CKD Flashcards
1
Q
What is the definition of CKD?
A
eGFR <60 in the absence of any other kidney abnormalities or <90 if there is a known structural defect or abnormality on urinalysis.
2
Q
What age group has a lower physiological GFR?
A
<2 years old
3
Q
What are the causes of CKD in childhood?
A
- congenital hypoplastic or dysplastic kidneys
- reflux nephropathy
- obstructive uropathy
- focal segmental glomerulonephritis
- PKD
4
Q
What are the clinical features of CKD?
A
- asymptomatic in early stages
- as it advances - lethargy, anorexia, nausea and vomiting
- hypertension, poor growth, anaemia, hyperphosphatemia, hypocalcaemia
5
Q
What is the management for CKD in children?
A
- Manage complications
- dialysis or renal transplant
- ensure adequate nutrition
- supplements, EPO, iron, folic acid, vitamin D
- recombinant SC growth hormone
- ACEi
