最近审阅: 24 十月 2020
最近更新: 02 七月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 疲劳
  • 水肿
  • 伴有/不伴呕吐的恶心
  • 瘙痒
  • 不宁腿
  • 厌食
  • 感染相关的肾小球疾病

其他诊断因素

  • 关节痛
  • 前列腺增大
  • 泡沫尿
  • 尿色加深
  • 皮疹
  • 呼吸困难
  • 端坐呼吸
  • 癫痫发作
  • 视网膜病变

危险因素

  • 糖尿病
  • 高血压
  • 50 岁以上
  • 小儿肾脏疾病
  • 吸烟
  • 肥胖
  • 黑人或西班牙人
  • CKD 家族史
  • 自身免疫性疾病
  • 男性
  • 长期使用非甾体抗炎药
  • 高尿酸水平

诊断性检查

首要检查

  • 肾功能化学指标
  • 估算 GFR
  • 血清胱抑素 C 和基于胱抑素 C 的 GFR 估算值
  • 尿液分析
  • 尿白蛋白
  • 肾脏超声
更多 首要检查

需考虑的检查

  • 肾脏活检
  • 腹部平片
  • 腹部 CT 检查
  • 腹部 MRI
更多 需考虑的检查

治疗流程

撰稿人

Manisha Singh

Assistant 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

利益声明

MS has received a Baxter Grant and NKF grant to study chronic kidney disease education and other efforts.

Michelle W. Krause

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

利益声明

MWK declares that she has no competing interests.

Dr Manisha Singh and Dr Michelle Krause would like to gratefully acknowledge Professor Sudhir V. Shah, a previous contributor to this topic. SVS declares that he has no competing interests.

同行评议者展开全部内容

Professor

Internal Medicine - Nephrology

Southwestern Medical School

The University of Texas Southwestern Medical Center at Dallas

Dallas

TX

利益声明

RT declares that he has no competing interests.

Professor of Nephrology

UCL Division of Medicine

University College London

London

UK

利益声明

GHN declares that he has no competing interests.

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