Chronic renal failur2

Chronic renal failur2 - o If the patient has fluid overload...

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Chronic renal failure Chronic renal failure is defined as a GFR of <60ml/min/1.73m2 for >3months with/without evidence of kidney damage. Chronic renal failure can also be called chronic kidney disease. Symptoms Chronic renal failure can present with a number of symptoms: o Uraemia o anaemia o acidosis o oedema o tired o breathless o cramp o itching o restless legs o aches and pains o nausea and vomiting When asking about patients history, it is important to remember: o Ask about fatigue, weakness, restless legs, bone pain o If the patient has uraemia they may also have nausea and vomiting, metallic taste, pruritis, tremor, impotence
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Unformatted text preview: o If the patient has fluid overload they may also have shortness of breath and ankle swelling o Past medical history – UTI, hypertension, diabetes mellitus o Drugs – ACEI/ARB, NSAIDs o Family history – PCKD, Alport syndrome o Social history – exposure to heavy metals On examination you may find: o Pallor o yellow skin pigmentation o brown nails o purpura o bruising o Shortness of breath o Increased BP o cardiomegaly o pleural effusion o pulmonary and peripheral oedema (If the patient has diabetes mellitus look for evidence of retinopathy and neuropathy)...
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This note was uploaded on 12/04/2011 for the course ANTHRO 2000 taught by Professor Monicaoyola during the Fall '10 term at Broward College.

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Chronic renal failur2 - o If the patient has fluid overload...

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