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Hypertension - causes, symptoms, diagnosis, treatment, pathology
 
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What is hypertension? Hypertension refers to high blood pressure and is associated with heart disease, stroke, and other complications. Find more videos at http://osms.it/more. Hundreds of thousands of current & future clinicians learn by Osmosis. We have unparalleled tools and materials to prepare you to succeed in school, on board exams, and as a future clinician. Sign up for a free trial at http://osms.it/more. Subscribe to our Youtube channel at http://osms.it/subscribe. Get early access to our upcoming video releases, practice questions, giveaways, and more when you follow us on social media: Facebook: http://osms.it/facebook Twitter: http://osms.it/twitter Instagram: http://osms.it/instagram Our Vision: Everyone who cares for someone will learn by Osmosis. Our Mission: To empower the world’s clinicians and caregivers with the best learning experience possible. Learn more here: http://osms.it/mission Medical disclaimer: Knowledge Diffusion Inc (DBA Osmosis) does not provide medical advice. Osmosis and the content available on Osmosis's properties (Osmosis.org, YouTube, and other channels) do not provide a diagnosis or other recommendation for treatment and are not a substitute for the professional judgment of a healthcare professional in diagnosis and treatment of any person or animal. The determination of the need for medical services and the types of healthcare to be provided to a patient are decisions that should be made only by a physician or other licensed health care provider. Always seek the advice of a physician or other qualified healthcare provider with any questions you have regarding a medical condition.
Views: 242682 Osmosis
CKD, Diabetes, Hypertension, Heart Disease in CKD (Hindi)
 
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Risk factors for CKD, Measures to prevent CKD, CKD as a risk factor for Heart Attack.
Views: 16258 Ashwinikumar Khandekar
Effects of High Blood Pressure
 
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Over time, the effects of high blood pressure (also known as hypertension) can include a heart attack, kidney failure, and congestive heart failure. The body structures most vulnerable to high blood pressure include the blood vessels, heart, brain, and kidneys. For videos and more check out http://www.emedtv.com/.
Views: 477535 eMedTV
Acute Kidney Injury / Acute Renal Failure Explained Clearly - Remastered
 
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Get clarity on Acute Kidney Injury with memorable illustrations by Dr. Seheult. See the Acute Kidney Injury series free at http://www.medcram.com. This video is part of the "MedCram Remastered" series: A video we've re-edited & sped up to make learning even more efficient. This series covers causes, symptoms, diagnosis and treatment of acute kidney injury (formerly called acute renal failure). The difference between pre-renal and post-renal failure, and the BUN Creatinine ratio are also illustrated. This video 1 of 3 on acute kidney injury. Visit https://www.MedCram.com for part 2 of this course (on DKA treatment) and over 100 lectures. This is the home for ALL MedCram.com medical videos (many medical videos, medical lectures, and quizzes are not on YouTube). Speaker: Roger Seheult, MD Co-Founder of MedCram.com (https://www.medcram.com) Clinical and Exam Preparation Instructor Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine. Visit https://www.MedCram.com for hundreds of clear & concise videos MedCram = MORE understanding in LESS time MedCram: Medical education topics explained clearly including: Respiratory lectures such as Asthma and COPD. Renal lectures on Acute Renal Failure and Adrenal Gland. Internal medicine videos on Oxygen Hemoglobin Dissociation Curve and Medical Acid Base. A growing library on critical care topics such as Shock, Diabetic Ketoacidosis (DKA), and Mechanical Ventilation. Cardiology videos on Hypertension, ECG / EKG Interpretation, and heart failure. VQ Mismatch and Hyponatremia lectures have been popular among medical students and physicians. The Pulmonary Function Tests (PFTs) videos and Ventilator-associated pneumonia bundles and lectures have been particularly popular with RTs. NPs and PAs have given great feedback on Pneumonia Treatment and Liver Function Tests among many others. Dr. Jacquet teaches our FAST exam tutorial & bedside ultrasound courses. Many nursing students have found the Asthma and shock lectures very helpful. We're starting a new course series on clinical ultrasound/ultrasound medical imaging. Recommended Audience - Medical professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review and test prep for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NBDE, RN, RT, MD, DO, PA, NP school and board examinations. More from MedCram.com medical lectures: Facebook: https://www.facebook.com/MedCram Google+: https://plus.google.com/u/1/+Medcram Twitter: https://twitter.com/MedCramVideos Subscribe to the official MedCram.com YouTube Channel: https://www.youtube.com/subscription_center?add_user=medcramvideos Produced by Kyle Allred PA-C Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider.
Hypertension - High Blood Pressure, Animation
 
