Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- presença de fatores de risco
- fadiga
- edema
- náuseas com/sem vômitos
- prurido
- pernas inquietas
- anorexia
- doença glomerular relacionada à infecção
Outros fatores diagnósticos
- artralgia
- próstata aumentada
- urina espumosa
- urina com coloração de cola
- erupções cutâneas
- dispneia
- ortopneia
- convulsões
- retinopatia
Fatores de risco
- 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
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- 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
Investigações a serem consideradas
- biópsia renal
- radiografia abdominal simples
- tomografia computadorizada (TC) abdominal
- ressonância nuclear magnética (RNM) abdominal
Algoritmo de tratamento
Colaboradores
Autores
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
Declarações
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
Declarações
MWK declares that she has no competing interests.
Agradecimentos
Dr Manisha Singh and Dr Michelle Krause would like to gratefully acknowledge Professor Sudhir V. Shah, a previous contributor to this topic.
Declarações
SVS declares that he has no competing interests.
Revisores
Robert Toto, MD
Professor
Internal Medicine - Nephrology
Southwestern Medical School
The University of Texas Southwestern Medical Center at Dallas
Dallas
TX
Declarações
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
Declarações
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.
Referências
Principais artigos
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.Texto completo
National Institute for Health and Care Excellence. Chronic kidney disease: assessment and management. 2021 [internet publication].Texto completo
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.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível aqui.
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