#asian institute of nephrology and urology AINU
Explore tagged Tumblr posts
Text
Best kidney hospital in India | best urology and nephrology hospital in banjara hills | ckd in children
Kidney disease can affect children in various ways, ranging from treatable disorders without long-term consequences to life-threatening conditions. Acute kidney disease develops suddenly, lasts a short time, and can be serious with long-lasting consequences or may go away completely once the underlying cause has been treated. Chronic kidney disease (CKD) does not go away with treatment and tends to get worse over time. CKD eventually leads to kidney failure, described as end-stage kidney disease or ESRD when treated with a kidney transplant or blood-filtering treatments called dialysis.
Children with CKD or kidney failure face many challenges, which can include
A negative self-image
relationship problems
behavior problems
learning problems
trouble concentrating
delayed language skills development
delayed motor skills development
Children with CKD may grow at a slower rate than their peers, and urinary incontinence—the loss of bladder control, which results in the accidental loss of urine—is common.
Causes Kidney disease in children can be caused by
birth defects
hereditary diseases
infection
nephrotic syndrome
systemic diseases
trauma
urine blockage or reflux
From birth to age 4, birth defects and hereditary diseases are the leading causes of kidney failure. Between ages 5 and 14, kidney failure is most commonly caused by hereditary diseases, nephrotic syndrome, and systemic diseases. Between ages 15 and 19, diseases that affect the glomeruli are the leading cause of kidney failure, and hereditary diseases become less common.
Symptoms The signs and symptoms in advanced chronic kidney disease may include the following:
Volume overload
Hyperkalemia
Metabolic acidosis
Hypertension
Anemia
Bone disease (termed osteodystrophy)
Cardiovascular disease
Anorexia, nausea, vomiting
Diagnosis
Dipstick test for albumin
Urine albumin-to-creatinine ratio
Blood test
Imaging studies
Kidney biopsy
Treatment Treatment for kidney disease in children depends on the cause of the illness. A child may be referred to a pediatric nephrologist — a doctor who specializes in treating kidney diseases and kidney failure in children — for treatment. Children with a kidney disease that is causing high blood pressure may need to take medications to lower their blood pressure. Improving blood pressure can significantly slow the progression of kidney disease. The health care provider may prescribe
angiotensin-converting enzyme (ACE) inhibitors, which help relax blood vessels and make it easier for the heart to pump blood
angiotensin receptor blockers (ARBs), which help relax blood vessels and make it easier for the heart to pump blood
diuretics, medications that increase urine output
Many children require two or more medications to control their blood pressure; other types of blood pressure medications may also be needed.As kidney function declines, children may need treatment for anemia and growth failure. Anemia is treated with a hormone called erythropoietin, which stimulates the bone marrow to produce red blood cells. Children with growth failure may need to make dietary changes and take food supplements or growth hormone injections. Children with kidney disease that leads to kidney failure must receive treatment to replace the work the kidneys do. The two types of treatment are dialysis and transplantation.
Diet and Nutrition For children with CKD, learning about nutrition is vital because their diet can affect how well their kidneys work. Staying healthy with CKD requires paying close attention to the following elements of a diet:
Protein: Children with CKD should eat enough protein for growth while limiting high protein intake. Too much protein can put an extra burden on the kidneys and cause kidney function to decline faster. Protein needs increase when a child is on dialysis because the dialysis process removes protein from the child’s blood. The health care team recommends the amount of protein needed for the child. Foods with protein include
eggs
milk
cheese
chicken
fish
red meats
beans
yogurt
cottage cheese
Sodium: The amount of sodium children need depends on the stage of their kidney disease, their age, and sometimes other factors. The health care team may recommend limiting or adding sodium and salt to the diet. Foods high in sodium include
canned foods
some frozen foods
most processed foods
some snack foods, such as chips and crackers
Potassium: Potassium levels need to stay in the normal range for children with CKD, because too little or too much potassium can cause heart and muscle problems. Children may need to stay away from some fruits and vegetables or reduce the number of servings and portion sizes to make sure they do not take in too much potassium. The health care team recommends the amount of potassium a child needs. Low-potassium fruits and vegetables include
apples
cranberries
strawberries
blueberries
raspberries
pineapple
cabbage
boiled cauliflower
mustard greens
uncooked broccoli
High-potassium fruits and vegetables include
oranges
melons
apricots
bananas
potatoes
tomatoes
sweet potatoes
cooked spinach
cooked broccoli
Phosphorus: Children with CKD need to control the level of phosphorus in their blood because too much phosphorus pulls calcium from the bones, making them weaker and more likely to break. Too much phosphorus also can cause itchy skin and red eyes. As CKD progresses, a child may need to take a phosphate binder with meals to lower the concentration of phosphorus in the blood. Phosphorus is found in high-protein foods. Foods with low levels of phosphorus include
liquid nondairy creamer
green beans
popcorn
unprocessed meats from a butcher
lemon-lime soda
root beer
powdered iced tea and lemonade mixes
rice and corn cereals
egg white
sorbet
Fluids: Early in CKD, a child’s damaged kidneys may produce either too much or too little urine, which can lead to swelling or dehydration. As CKD progresses, children may need to limit fluid intake. The health care provider will tell the child and parents or guardians the goal for fluid intake.