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Blood pressure: systolic and diastolic; hypertension: guidelines, causes, risk factors, complications, treatment, antihypertensive drugs. Support us on Patreon and get FREE downloads and other great rewards: patreon.com/AlilaMedicalMedia This video and other related images/videos (in HD) are available for instant download licensing here: https://www.alilamedicalmedia.com/-/galleries/images-videos-by-medical-specialties/cardiology-and-vascular-diseases ©Alila Medical Media. All rights reserved. Voice by: Sue Stern. All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition. Blood pressure is the force the circulating blood EXERTS on the walls of blood vessels. It is different in different types of vessels, but the term ”blood pressure”, when not specified otherwise, refers to ARTERIAL pressure in the SYSTEMIC circulation. When the heart contracts and pumps blood into the aorta, during systole, the aortic pressure RISES, and so does the systemic arterial pressure. The maximum pressure following an ejection is called the SYSTOLIC pressure. In between heart beats, when the ventricles refill, blood pressure FALLS to its lowest value called the DIASTOLIC pressure. THESE are the 2 numbers on a blood pressure reading. Blood pressure normally shows a daily pattern and is usually lower at night. During day-time, it fluctuates with physical activities and emotional states. Hypertension refers to a PERSISTENT HIGH blood pressure. In the US, high blood pressure used to be defined as greater than 140/90, but recent guidelines have changed these values to 130/80 to better prevent and treat the condition. Normal blood pressure is BELOW 120/80. In practice, blood pressure is considered TOO low ONLY if it produces symptoms. Hypertension does NOT cause symptoms on its own, but it slowly DAMAGES blood vessels, and in the long-term, is a MAJOR risk factor for a variety of cardiovascular diseases such as stroke, aneurysm and heart attack; as well as end organ damage such as renal failure or vision loss. For this reason, hypertension is known as the “SILENT killer”. Hypertension can be classified as primary or secondary, with the former being responsible for over 90% of cases. Primary hypertension has NO apparent cause and may develop as a result of old age, obesity, high-salt diet, lack of exercise, smoking and drinking. Most commonly, the blood vessels are hardened with age or unhealthy diets, making it harder for blood to flow. Secondary hypertension, on the other hand, is caused by an underlying condition. Many conditions and factors can cause hypertension; most notable are kidney problems and endocrine disturbances. Regardless of the cause, the INcrease in blood pressure is produced by EITHER an INcrease in vascular resistance - narrower or stiffer blood vessels; OR an INcrease in cardiac output – larger volume of blood pumped out by the heart. These 2 factors are the targets of antihypertensive drugs. Treatments must start with life style changes such as healthy, low-sodium diets, physical exercise and stress management. On top of that, antihypertensive agents may be used to control hypertension. These include: - Vasodilators: these drugs DILATE blood vessels, thereby DEcreasing vascular resistance and reducing blood pressure. - Diuretics: diuretics promote sodium and water removal by the kidneys and thereby DEcrease blood volume. - Drugs that DEcrease cardiac output by decreasing heart rate or contractility, may also be used to treat hypertension.
Views: 14958 Alila Medical Media
Pathophysiology of Hypertensive Nephropathy
 
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Pathophysiology lecture on the pathophysiology of hypertensive nephropathy discussing the pathogenesis and consequences of hyaline arteriosclerosis.
Views: 34450 Andrew Wolf
Hypertensive Cardiovascular Disease
 
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Traci Brooks, patient care coordinator at The Veranda, discusses the risk factors for hypertensive cardiovascular disease.
Views: 484 The Veranda
Hypertensive Heart Disease: Types, Symptoms, and Diagnosis
 
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Hypertensive Heart Disease: Types, Symptoms, and Diagnosis
Views: 360 Evo Red Gaming
The link between chronic kidney disease and heart disease
 
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Almost 2 million Australians are living with chronic kidney disease (CKD). Patients with chronic kidney disease are at much higher risk of developing heart complications. Professor Selvanayagam's work focuses on how imaging tools, like MRIs, can be used to better predict and diagnose heart disease.
Views: 643 SAHMRIMedia
Excess salt is a primary cause of hypertension, kidney & heart disease-Avoid It
 
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Views: 156 Being Positive
Congestive heart failure (CHF) - systolic, diastolic, left side, right side, & symptoms
 
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What is congestive heart failure (CHF)? CHF is when the heart isn't able to pump enough blood to meet the body's demands, which leads to congestion—or fluid buildup—in various parts of the body and lungs. Find more videos at http://osms.it/more. Hundreds of thousands of current & future clinicians learn by Osmosis. We have unparalleled tools and materials to prepare you to succeed in school, on board exams, and as a future clinician. Sign up for a free trial at http://osms.it/more. Subscribe to our Youtube channel at http://osms.it/subscribe. Get early access to our upcoming video releases, practice questions, giveaways, and more when you follow us on social media: Facebook: http://osms.it/facebook Twitter: http://osms.it/twitter Instagram: http://osms.it/instagram Our Vision: Everyone who cares for someone will learn by Osmosis. Our Mission: To empower the world’s clinicians and caregivers with the best learning experience possible. Learn more here: http://osms.it/mission Medical disclaimer: Knowledge Diffusion Inc (DBA Osmosis) does not provide medical advice. Osmosis and the content available on Osmosis's properties (Osmosis.org, YouTube, and other channels) do not provide a diagnosis or other recommendation for treatment and are not a substitute for the professional judgment of a healthcare professional in diagnosis and treatment of any person or animal. The determination of the need for medical services and the types of healthcare to be provided to a patient are decisions that should be made only by a physician or other licensed health care provider. Always seek the advice of a physician or other qualified healthcare provider with any questions you have regarding a medical condition.
Views: 722233 Osmosis
Hypertensive heart disease
 
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Hypertensive heart disease includes a number of complications of systemic arterial hypertension or high blood pressure that affect the heart. While there are several definitions of hypertensive heart disease in the medical literature, the term is most widely used in the context of the International Classification of Diseases (ICD) coding categories. The definition in the Tenth Revision of the International Classification of Diseases (ICD-10) includes heart failure and other cardiac complications of hypertension when a causal relationship between the heart disease and hypertension is stated or implied on the death certificate. According to ICD-10, hypertensive heart disease (I11), and its subcategories: hypertensive heart disease with heart failure (I11.0) and hypertensive heart disease without heart failure (I11.9) are distinguished from chronic rheumatic heart diseases (I05-I09), other forms of heart disease (I30-I52) and ischemic heart diseases (I20-I25). However, since high blood pressure is a risk factor for atherosclerosis and ischemic heart disease, death rates from hypertensive heart disease provide an incomplete measure of the burden of disease due to high blood pressure. This video is targeted to blind users. Attribution: Article text available under CC-BY-SA Creative Commons image source in video
Views: 6740 Audiopedia
Renin Angiotensin Aldosterone System
 
