Резюме
Definition
History and exam
Key diagnostic factors
- presença de fatores de risco
- fadiga
- edema
- náuseas com/sem vômitos
- prurido
- pernas inquietas
- anorexia
- doença glomerular relacionada à infecção
Other diagnostic factors
- artralgia
- próstata aumentada
- urina espumosa
- urina com coloração de cola
- erupções cutâneas
- dispneia
- ortopneia
- convulsões
- retinopatia
Risk factors
- diabetes mellitus
- hipertensão
- idade >50 anos
- doença renal infantil
- tabagismo
- obesidade
- etnia negra ou hispânica
- história familiar de DRC
- doenças autoimunes
- sexo masculino
- uso prolongado de anti-inflamatórios não esteroidais
- níveis altos de ácido úrico
Diagnostic tests
1st tests to order
- perfil bioquímico renal
- estimativa da taxa de filtração glomerular (TFG)
- estimativa da taxa de filtração glomerular (TFG) baseada na cistatina C e cistatina C sérica
- urinálise
- albumina urinária
- ultrassonografia renal
Tests to consider
- biópsia renal
- radiografia abdominal simples
- tomografia computadorizada (TC) abdominal
- ressonância nuclear magnética (RNM) abdominal
Treatment algorithm
TFG categorias G1 a G2 sem uremia
TFG categorias G3 a G4 sem uremia
TFG categoria G5 ou com uremia
Contributors
Authors
Manisha Singh, MD
Associate Professor
Division of Nephrology
Department of Internal Medicine
Director Home Dialysis Program
Co-Director M2 Renal Module
University of Arkansas for Medical Sciences
Little Rock
AR
Divulgaciones
MS is an author of a reference cited in this topic.
Michelle W. Krause, MD, MPH
Professor of Medicine
Director, Integrated Medicine Service Line
Vice-Chair for Clinical Operations, Quality, and Efficiency
Department of Internal Medicine
University of Arkansas for Medical Sciences
Central Arkansas Veterans Healthcare System
Little Rock
AR
Divulgaciones
MWK declares that she has no competing interests.
Agradecimientos
Dr Manisha Singh and Dr Michelle Krause would like to gratefully acknowledge Professor Sudhir V. Shah, a previous contributor to this topic.
Divulgaciones
SVS declares that he has no competing interests.
Revisores por pares
Robert Toto, MD
Professor
Internal Medicine - Nephrology
Southwestern Medical School
The University of Texas Southwestern Medical Center at Dallas
Dallas
TX
Divulgaciones
RT declares that he has no competing interests.
Guy H. Neild, MD, FRCP, FRCPath
Professor of Nephrology
UCL Division of Medicine
University College London
London
UK
Divulgaciones
GHN declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
Kidney Disease: Improving Global Outcomes (KDIGO). KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int Suppl. 2013 Jan;3(1):1-150.Полный текст
National Institute for Health and Care Excellence. Chronic kidney disease: assessment and management. 2021 [internet publication].Полный текст
Expert Panel on Urologic Imaging., Wong-You-Cheong JJ, Nikolaidis P, et al. ACR Appropriateness Criteria® Renal Failure. J Am Coll Radiol. 2021 May;18(5s):S174-S188.Полный текст Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Doença renal diabética
- Nefroesclerose hipertensiva
- Nefropatia isquêmica
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