James talks to Associate Professor Kate Wyburn about the approach to managing a dialysis patient on the wards.
Summary Writer: George McClintock
Editor: James Edwards
Interviewee: Kate Wyburn
Associate Professor Kate Wyburn is a Senior Staff Specialist Nephrologist at Royal Prince Alfred Hospital and a Clinical Associate Professor at the Faculty of Medicine, Central Clinical School, University of Sydney. Kate Wyburn is the current Chair of the NSW Transplant Advisory Committee. She has a long-standing interest in immunology and its relationship to renal disease and undertook a PhD in Transplant Immunology at The University of Sydney. Her main clinical and research interests include highly sensitised kidney transplantation, both HLA and ABO-incompatible and B cell immunobiology.
With Dr Kate Wyburn Senior Staff Specialist at Royal Prince Alfred Hospital and Associate Professor at the Clinical School of Medicine, Sydney University, New South Wales, Australia
Associate Professor Wyburn discusses an approach to managing a dialysis patient on the wards. A helpful topic for those interested in renal medicine and anyone covering a renal ward after hours.
Case 1 – You are an intern on the wards and you get asked to review a patient receiving dialysis with low blood pressure of 80/40. What is your initial approach over the phone and when you finally go to review the patient?
You are asked to review a patient who has presented directly to the renal ward from home, who is having peritoneal dialysis and is complaining of “cloudy bags”. What does this mean and what is its clinical significance?
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