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This animation focuses on the renin angiotensin aldosterone system (RAAS), a classic endocrine system that helps to regulate long-term blood pressure and extracellular volume in the body. Many aspects of cardiovascular disease progression can be directly linked to the RAAS system. Mechanisms such as vascular inflammation, generation of reactive oxygen species and alterations of endothelial function are all known to play a role in atherosclerosis.
Views: 810571 Mechanisms in Medicine
Coding Pearl - Hypertension Heart Disease & Chronic Kidney Disease Relationship
 
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This coding pearl has been brought to you by Brown Consulting Associates, Inc. Be sure to visit our website at www.codinghelp.com. Feel free to contact us with at BCA@codinghelp.com. Thank you!
Views: 904 You Tube
Heart Failure Explained Clearly - Congestive Heart Failure (CHF)
 
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An overview of heart failure by Dr. Roger Seheult of http://www.medcram.com. Includes symptoms, definitions, ejection fraction (EF), pathophysiology, ischemic heart disease, congestive heart failure (CHF), the role of hypertension (HTN) and more. This is video 1 of 3 on heart failure (HF): 0:36 basic heart physiology 0:55 pulmonic circulation 1:04 systemic circulation 2:00 heart failure - congestion 2:35 reduced kidney function 2:55 reno-angiotensin system 3:04 anti-diuretic hormone 3:24 Cheyne-Stokes respiration 3:44 heart failure - pulmonary edema 3:55 heart failure - liver congestion (AST, ALT increase, nutmeg liver) 4:12 increased pulmonary artery pressure 4:23 heart failure - pedal edema 5:30 systole 5:38 diastole 6:15 systolic dysfunction 6:21 diastolic dysfunction 6:32 ejection fraction 9:01 heart failure - new classification 9:36 heart failure - reduced ejection fraction (HFREF) 10:19 heart failure - normal ejection fraction (HFNEF) 11:27 ischemic heart disease 12:11 hypertension Speaker: Roger Seheult, MD Clinical and Exam Preparation Instructor Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine. MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Pneumonia Treatment, any many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded. Subscribe: https://www.youtube.com/subscription_center?add_user=medcramvideos Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations. More from MedCram: Complete Video library: https://www.youtube.com/c/medcram Facebook: https://www.facebook.com/MedCram Google+: https://plus.google.com/u/1/+Medcram Twitter: https://twitter.com/MedCramVideos Produced by Kyle Allred PA-C Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical educational and exam preparation purposes, and not intended to replace recommendations by your health care provider.
RENAL PHARMACOLOGY 1: INTRODUCTION AND CLASSIFICATION
 
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Introduction to renal pharmacology along with the physiology of the renal system required for the comprehensive understanding of renal pharmacology as renal drugs are the main line of treatment in cardiovascular disease such as heart failure and hypertension. Please comment on what topic you would like to be covered next. Thank you for watching
Views: 355 Dr. RIGHT'S PG
Hypertensive Heart Disease
 
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Views: 1666 PHY
High Blood Sugar and Cardiovascular and Kidney Disease
 
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Learn how high blood sugar increases risk of heart and kidney disease. Article: http://www.meschinohealth.com/blog/heart-and-cardiovascular-health/2012/07/10/high-blood-sugar-shortens-life-part-high-blood-sugar-cardiovascular-kidney-disease
Views: 1580 Dr.James Meschino
Chronic Kidney Disease (CKD)  Pathophysiology
 
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Where did I get my info from? : http://armandoh.org/dig https://www.facebook.com/ArmandoHasudungan Support me: http://www.patreon.com/armando Instagram: http://instagram.com/armandohasudungan Twitter: https://twitter.com/Armando71021105 SPECIAL THANKS: Patreon members
Views: 290162 Armando Hasudungan
Chronic Kidney Disease - CRASH! Medical Review Series
 
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(Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnosis of any illness. If you think you may be suffering from any medical condition, you should consult your physician or seek immediate medical attention.)
Views: 66636 Paul Bolin, M.D.
New Hypertension Guidelines Explained Clearly - 2017 HTN Guidelines
 
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Join Dr. Seheult of https://www.medcram.com as he breaks down the new (ACC/AHA) 2017 hypertension guidelines that replace the previous JNC 7 guidelines from 2003. This video Includes: - A comparison to the previous hypertension guidelines (JNC 7 vs the 2017 ACC/AHA guidelines) - The new classification of "elevated blood pressure" - Diet and lifestyle changes for high blood pressure - HTN medications (ACE-I, ARB, beta blockers, calcium channel blockers, diuretics). Visit https://www.MedCram.com for medical courses and over 100 free lectures. Our website is the home for ALL MedCram medical videos (many medical videos, medical lectures, and quizzes are not on YouTube). Speaker: Roger Seheult, MD Co-Founder of MedCram.com (https://www.medcram.com) Clinical and Exam Preparation Instructor Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine. MedCram: Medical education topics explained clearly including: Respiratory lectures such as Asthma and COPD. Renal lectures on Acute Renal Failure and Adrenal Gland. Internal medicine videos on Oxygen Hemoglobin Dissociation Curve and Medical Acid Base. A growing library on critical care topics such as Shock, Diabetic Ketoacidosis (DKA), and Mechanical Ventilation. Cardiology videos on Hypertension, ECG / EKG Interpretation, and heart failure. VQ Mismatch and Hyponatremia lectures have been popular among medical students and physicians. The Pulmonary Function Tests (PFTs) videos and Ventilator associated pneumonia bundles and lectures have been particularly popular with RTs. NPs and PAs have given great feedback on Pneumonia Treatment and Liver Function Tests among many others. Many nursing students have found the Asthma and shock lectures very helpful. Subscribe to the official MedCram.com YouTube Channel: https://www.youtube.com/subscription_center?add_user=medcramvideos Recommended Audience - medical professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review and test prep for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NBDE, RN, RT, MD, DO, PA, NP school and board examinations. More from MedCram.com medical videos: MedCram Website: https://www.medcram.com Facebook: https://www.facebook.com/MedCram Google+: https://plus.google.com/u/1/+Medcram Twitter: https://twitter.com/MedCramVideos Produced by Kyle Allred PA-C Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider.
Heart Failure Explained Clearly - Remastered
 