#Best kidney hospital in India#best urology hospital in india#surgery#best blood cancer hospital in india#best bladder cancer hospital in india#best kidney transplant hospital in India.#asian institute of nephrology and urology AINU#ainu banjara hills
0 notes
Link
Asian Institute of Nephrology and Urology (AINU) is a world – class, single-specialty, renal sciences hospital in Hyderabad. It was established in the year 2013. AINU is among the few urology and nephrology-focused tertiary care hospitals in South India, offering a full suite of medical and surgical services, day care services and supporting services. It is one of the youngest hospitals in the country to achieve NABH accreditation, within two years from its inception.
The facilities at AINU combine state-of-the-art amenities and world-class service standards. It has 100 beds, 3 operating rooms equipped with state-of-the-art equipment, a 9-Bedded Surgical ICU, a 3-Bedded Day Care Ward, 15-Bedded Hemodialysis Unit and Comprehensive diagnostics support facilities
We constantly strive to make a difference to clinical outcomes for the patients by ensuring that we have highly qualified & experienced team along with latest technology/technique to deliver outstanding clinical outcomes.
Department of Urology offers advanced urological care. AINU is recognized as a referral centre for high end and complex Endoscopic and Laparoscopic procedures. It offers the complete gamut of diagnostics and treatment for stone disease, urology cancers, prostate diseases, reconstructive urology surgery, laparoscopic urology, erectile dysfunction and andrology.
Department of Nephrology offers treatment for acute, chronic and end-stage renal diseases (ESRD) and world-class dialysis unit. Our distinguished team of doctors, nurses and technicians take extreme care of transplant patients from pre-operative to the post-operative stage.
#best nephrology hospital in india#Best kidney hospital in India#Best Neurologist in India#Asian Institute of Nephrology and Urology in India (AINU)
0 notes
Link
Haemolytic uremic syndrome, or HUS, is a kidney condition that happens when red blood cells are destroyed and block the kidneys’ filtering system. The damaged red blood cells clog the filtering system in the kidneys, which can lead to life-threatening kidney failure. If the kidneys stop functioning, a child can develop acute kidney injury. The sudden and temporary loss of kidney function. Haemolytic uremic syndrome is the most common cause of acute kidney injury in children. Red blood cells contain haemoglobin—an iron-rich protein that gives blood its red colour and carries oxygen from the lungs to all parts of the body.
Symptoms:
Bloody diarrhoea
Decreased urination or blood in the urine
Abdominal pain, vomiting and occasionally fever
Pallor
Small, unexplained bruises or bleeding from the nose and
Fatigue and irritating
Symptoms of haemolytic uremic syndrome in children:
A child with haemolytic uremic syndrome may develop signs and symptoms similar to those seen with gastroenteritis—an inflammation of the lining of the stomach, small intestine, and large intestine such as,
Vomiting
Bloody diarrhoea
Abdominal pain
Fever and chills
Headache
Risk Factors:
The risk of developing HUS is highest for:
Children under 5 years of age
People over 75
People with certain genetic changes that make them more susceptible
Complications:
HUS can cause life-threatening complications, including:
Kidney failure, which can be sudden (acute) or develop over time (chronic)
High blood pressure
Stroke
Coma
Intestinal problems, such as inflammatory colitis
Heart problems
Asian Institute of Nephrology and Urology (AINU) is the best kidney hospital in India, providing world-class treatment for all your renal problems. AINU hospitals successfully completed 500 robotic surgeries and proven that they are the best kidney transplant hospital in India.
