, P or D) Uremic lung (I) Accelerated atherosclerosis (P or D) Hypotension and arrhythmias (D) Vascular calcification (P or D) Dermatologic disturbances Pallor (P) Hyperpigmentation (I, P or D) Pruritus (P) Ecchymoses (I) Nephrogenic fibrosing dermopathy (D) Uremic frost (I) Gastrointestinal disturbances Anorexia (1) Nausea and vomiting (I) Gastroenteritis (I) Peptic ulcer (I or P) Gastrointestinal bleeding (I, P or D) Idiopathic ascites (D) Peritonitis (D) Hematologic and immunologic disturbances Anemia (I) Lymphocytopenia (P) Bleeding diathesis (I or D) Increased susceptibility to infection (I or P) Lcucopenia (D) Thrombocytopenia (D)
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