Nefropatia Diabetica

NEFROPATIA DIABETICA Dr. Guill é n Vargas Andr é s MPSS Mexicali B.C. UMF3 Cd. Morelos

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ETIOPATOGENIA ,[object Object],[object Object],[object Object],[object Object],[object Object]

ETAPAS DE LA ND EUA excresion urinaria de Alb INCIPIENTE TRANSICIONAL CLINICA 0 – 5 a ñ os 5 a ñ os 10 – 15 a ñ os 50% IRCT ? ? Microalbuminuria No Si Reversible N Presion arterial Proteinuria N EUA Volumen Renal No FG

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Dx ,[object Object],[object Object],CRITERIOS DX ALBUMINURIA Cockcroft-Gault Dep Cr = (140-edad en años) x (peso en Kgs) 72 x Cr Serica Si se trata de mujer el resultado final se multiplica por 0.85 200 300 300 PROTEINURIA 20-199 30-299 30-299 ALBUMINURIA <20 <30 <30 NORMAL Orina minutada (ug/min) Orina 24hr (mg/dia) Muestra simple orina Cociente alb/Cr

Control con su medico 2do nivel

ENVIO A 2do Nivel ATENCION ,[object Object],[object Object],[object Object],[object Object],[object Object]

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DIETA ,[object Object],[object Object],[object Object]

Dislipidemia ,[object Object],[object Object],[object Object],[object Object],Es aceptable una reduccion del 30-40% de LDL

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Hipertension Arterial ,[object Object],[object Object],[object Object],[object Object]

HIPERTENSION ,[object Object],[object Object],[object Object]

HIPERTENSION ,[object Object],[object Object],[object Object],[object Object],The diabetics exposed to telmisartan and enalapril (DETAIL) study

The diabetics exposed to telmisartan and enalapril (DETAIL) study

HIPERTENSION ,[object Object],[object Object],[object Object],The diabetics exposed to telmisartan and enalapril (DETAIL) study ,[object Object],[object Object]

BIBLIOGRAFIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Nefropatia Diabetica

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