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Understand heart failure with this overview by Dr. Roger Seheult of http://www.medcram.com. Includes symptoms, definitions, ejection fraction (EF), pathophysiology, ischemic heart disease, congestive heart failure (CHF), the role of hypertension (HTN) and more. This is video 1 of 3 on heart failure (HF) and is part of the "MedCram Remastered" series: A video we've re-edited/sped up to make learning even more efficient. Visit https://www.medcram.com for the rest of this course and all of our new medical lectures and courses. Speaker: Roger Seheult, MD Clinical and Exam Preparation Instructor Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine. MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Pneumonia Treatment, any many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded. Subscribe: https://www.youtube.com/subscription_center?add_user=medcramvideos Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations. More from MedCram: Complete Video library: https://www.youtube.com/c/medcram Facebook: https://www.facebook.com/MedCram Google+: https://plus.google.com/u/1/+Medcram Twitter: https://twitter.com/MedCramVideos Produced by Kyle Allred PA-C Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical educational and exam preparation purposes, and not intended to replace recommendations by your health care provider.
CARDIOVASCULAR DRUGS; ANTI HYPERTENSIVE DRUGS by Professor Fink
 
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In this video lecture, Professor Fink briefly reviews the pathophysiology of Essential Hypertension and the describes the "Stepped-Care Regimen." Reference is made to the use of the Thiazide Diuretics [hydrochlorothiazide (Hydrodiuril)], Adrenergic Blockers [metoprolol (Lopressor)], Calcium-Channel Blockers [nifedipine (Procardia)], the Angiotensin Converting Enzyme (ACE)-Inhibitors [lisinopril (Zestril)], the Angiotensin II Blockers [losartan (Cozaar)], the Direct-Acting Vasodilators [hydralazine (Apresoline)], and Centrally-Acting Anti-Adrenergic Agents [clonidine (Catapres)]. Check-out professor fink's web-site or additional resources in Biology, Anatomy, Physiology & Pharmacology: www.professorfink.com Down-loadable e-Books of the Lecture Outlines by Professor Fink can be purchased from the WLAC Bookstore at: https://wlac.redshelf.com/ “Hard Copy” Lecture Outlines can be purchased from the WLAC Bookstore at: http://onlinestore.wlac.edu/fink.asp
Views: 142007 professorfink
Cardiovascular Disease and Dialysis
 
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Dr. Akhtar Ashfaq, a nephrologist and internist, explained what cardiovascular disease is, the risks and complications unique to kidney patients, including fluid overload and high potassium, and prevention and treatment.
Is there a connection between heart disease and kidney disease?
 
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A doctor explains the relationship between heart disease and chronic kidney disease (CKD), emphasizing the importance of blood pressure control to reduce the risk of both these diseases. Learn more at http://www.nkdep.nih.gov/learn/are-you-at-risk.shtml#cardiovascular.
Views: 144 NKDEP
Heart Disease And Hypertension
 
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Reduce your risk for cardiovascular disease by keeping your blood pressure in check.
Views: 442 AdvocateHealthCare
Heart Failure and CKD
 
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Views: 257 Ben1994
Renal nutrition therapy for kidney disease
 
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In the United States, one in three adults is at risk for developing kidney disease. Risk factors include diabetes, hypertension or high blood pressure, family history of kidney disease, heart disease and recurrent urinary tract infections. The good news is that three of these factors – diabetes, hypertension and heart disease – can be improved with renal nutrition therapy. Vanessa Rojas-Bautista, RDN is a clinical renal dietitian at UC Irvine Health. In this presentation, she explains how dietitians can help those who are either at risk for Chronic Kidney Disease or who already have a diagnosis. Rojas-Bautista explains how an individualized nutrition prescription works and how a balanced diet can prevent kidney disease. UC Irvine Health Nephrology Services http://www.ucirvinehealth.org/medical... Get patient stories, wellness tips, health care news and more on our Live Well blog: http://www.ucirvinehealth.org/blog UC Irvine Health | http://www.ucirvinehealth.org
Views: 8672 UCI Health
Medical Coding Tips  Billing Hypertensive Heart Disease
 
