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Pathophysiology (BP204T)

Unit V – Renal & Endocrine Disorders

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1. Introduction to Renal Disorders

Renal disorders affect the structure and function of the kidneys, leading to disturbances in fluid, electrolyte, and acid–base balance. These disorders may be acute or chronic in nature.

2. Acute Renal Failure

Acute renal failure is a sudden decline in kidney function resulting in decreased glomerular filtration rate and accumulation of waste products in the blood.

3. Chronic Kidney Disease

Chronic kidney disease is a progressive loss of renal function over months or years. It may lead to end-stage renal disease requiring dialysis or transplantation.

4. Nephrotic Syndrome

Nephrotic syndrome is characterized by proteinuria, hypoalbuminemia, edema, and hyperlipidemia due to increased permeability of the glomerular membrane.

5. Introduction to Endocrine Disorders

Endocrine disorders result from abnormal secretion of hormones by endocrine glands, leading to metabolic and physiological disturbances.

6. Diabetes Mellitus

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia due to insulin deficiency or insulin resistance.

7. Thyroid Disorders

Thyroid disorders include hypothyroidism and hyperthyroidism, which result from decreased or increased secretion of thyroid hormones.

8. Adrenal Disorders

Disorders of the adrenal gland include Cushing’s syndrome and Addison’s disease, caused by excess or deficiency of adrenal hormones.

9. Pharmaceutical Importance

Knowledge of renal and endocrine disorders assists pharmacists in dosage adjustment of drugs, management of chronic diseases, and prevention of adverse drug reactions.