A 42-year-old male with chronic kidney disease undergoing chronic dialysis presents with worsening breathlessness. Examination reveals muffled heart sounds. Chest X-ray image is shown below (enlarged, globular cardiac silhouette). What is the most likely diagnosis of this patient?
Pericardial effusion
Chronic kidney disease patients on dialysis are prone to uremic pericarditis with pericardial effusion, which classically presents with breathlessness and muffled/distant heart sounds. The chest X-ray typically shows an enlarged, globular ('water-bottle') cardiac silhouette rather than the findings seen with pneumothorax, pleural effusion, or pulmonary embolism.
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Select the correct answer using the code given below:
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Important Questions from Renal Failure
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1. Contrast nephrotoxicity
2. Cholesterol atheroembolism
3. Nephrogenic sclerosing fibrosis of skin
Select the correct answer using the code given below: - A middle aged diabetic male who has recurrent chest pain undergoes coronary artery angiogram. The following day, he develops haematuria, proteinuria and renal impairment. What is the most likely diagnosis?
- Which of the following are contraindications for renal biopsy?
1. Normal size kidney
2. Uncontrolled hypertension
3. Solitary kidney
4. Disordered coagulation
Select the correct answer using the code given below: - What is the target blood Hemoglobin level when treating anaemia in Stage-4 chronic kidney disease patient?
- Which one of the following complications of chronic kidney disease is observed in patients with low parathyroid hormone levels?