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Q: “I’m confused when I bill hypertension AND hypertensive heart disease. Do I use both codes I10 and I11.9?” When they say “bill” they were referring to the diagnosis coding. That’s what we will be focusing on today. A: First of all, we need to look at our coding guidelines because there is something on there regarding this topic. For this, it indicates that hypertensive with heart conditions that are classified to those that are mentioned in the guidelines, we are to assign I11.-whatever that other factor is. Also, to add the additional codes from category I50 which is the heart failure code sections. When it comes to this, the provider is directly linking hypertension and heart disease together. In ICD-9 we didn’t have that privilege to assume a correlation between a heart disease and hypertension since we were only able to do hypertension and CKD. Now, for this, there is a combination code for hypertensive heart disease and that is I11.9; therefore, we would not use I10 as it is a combination code so it is included in that I11.9 code. When it comes to education with providers, it’s important that they understand how far do they need to specify each clinical condition for coding purposes. For example, this one, there is a hypertensive heart disease with and without heart failure. So, there’s a lot of places where we can further specify these codes by directly linking these conditions together. So, we have hypertensive heart disease, we have hypertensive heart and chronic kidney disease. So, the more that the provider documents appropriately or accurately will better reflect the patient’s true health status. What we’re going to do next is to look at the coding path for hypertensive heart disease. These snippets come from Find-A-Code which most of you do have included in your course or your CCO Club membership or you need to purchase it separately. So, when you use the tool, the ICD-10-CM Index tool, you will see when you would look for heart with the intentional term for the disease, you will see hypertensive heart disease without heart failure. That’s what I was mentioning before that you would need to educate the provider whether that patient has heart failure and if so, which type of heart failure does that patient have. Is it diastolic, is it systolic, or is it a combination of diastolic and systolic heart failure? Now that we stated the correct code for hypertensive heart disease, next we’re going to be looking at how do we code for hypertensive heart disease with a specific heart failure, or just a generic heart failure. Now, once you code this combination code per the instructions of the coding guidelines, you need to add the additional code for the type of heart failure that the patient has. As you can see here, there is an additional step for the heart disease is it’s that one, I11.9 is without heart failure. But if you see the indentation of the relational term “with” and that’s something that you also need to refer to in your coding guidelines for that conventional terms and symbols because it’s important that you need to understand how important that one little relational term is in connecting conditions from the medical record according to the alphabetical index. When you get to the “with” part, you can further specify that this patient does have heart failure and it is documented and supported in the note, so you would use the I11.0. Like I said before if there is any other complications or conditions such as chronic kidney disease, then that’s something that needs to be taken into account as well as there is a combination code for all three of those conditions. Now, I already said this already so we need to indicate for the heart failure is the diastolic, systolic or combination of the diastolic and systolic heart failure. That is the run-through of how you would appropriately code for hypertensive heart disease. There’s a lot of information so I cannot stress enough the importance of using the alphabetical index. We get so accustomed to using the Tabular especially for conditions that we have memorized. But lo and behold there are times where each year the coding pathway maybe different than the previous year, and so it is crucial that you make sure that you go back to the alphabetical index because that will not lead you astray, where some of these encoders can lead you if you’re not aware or know what pathway you need to take in order to get to that correct code. So, this is why I use encoders but I still love my manual. There’s nothing that can ever replace that and even if you want to get certifications this is great but you can’t use an encoder on exams, so it’s still important that you understand and know how to maneuver around your manuals as they change. There is so much information on there and it’s just a great thing that we have.
Views: 302 MedicalCodingCert
Webinar: Heart disease and kidney disease
 
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Heart disease can cause kidney disease, and kidney disesae can cause heart disease. In recognition of American Heart Month, learn more about the connection between heart disease and kidney disease, and their common risk factors.
Views: 307 kidneyfund
Yoga For Hypertension and Heart Disease | Cure Blood Pressure | Therapy, Exercise, Workout | Part 1
 
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High blood pressure, also known as hypertension, one of the most important contributors to heart disease and stroke. According to WHO- "Hyper-pressure contributes to nearly 9.4 million deaths due to heart disease and stroke every year and, together, these two diseases are the number one cause of death worldwide". And, hyper-tension also increases the risk of kidney failure, blindness and several other conditions. According to a new study presented at the "28th Annual Scientific Meeting", have shown that " yoga can lead to significant reductions in blood pressure, especially when used in addition with other lifestyle modifications". Contraindications for High Blood Pressure : — Don't do back bending pose — Avoid any types of fast Breathing practice like Kapalbhati, Bhastrika Pranayama — Don't try holding of Breath ( Kumbhaka Pranayama ) — Don't Practice inversion (Upside-down Pose) like Sarvangasana, Viprit Karni, Head stand or Hand stand.
Views: 37746 Yog Sadhana
Is there a connection between heart disease and kidney disease?
 
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A doctor explains the relationship between heart disease and chronic kidney disease (CKD), emphasizing the importance of blood pressure control to reduce the risk of both these diseases. Learn more at https://www.niddk.nih.gov/health-information/kidney-disease/chronic-kidney-disease-ckd/causes #cardiovascular.
💗 REAL Causes Of Hypertension & Best Natural Solutions
 
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How I lowered my dad's blood pressure by 23%, without drugs or diets 👉http://drsam.co/yt/Lower-BP Or discover the best supplement for lowering blood pressure: 👉https://www.youtube.com/watch?v=YKfbsobhCjc Or watch the detailed video about the TOP 10 causes of high blood pressure: 👉 https://www.youtube.com/watch?v=TfS74a_MSgg =============================================== 💗 REAL Causes Of Hypertension & Best Natural Solutions =============================================== #hypertension #bloodpressure A while back i did a video about the top 10 causes of high blood pressure. Today I’m going to do a quick summary of it because hypertension is called the “silent killer” because there are no real symptoms that let you know you have high blood pressure. Dizziness, headaches, rapid heart beat, etc… are NOT specific for hypertension. In fact, 76% of people who have high blood pressure, don’t even know it. And, hypertension can cause a stroke, heart attack, kidney failure and renal disease So, you really need to control your blood pressure because not only does it help avoid diseases, but lower blood pressure is also correlated a longer life. And since personally have a family history of hypertension, strokes and heart attacks, I wanted to make sure that this aspect of my life for myself and more importantly, my parents - is under control and done so NATURALLY -- without harmful drugs or negative side-effects. So, let’s get started. 1 - AGE By far, the #1 high blood pressure is age and more specifically, the negative changes in your HORMONES due to aging. From the age of 18-39, about 3% of the population has high blood pressure. However, between 40-59, it jumps to almost 35% and after the age of 60+, it’s OVER 70% of people. However, don’t worry… there are ways to fix this regardless of your age. And I’ll show you how at the end of today’s video and how my own parents have dealt with this -- and my mom is 80 years old and my dad is 90 2 - Genetics & Family History Yes, genetics is a major problem with everything. But there are ways to turn ON or OFF your genetics 3 - Smoking 4 - Alcohol Don’t let the “red wine is good for your heart” media advertising fool you because alcohol is a toxin and it causes hormonal imbalances, leading to hypertension in the long run. 5 - Being Overweight 6 - Sodium This has to do with regular table salt and what’s found in processed foods. But NOT with natural salts like Himalayan and Celtic 7 - Stress Stress is always bad, but it’s HOW you manage stress IS the real problem. 8 - Lack of Physical Activity 9 - Medical Conditions and/or Health Problems 10 - Medications/Drugs Ironically, many “heart medications” such as hypertension, cholesterol reduction and so forth actually cause MORE harm in the long run. They’re good, temporarily for the first few weeks. But your body adapts because these drugs are “fake” and cause more stress to your organs. ========================================­ Subscribe to Dr.Sam Robbins's official Youtube channel http://drsam.co/yt/subscribe Like us on Facebook https://www.facebook.com/DrSamRobbins ========================================= Thanks DrSamRobbins
Views: 17026 Dr Sam Robbins
Pulmonary Hypertension Explained Clearly by MedCram.com
 