#Best kidney hospital in India#best kidney transplant hospital in India.#treatment#Sympthoms#Haemolytic uremic syndrome#Asian Institute of Nephrology and Urology (AINU)#kidney disease
0 notes
Photo
Best bladder cancer treatment hospital in dilsukhnagar | best kidney transplant hospital in Hyderabad | best uro and nephro hospital in dilsukhnagar | ainu Hyderabad
Overview
TURBT: Endoscopic resection of bladder tumors or laser fulguration of tiny lesions Robotic or open Radical cystectomy: Removal of cancerous bladder and surrounding lymph nodes. Urine diversion is done by an ileal conduit (urine tubes or ureters are attached to a segment of the small intestine and this is brought out through the tummy wall as stoma to which a urine bag is applied). In selected patients neobladder can be created where the intestinal segment is used to create a reservoir similar to urinary bladder, facilitating urine passage naturally.
Risk Factors
· Smoking
· Exposure to benzidine and beta-naphthylamine typically found in the dye industry
· Aging
· Gender (More in men)
· Bladder infection
Symptoms
· Blood in urine
· Urge to empty the bladder
· Increased frequency of urination
Diagnosis
· Bladder biopsy
· Ultrasound
· CT scan
· MRI Scan
Treatment Options
· Transurethral bladder tumor resection (TURBT)
· Cystectomy and lymph node dissection
· Urinary diversion
Asian Institute of Nephrology and Urology is a “Centre of Excellence” for Urology and Nephrology. It is one of South India’s leading renal sciences hospital. Located in Hyderabad and Visakhapatnam, AINU provides a comprehensive range of clinical services in the field of Urology and Nephrology care, with experienced team of doctors, nurses and para-medical technicians to deliver medical excellence at every level of patient care.
World class experts are here book an appointment
#ainu dilsuknagar kidney transplant#best kidney treartment hospital#best kidney hospital in india#bursting bladder
1 note
·
View note
Photo
Overactive Bladder
What is an Overactive Bladder (OAB)?
Overactive bladder
(OAB) is a urinary symptom, it is not a disease. The most common symptom is sudden, uncontrolled need or urges to urinate. Another symptom is frequent urination during day and night.
What are the symptoms of Overactive Bladder?
Leak urine or urinary incontinence, this means you feel a sudden urge to urinate, this is completely different than stress urinary inconsistency. In this case, urine leakage occurs during sneezing, coughing, laughing or doing other physical activities.
Urinary frequency
Wake up at night times to pass urine
What are the causes of Overactive Bladder?
A urinary tract infections (UTIs)
Idiopathic
Neurological disorders, such as stroke and multiple sclerosis
Diabetes
Abnormalities in the bladder, such as bladder stones, bladder cancer, GUTB
Enlarged prostate, previous operations to treat other forms of incontinence
Excess consumption of caffeine or alcohol
The decrease in cognitive function due to aging also makes difficult for your bladder to understand the signals it receives from your brain
Difficult to walk; lead to bladder urgency if you're unable to get to the bathroom quickly
Incomplete bladder emptying also leads to overactive bladder
Diagnosis for Overactive Bladder
Bladder Diary
The doctor will ask you to keep a Bladder Diary for a few days. With this, you will note how often you are going to the bathroom and how many times you leak urine. This will help Urologists learn more about your symptoms. It helps you track:
How much fluid you drink
How much you urinate
How often you have urgency feeling
How much urine you may leak
This information helps in treatment.
Other Tests for Overactive Bladder
Urine test: Sample of your urine is taken to test for infection or blood·
Bladder scan: Ultrasound helps to find how much urine is still in the bladder after you go to the bathroom·
Cystoscopy: To find bladder lesions.·
Urodynamic study: If, regular treatment of OAB, not relieving symptoms.
Treatment for Overactive Bladder
Medications that relax bladder are helpful for relieving symptoms of overactive bladder and reducing times of urge incontinence. Drugs used for overactive bladder treatment: Anticholinergic & B3 – Agonists.
----
Asian Institute of Nephrology and Urology
(AINU) is the best kidney hospital in India, providing world-class treatment for all your renal problems. AINU hospitals successfully completed 500 robotic surgeries and proven that they are the best kidney transplant hospital in India
.
