Approach to the Renal Patient

Question 1

What is the prevalence of kidney stones?

Answer 1

Approx. 1% of US Adults

9% lifetime risk

Question 2

What is the Epi of ESRD by race?

Answer 2

AA 3.5 X more than whites
Latinos 1.5X more than whites
AA 19x lower chance of receiving a kidney transplant

Question 3

What is the Epi of CKD?

Answer 3

1 in 3 adults with DM
1 in 5 adults with HTN
1 in 2 adults aged 30-64 lifetime

Question 4

What are the typical locations of pain with KD?

Answer 4

flank and abdominal

dysuria

Question 5

what are the typical general signs and sx of KD?

Answer 5

fever

fatigue

Question 6

What are the typical GI signs and sx of KD?

Answer 6

nausea

vomiting

Question 7

What are some common causes of pre-renal KD?

Answer 7

hypovolemia
CHF
RAS

Question 8

What are some common causes of post-renal KD?

Answer 8

prostate enlargement
obstructing tumor
nephrolithiasis

Question 9

What are some common intrarenal causes of KD?

Answer 9

ATN
Renal vascular disease
tubulointerstitial disease
glomerular disease