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Dr. Roger Seheult explains the key aspects of pulmonary hypertension: 0:14 - Definition of pulmonary hypertension 0:20 - Mean pulmonary artery pressure 1:00 - Using systolic to estimate pulmonary hypertension with echocardiogram 1:18 - 5 different WHO pulmonary hypertension groups 1:30 - Pulmonary arteriolar hypertension (PAH), Idiopathic pulmonary hypertension, collagen vascular diseases, portal HTN 3:35 - BMPR2 4:00 - Left heart failure 4:10 - Lung disease, COPD, OSA, idiopathic pulmonary fibrosis 4:35 - Pulmonary embolism, chronic VTE 4:50 - Hematologic disorders, sarcoidosis, glycogen storage diseases, renal failure 5:40 - Amphetamines 5:50 - Diagnosis of pulmonary hypertension and physical exam findings 6:07 - Heart sounds, loud P2, tricuspid regurgitation, RV heave 6:35 - JVP, c,v waves liver pulsatile, edematous legs 6:58 - Chest Xray findings with pulmonary hypertension 7:36 - ECG/EKG findings with pulmonary hypertension, RVH, RBBB 8:17 - Echocardiogram findings with pulmonary hypertension 9:03 - Tricuspid regurgitation, regurgitant jet, Modified Bernoulli Equation 10:40 - Advantages of echocardiogram: PASP, 11:10 - Echo bubble study 11:25 - Right heart catheter, wedge pressure, Left atrial pressure (LAP), mean artery pressure (MAP) Speaker: Roger Seheult, MD Clinical and Exam Preparation Instructor Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine. MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Pneumonia Treatment, any many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded. Subscribe: https://www.youtube.com/subscription_... Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations. More from MedCram: Complete Video library: https://www.youtube.com/c/medcram Facebook: https://www.facebook.com/MedCram Google+: https://plus.google.com/u/1/+Medcram Twitter: https://twitter.com/MedCramVideos Produced by Kyle Allred PA-C Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical educational and exam preparation purposes, and not intended to replace recommendations by your health care provider.
What is CARDIOVASCULAR DISEASE? What doe CARDIOVASCULAR DISEASE mean?
 
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What is CARDIOVASCULAR DISEASE? What doe CARDIOVASCULAR DISEASE mean? Cardiovascular disease (CVD) is a class of diseases that involve the heart or blood vessels. Cardiovascular disease includes coronary artery diseases (CAD) such as angina and myocardial infarction (commonly known as a heart attack). Other CVDs are stroke, hypertensive heart disease, rheumatic heart disease, cardiomyopathy, heart arrhythmia, congenital heart disease, valvular heart disease, carditis, aortic aneurysms, peripheral artery disease, and venous thrombosis. The underlying mechanisms vary depending on the disease in question. Coronary artery disease, stroke, and peripheral artery disease involve atherosclerosis. This may be caused by high blood pressure, smoking, diabetes, lack of exercise, obesity, high blood cholesterol, poor diet, and excessive alcohol consumption, among others. High blood pressure results in 13% of CVD deaths, while tobacco results in 9%, diabetes 6%, lack of exercise 6% and obesity 5%. Rheumatic heart disease may follow untreated strep throat. It is estimated that 90% of CVD is preventable. Prevention of atherosclerosis is by decreasing risk factors through: healthy eating, exercise, avoidance of tobacco smoke and limiting alcohol intake. Treating high blood pressure and diabetes is also beneficial. Treating people who have strep throat with antibiotics can decrease the risk of rheumatic heart disease. The effect of the use of aspirin in people who are otherwise healthy is of unclear benefit. The United States Preventive Services Task Force recommends against its use for prevention in women less than 55 and men less than 45 years old; however, in those who are older it is recommends in some individuals. Treatment of those who have CVD improves outcomes. Cardiovascular diseases are the leading cause of death globally. This is true in all areas of the world except Africa. Together they resulted in 17.3 million deaths (31.5%) in 2013 up from 12.3 million (25.8%) in 1990. Deaths, at a given age, from CVD are more common and have been increasing in much of the developing world, while rates have declined in most of the developed world since the 1970s. Coronary artery disease and stroke account for 80% of CVD deaths in males and 75% of CVD deaths in females. Most cardiovascular disease affects older adults. In the United States 11% of people between 20 and 40 have CVD, while 37% between 40 and 60, 71% of people between 60 and 80, and 85% of people over 80 have CVD. The average age of death from coronary artery disease in the developed world is around 80 while it is around 68 in the developing world. Disease onset is typically seven to ten years earlier in men as compared to women.
Views: 649 The Audiopedia
Reducing cardiovascular risk in patients with chronic kidney disease
 
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Date: 18 May 2014 Speaker: dr. Adrianus Kosasih, SpJP Location: The Ritz Carlton Kuningan, Jakarta Event: Jakarta Cardiovascular Summit
Views: 291 Meetmed
Hypertension Explained Clearly - Causes, Diagnosis, Medications, Treatment
 
