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Many people with Type 2 who have not already experienced end-organ damage can be cured by carbohydrate restriction.
If iron overload has caused end-organ damage, this is generally irreversible and may require transplantation.
Thus, if this strategy is to be used, circulatory volume status and end-organ function must be carefully monitored.
During a hypertensive emergency uncontrolled blood pressure leads to progressive or impending end-organ dysfunction.
Acute end-organ damage may occur, affecting the neurological, cardiovascular, renal, or other organ systems.
This process results in end-organ damage due to loss of nutrients, oxygen, and removal of cellular waste products.
Examples of end-organ dysfunction include the following:
This low frequency of end-organ renal damage suggests a potential predisposition to this complication.
Retinitis is the most common clinical manifestation of CMV end-organ disease.
Pulmonary hypertension (PHT) represents an example of such end-organ damage.
Patient age, associated clinical conditions and end-organ damage also play a part in determining dosage and type of medication administered.
In type 2 diabetes, insulin production is present but is insufficient to meet the body's requirements as a result of end-organ insulin resistance.
Alcohol related hepatic, pancreatic, gastrointestinal, cardiovascular, or renal disease i.e. other end-organ damage.
More specific definitions of end-organ dysfunction exist for SIRS in pediatrics.
Careful monitoring for signs of end-organ damage or progression to hypertension is an important part of the follow-up of patients with prehypertension.
If the patient's circulatory volume is adequate but there is persistent evidence of inadequate end-organ perfusion, inotropes may be administered.
Third, signs of end-organ dysfunction are required such as renal failure, liver dysfunction, changes in mental status, or elevated serum lactate.
Other end-organ damage can include acute renal failure or insufficiency, retinopathy, eclampsia, and microangiopathic hemolytic anemia.
Detailed Description: As patients with sickle cell disease (SCD) age, recurrent vaso-occlusive episodes lead to progressive end-organ damage.
These patients usually tolerate cytotoxic therapy poorly, with increased morbidity and mortality due to increased infectious complications and often increased end-organ toxicities.
Even in the absence of retinitis with other CMV end-organ disease, periodic ophthalmologic examinations are needed to monitor for cidofovir-associated uveitis when this agent is used.
Failure to receive antibiotic therapy, especially during the initial stages of the disease, may lead to end-organ failure (heart, kidney, lungs, meningitis, brain damage, shock, and even death.
If sepsis worsens to the point of end-organ dysfunction (renal failure, liver dysfunction, altered mental status, or heart damage), then the condition is called severe sepsis.
These studies raise the possibility, therefore, that the appearance or disappearance of a factor or factors in adolescents and adults reduces susceptibility to end-organ injury in HUS.
The morbidity and mortality of hypertensive emergencies depend on the extent of end-organ dysfunction at the time of presentation and the degree to which blood pressure is controlled afterward.