OSCE

  1)Which is more common

¹) CKD causing hypertension

²) hypertension causing CKD

ANS

AS PER DATA 

GLOBAL BURDEN OF HYPERTENSION ON POPULATION IS 30% i.e., 1.3 billions 

GLOBAL BURDEN OF CKD ON POPULATION IS 13.4%

Severe hypertension causes vascular damage, tubular damage

So this causes chronic kidney disease 

As per data hypertension causing CKD IS more common

2) at what levels of urea and creatinine diuretics won't work and dialysis is recommended

Ans)

Urea levels-35.7mmol/litre

Creatinine levels- 29% 

As kidneys are severely damaged the urine cannot be excreted so there is no use in taking diuretics for edema so then dialysis is recommended.