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Understand Hypertension and the medications used to treat it with this clear explanation from Dr. Seheult of http://www.medcram.com. This is video 1 of 2 on hypertension (high blood pressure). Includes discussion on the "ABCDs" of antihypertensive medications such as ace inhibitors, angiotensin receptor blockers, beta blockers, calcium channel blockers, and diuretics. Speaker: Roger Seheult, MD Clinical and Exam Preparation Instructor Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine. MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Pneumonia Treatment, any many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded. Subscribe: https://www.youtube.com/subscription_center?add_user=medcramvideos Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations. More from MedCram: Complete Video library: https://www.youtube.com/c/medcram Facebook: https://www.facebook.com/MedCram Google+: https://plus.google.com/u/1/+Medcram Twitter: https://twitter.com/MedCramVideos Produced by Kyle Allred PA-C Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical educational and exam preparation purposes, and not intended to replace recommendations by your health care provider.
How to Reverse Clogged Arteries, Cure Heart Disease & Eliminate High Blood Pressure
 
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Views: 18237 Wellness Mogul
What are the main causes of kidney failure ? | Health Tips for Life
 
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In the united states two leading causes of kidney failure, also called end stage disease or esrd, are diabetes (also type 2, adult onset diabetes) and high blood pressure. Googleusercontent search. Which is the main causes of kidney failure? Quora. Lifelong efforts to control blood pressure and diabetes be the best way prevent chronic kidney disease its progression failure 13 learn about causes symptoms of from experts at webmd 4 treatment for focuses on slowing damage, usually by controlling underlying cause 5 acute comprehensive overview covers symptoms, sudden loss function what are some (ckd)? Learn diabetes, hypertension other leading ckd how reduce your according nih, two most common high. How to cure kidney failure foods for what causes of search info & results now. La fondation chronic kidney disease dangerous condition can be linked to diet diabetes (diabetes mellitus) diabetic. Causes of kidney failure in young adults causes 10 common disease dogs pet health network. Around one in five people needing dialysis have diabetic kidney 23 Kidney failure symptoms natural cure of. Kidney disease silent epidemic neglect in care and prevention. Kidney failure symptoms natural cure of kidney. The kidneys are among the most vital organs in your body kidney disease is a common problem of older dogs, affecting an estimated 10. Kidney disease causes and basic information webmd. Chronic kidney disease symptoms and causes mayo clinic. Chronic kidney disease fact sheet, centers for how high blood pressure can lead to damage or failure. Treatment of the underlying cause kidney failure return function to normal. Kidney failure signs, symptoms, causes & stages medicinenet. These include prostate (most common type in men), colon, cervical, and bladder kidneys are the organs that filter waste products from blood. Kidney disease causes the national kidney foundation. Chronic kidney disease nhs choices. Your health care provider will look at your history and cardiovascular disease is one of the main causes death in people with kidney disease, although healthy lifestyle changes medication can help reduce 29 chronic or failure, a progressive loss function, sometimes over years, leading to permanent (ckd) has numerous. Chronic kidney disease causes, symptoms, and treatmentskidney treatment, diagnosis failure better health channel. List of primary causes renal failure mycrownwebpetmd. Kidney failure symptoms natural cure of kidney failure. When these two diseases are controlled by treatment, the associated kidney disease can often be prevented or slowed down 17 many different symptoms occur during failure. The incidence is alarming, with 1 in every 9 adult singaporeans 23 chronic kidney disease causes include diseases of the kidney(s), diabetes, main function kidneys to remove waste products and 9th leading cause death united states. Kidney failure (renal failure) chronic kidney disease stages 4, 3, 2 and symptoms. If your family has a history of any kind diabetes and high blood pressure are the most common causes chronic kidney disease (ckd). 25 for item 15 on the cms 2728 (8 15) primary cause of renal failure should be determined by the attending physician using the appropriate long term kidney failure in cats can affect blood pressure, blood sugar, blood volume causes of kidney failure can include kidney disease, urinary blockage blood in the urine indicate a serious underlying disease, with female cats at chronic kidney disease (ckd) is a condition in which the kidneys are damaged or cannot filter blood as main reported cause of new cases of esrd is 15 this is why high blood pressure (hbp or hypertension) is the second leading cause of kidney failure. Kidney disease causes the national kidney foundation atoz content kidneydiscauses url? Q webcache. Kidney failure causes, types, and symptoms healthline. Disease statistics american kidney fund. The most common causes of ckd are diabetes mellitus and the kidney disease include diabetes, high blood pressure, hardening arteries (which damages vessels in you more at risk chronic if it is important to ask your doctor check hypertension (high pressure) two leading failure. Health 2 main causes of kidney disease you must know youtube. Often, kidney disease is associated with other medical conditions such as diabetes and or high blood pressure, the leading causes of failure 8 staying at a healthy weight eating diet low in salt fat can help control your one main 4 diabetic actually most common cause. Over time, uncontrolled high blood people who are most at risk for kidney failure usually suffer from one or more of the following causes loss flow to kidneys a sudden bl healthy cleanse excess fluid, minerals and other bodily waste products primary genetic cause chronic especially in children discover main diseases. An estimated 31 million people in the united states (10. Ckd causes the kidney foundation of canada.
Chokeberry Reviews - Does Chokeberry Work
 
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http://www.Detorex.com Prolonged hypertension accelerates arteriosclerosis and is the major cause of heart failure, vascular disease, renal failure, and stroke. Because the heart is forced to pump against greater resistance, it must work harder, and in time the myocardium enlarges. When finally strained beyond its capacity to respond, the heart weakens and its walls become flabby. Advanced warning signs include headache, sweating, rapid pulse, shortness of breath, dizziness, and vision disturbances.
Intern Content: Renal Failure - OnlineMedEd
 