AINU is known for the best urology hospital in India by providing world-class healthcare experts to help from all urological problems for men and women of all ages. AINU is also known for the best nephrology hospital in India by providing comprehensive treatment for all nephrological problems.
#best hospital in india#best urology hospital in india#best kidney hospital in hyderabad#best urology hospital in hyderabad#Best Urology Hospital In Dilsukhnagar#Best Nephrology Hospital In Dilsukhnagar
1 note
·
View note
Link
Expert Urologists from Specialized Urology Hospital in Vizag | AINU India
Our team of doctors are amongst the best urologist in Vizag. Book an appointment with the top urologist doctors in Visakhapatnam at AINU who offer the best treatment and care.
#best urologist in vizag#urologist in vizag#best urologist in visakhapatnam#urologist doctor in visakhapatnam
0 notes
Text
Super-speciality Hospital for Renal sciences - Urology and Nephrology - Ainu India
Asian Institute of Nephrology and Urology (AINU) is a world – class, -specialty, renal sciences hospital in Hyderabad. And it is one of the largest hospitals in South India. Department of Urology and nephrology provides advanced Treatment and Care with the Specialized Doctors.
1 note
·
View note
Link
CKD in Children | best kidney hospital | urology | nephrology | AINU banjara hills
Kidney disease can affect children in various ways, ranging from treatable disorders without long-term consequences to life-threatening conditions. Acute kidney disease develops suddenly, lasts a short time, and can be serious with long-lasting consequences or may go away completely once the underlying cause has been treated. Chronic kidney disease (CKD) does not go away with treatment and tends to get worse over time. CKD eventually leads to kidney failure, described as end-stage kidney disease or ESRD when treated with a kidney transplant or blood-filtering treatments called dialysis.
Children with CKD or kidney failure face many challenges, which can include
A negative self-image
relationship problems
behavior problems
learning problems
trouble concentrating
delayed language skills development
delayed motor skills development
Children with CKD may grow at a slower rate than their peers, and urinary incontinence—the loss of bladder control, which results in the accidental loss of urine—is common.
#Best kidney hospital in India#best blood cancer hospital in india#best kidney transplant hospital in India.#best bladder cancer hospital in india#asian institute of nephrology and urology AINU
0 notes
Link
Alport Syndrome:
Alport syndrome is a genetic condition characterized by kidney disease, hearing loss, and eye abnormalities. People with Alport syndrome experience progressive loss of kidney function.
Causes Alport Syndrome is an inherited disease of the kidney. It is caused by genetic mutations that affect the type IV collagen family of proteins. Type IV collagen is a major part of important tissue structures called basement membranes that are present in all tissues including the kidney, inner ear, and eye.
Types of Alport Syndrome There are three genetic types:
X-linked Alport Syndrome (XLAS) is the most common; in these families affected males typically have more severe disease than affected females.
In autosomal recessive Alport Syndrome (ARAS) the severity of disease in affected males and females is similar.
There is also an autosomal dominant form (ADAS) which affects males and females with equal severity.
Signs and symptoms With all types of Alport syndrome the kidneys are affected. The tiny blood vessels in the glomeruli of the kidneys are damaged and cannot filter the wastes and extra fluid in your body. Many people with Alport syndrome also have hearing problems and abnormalities with their eyes.
Other signs and symptoms may include:
Blood in the urine (hematuria), the most common and earliest sign of Alport syndrome
Protein in the urine (proteinuria)
High blood pressure (hypertension)
Swelling in the legs, ankle, feet and around the eyes (called edema)
These signs and symptoms may differ, based on age, gender and inherited type of Alport syndrome. For example, hearing and vision problems tend to be more common in males than females and high blood pressure is usually found later in life.
world class experts are here book an appointment
visit: https://ainuindia.org/hitec-city/
#Best kidney transplant hospital in India#best nephrology hospital in india#Best kidney hospital in India#Asian Institute of Nephrology and Urology in India (AINU)
0 notes
Photo
Haemolytic uremic syndrome, or HUS, is a kidney condition that happens when red blood cells are destroyed and block the kidneys’ filtering system. The damaged red blood cells clog the filtering system in the kidneys, which can lead to life-threatening kidney failure. If the kidneys stop functioning, a child can develop acute kidney injury. The sudden and temporary loss of kidney function. Haemolytic uremic syndrome is the most common cause of acute kidney injury in children. Red blood cells contain haemoglobin—an iron-rich protein that gives blood its red colour and carries oxygen from the lungs to all parts of the body.