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Free online lecture provided by OnlineMedEd @ www.onlinemeded.org. Designed to help you learn the foundation for your career and ace the boards and wards.
Views: 50719 OnlineMedEd
Introduction to Renal Failure - CRASH! Medical Review Series
 
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For just $1/month, you can help keep these videos free! Subscribe to my Patreon at http://www.patreon.com/pwbmd ERRATUM (9:15): I misspoke - If we have a low urine sodium, it means we are not *EXCRETING* sodium. (Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnosis of any illness. If you think you may be suffering from any medical condition, you should consult your physician or seek immediate medical attention.)
Views: 85255 Paul Bolin, M.D.
Baba Ramdev's Yog Yatra: Yoga to cure heart problems
 
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This episode on Yog Yatra explains about exercises and to cure heart diseases and related problems. For more info log on to: www.youtube.com/abpnewsTV
Views: 501637 ABP NEWS
Risk Factors For Kidney Disease
 
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►► http://treatmentforkidneydisease.tamo... ◄◄ THE BEST NATURAL TREATMENT FOR KIDNEY DISEASE THAT EXISTS & REALLY WORKS!!! Risk Factors For Kidney Disease Diabetes which often referred to as 'sugar' and hypertension are the leading causes of kidney disease. The damage done to kidneys occurs overtime and usually without the patient knowing it. Like high blood pressure the solution is found in regular testing of diabetes to establish its presence. As is apparent, each individual has two kidneys situated near the center of the back. Kidneys work by filtering blood using tiny blood vessels that remove waste and extra water then producing urine. Diabetes and hypertension damages these blood vessels and can then cause kidney ailment. Damaged kidneys may lead to a special type of hypertension called renovascular hypertension. Kidney ailment from diabetes and high blood pressure does not go away. This is contrary to what most people wrongfully believe. Instead it gets worse over a period of time. If no attention is given it will lead to kidney failure which will require dialysis or transplant altogether. In terms of prevalence, in the United States African Americans are at high risk of kidney failure. This partly coincides with the already high prevalence of diabetes and hypertension in the African American community. Damage to kidneys is established when doctors test a person's urine for protein. When kidneys have damage, protein escapes into urine as part of excretion. It follows that the sooner you are tested and the disease is caught the sooner you can take steps to keep your kidneys healthier for a longer time. Besides diabetes and high blood pressure another factors associated with kidney disease include having heart or cardiovascular disease or having your mother, father, sister or brother with kidney disease. This means in short having kidney ailment in the family raises your risk of developing kidney disease. There are specific steps that can be taken to protect your kidneys. Apart from managing your diabetes and high blood pressure eating healthy is an important part of taking care of your kidney health. You will also need to stay active in addition to taking your medication as prescribed. Staying active keeps your blood pressure at bay. In fact doctors recommended sustained and regular exercise as a way of keeping your blood pressure under control as well as losing weight. Taking medication as prescribed is extremely important. In fact in hypertension treatment taking medication inconsistently or out right abandon leads to refractory hypertension. Just like hypertension, kidney ailment can be controlled if action is taken in advance of time. As mentioned earlier, regular testing is necessary in order to detect the problem early. diet for kidney disease kidney disease stages causes of kidney disease types of kidney disease chronic kidney disease stage 3 polycystic kidney disease symptoms kidney disease symptoms in women stage 4 kidney disease chronic kidney disease stages kidney disease in dogs chronic kidney disease diet kidney disease stage 3 kidney disease in children treatment for kidney disease stages of chronic kidney disease cystic kidney disease symptoms kidney disease polycystic kidney disease diet renal kidney disease
Views: 126 Parker Sharman
Cure For Kidney Disease by Yoga and Herbs (Baba Ramdev)
 
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http://www.bharatswabhimansamachar.in
Views: 799230 Swami Ramdev
The Diabetes-Heart Disease Connection
 
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Steps you can take to manage diabetes and also help protect your heart. Learn more: https://www.cdc.gov/heartdisease/index.htm Comments on this video are allowed in accordance with our comment policy: http://www.cdc.gov/SocialMedia/Tools/CommentPolicy.html This video can also be viewed at https://www.cdc.gov/wcms/video/low-res/diabetestv/2017/9120912017_The-Diabetes-Heart-Disease-Connection2_MASTER.mp4
Diabetic Nephropathy- causes, symptoms, diagnosis, treatment, pathology
 
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What is Diabetic Nephropathy? Diabetic Nephropathy is the kidney damage that results from both type I and type II diabetes. Find more videos at http://osms.it/more. Hundreds of thousands of current & future clinicians learn by Osmosis. We have unparalleled tools and materials to prepare you to succeed in school, on board exams, and as a future clinician. Sign up for a free trial at http://osms.it/more. Subscribe to our Youtube channel at http://osms.it/subscribe. Get early access to our upcoming video releases, practice questions, giveaways, and more when you follow us on social media: Facebook: http://osms.it/facebook Twitter: http://osms.it/twitter Instagram: http://osms.it/instagram Our Vision: Everyone who cares for someone will learn by Osmosis. Our Mission: To empower the world’s clinicians and caregivers with the best learning experience possible. Learn more here: http://osms.it/mission Medical disclaimer: Knowledge Diffusion Inc (DBA Osmosis) does not provide medical advice. Osmosis and the content available on Osmosis's properties (Osmosis.org, YouTube, and other channels) do not provide a diagnosis or other recommendation for treatment and are not a substitute for the professional judgment of a healthcare professional in diagnosis and treatment of any person or animal. The determination of the need for medical services and the types of healthcare to be provided to a patient are decisions that should be made only by a physician or other licensed health care provider. Always seek the advice of a physician or other qualified healthcare provider with any questions you have regarding a medical condition.
Views: 184422 Osmosis