Symptoms:
Bloody diarrhoea
Decreased urination or blood in the urine
Abdominal pain, vomiting and occasionally fever
Pallor
Small, unexplained bruises or bleeding from the nose and
Fatigue and irritating
Symptoms of haemolytic uremic syndrome in children:
A child with haemolytic uremic syndrome may develop signs and symptoms similar to those seen with gastroenteritis—an inflammation of the lining of the stomach, small intestine, and large intestine such as,
Vomiting
Bloody diarrhoea
Abdominal pain
Fever and chills
Headache
Risk Factors:
The risk of developing HUS is highest for:
Children under 5 years of age
People over 75
People with certain genetic changes that make them more susceptible
Complications:
HUS can cause life-threatening complications, including:
Kidney failure, which can be sudden (acute) or develop over time (chronic)
High blood pressure
Stroke
Coma
Intestinal problems, such as inflammatory colitis
Heart problems
Asian Institute of Nephrology and Urology (AINU) is the best kidney hospital in India, providing world-class treatment for all your renal problems. AINU hospitals successfully completed 500 robotic surgeries and proven that they are the best kidney transplant hospital in India.
#Best kidney hospital in India#best kidney transplant hospital in India.#treatment#Sympthoms#Asian Institute of Nephrology and Urology (AINU)#Haemolytic uremic syndrome#kidney disease
0 notes
Text
Best Kidney Hospital in Dilsukhnagar | Best urology and nephrology | AINU
Best kidney stone hospital in Dilsukhnagar - Asian Institute of Nephrology and Urology is a “Centre of Excellence” for Urology and Nephrology. It is one of South India’s leading renal sciences hospital, Located in Dilsukhnagar.
0 notes
Text
Haematuria | Blood In Urine | Kidney Disease | AINU
Haematuria is the presence of blood in the urine. There are two types of haematuria
Gross haematuria: - Person can see blood in the urine
Microscopic haematuria: - Person cannot see blood in the urine, it can be seen by a microscope.
Causes The most common causes of haematuria include Infections in bladder, kidney, and prostate, vigorous exercise, menstruation, endometriosis, trauma Serious causes of haematuria include Bladder or kidney cancer, blood-clotting disorders, sickle cell disease, nephritic syndromes
Haematuria is most commonly seen in? The person who affects with an enlarged prostate, Urinary stones, strenuous exercise, bacterial or viral infection, and having a family history of kidney disease.
Symptom People with gross haematuria has a urine colour that looks like pink, red, or brown. A small amount of blood in the urine can change colour. Other symptoms of gross haematuria are blood clots in urine that can cause pain in the bladder or pain in the back. People with microscopic haematuria usually doesn't have any symptoms.
Treatment and Test Treatment depends on the nature of illness which has to be evaluated. To find how the blood passing of urine doctor might ask you for the urine sample this helps to find out how blood passing in urine due to kidney disease, infection or other problem. Health care professionals diagnose haematuria with a urine test called a urinalysis.
--
Asian Institute of Nephrology and Urology (AINU) is the best kidney hospital in India, providing world-class treatment for all your renal problems. AINU hospitals successfully completed 500 robotic surgeries and proven that they are the best kidney transplant hospital in India. AINU is known for the best urology hospital in India by providing world-class healthcare experts to help from all urological problems for men and women of all ages. AINU is also known for the best nephrology hospital in India by providing comprehensive treatment for all nephrological problems. Best Centre for Robotic Surgery and Uro Oncology AINU: Asian Institute of Nephrology and Urology
Address: 6-3-562/A, IrramManzil Colony, Somajiguda, Hyderabad, Telangana 500082 BANJARA HILLS, HYD (Main Centre) | +91 40 6731 3131 | [email protected] | +91 89 1676 3333 | [email protected] DILSUKHNAGAR, HYD | HITECH CITY, HYD
0 notes
Link
Avoid thirst & dehydration during warm months – CKD patients
As the temperatures begin to rise in accordance with the summer season, warm days can be a challenge particularly if you are a Chronic Kidney Disease patient who under go Dialysis has common fluid restrictions, which can cause to feel extra thirsty and dehydrated. Hence, Chronic Kidney Disease patients who must undergo Dialysis to maintain their lives should be very selective about the types and amounts of fluid they consume especially during these warm months of summer.
As most know, each Dialysis patient has a different allowance for daily fluid depending on physical activity level, body size and urine output. However, as a rule of thumb, the average Chronic Kidney Disease patient who conducts Dialysis is limited to approximately 32 to 50 fluid ounces per day.
Going over the recommended fluid allowance may lead to weight gain, increase in Blood Pressure, Edema (swelling) in the feet, ankles, wrists, face and around the eyes, abdominal bloating, shortness of breath due to fluid in the lungs, and heart problems – which can include a fast pulse, weakened heart muscles and an enlarged heart.
When it comes to hydrating, all beverages are not equal. For Chronic Kidney Disease patients who conduct Dialysis, water is probably the best bet to stay hydrated. It is suggested that drinks such as coffee, black tea and cocoa are very high in Purines which are toxins that must be diluted in large quantities of water to be flushed from the body. Hence, caffeinated, sweetened and alcoholic drinks carry chemicals or trigger chemical reactions that demand significant amounts of fluid to properly process and filter out of the body.
Therefore, while consumption of beverages such as coffee and tea is fine for most Dialysis patients, they should be extremely careful to limit the intake of such fluids since certain options may not appropriately hydrate them. When a Chronic Kidney Disease patient is thirsty and needs hydration relief they should stick primarily with water. Pick up the fruits like raspberries or vegetables like cucumbers to your water.
Of course Dialysis patients can improve hydration while limiting fluid intake by chewing ice or enjoying frozen fruits such as grapes. Still, patients should try to limit salt and if a Dialysis patient does exceed his or her fluid allowance, he or she may require an extra Dialysis Treatment Session to remove fluid buildup.
#Best kidney hospital in India#best bladder cancer hospital in india#best kidney transplant hospital in India.#best urology hospital in india#best blood cancer hospital in india#asian institute of nephrology and urology AINU#ainu banjara hills
0 notes
Link
#Best kidney transplant hospital in India#Asian Institute of Nephrology and Urology in India (AINU)#best urology hospital in india#best nephrology hospital in india
0 notes
Text
Best Kidney Hospital in Hyderabad | Urology | Nephrology | AINU
Haemolytic uremic syndrome, or HUS, is a kidney condition that happens when red blood cells are destroyed and block the kidneys’ filtering system. The damaged red blood cells clog the filtering system in the kidneys, which can lead to life-threatening kidney failure. If the kidneys stop functioning, a child can develop acute kidney injury. The sudden and temporary loss of kidney function. Haemolytic uremic syndrome is the most common cause of acute kidney injury in children. Red blood cells contain haemoglobin—an iron-rich protein that gives blood its red colour and carries oxygen from the lungs to all parts of the body.
Symptoms:
Bloody diarrhoea
Decreased urination or blood in the urine
Abdominal pain, vomiting and occasionally fever
Pallor
Small, unexplained bruises or bleeding from the nose and
Fatigue and irritating
Symptoms of haemolytic uremic syndrome in children:
A child with haemolytic uremic syndrome may develop signs and symptoms similar to those seen with gastroenteritis—an inflammation of the lining of the stomach, small intestine, and large intestine such as,
Vomiting
Bloody diarrhoea
Abdominal pain
Fever and chills
Headache
Risk Factors:
The risk of developing HUS is highest for:
Children under 5 years of age
People over 75
People with certain genetic changes that make them more susceptible
Complications:
HUS can cause life-threatening complications, including:
Kidney failure, which can be sudden (acute) or develop over time (chronic)
High blood pressure
Stroke
Coma
Intestinal problems, such as inflammatory colitis
Heart problems
Asian Institute of Nephrology and Urology (AINU) is the best kidney hospital in India, providing world-class treatment for all your renal problems. AINU hospitals successfully completed 500 robotic surgeries and proven that they are the best kidney transplant hospital in India.
#Best kidney hospital in India#best kidney transplant hospital in India.#treatment#Sympthoms#Asian Institute of Nephrology and Urology (AINU)#Haemolytic uremic syndrome
0 notes