Renal

Question 1

End stage kidney disease

Answer 1

Chronic kidney failure treated with dialysis or transplantation.

Question 2

CKD definition

Answer 2

Kidney damage or decreased kidney function for at least 3 months.

(The 3 months diff acute kidney disease from CKD)

Question 3

Assessment of kidney function

Answer 3

• eGFR
• assessment of albuminuria or proteinuria
• examination of urinary sediment.

Question 4

Assessment for AKI

Answer 4

Urine electrolytes or retroperitoneal ultrasound and/or kidney ultrasound

Question 5

Diagnosis of AKI is done if

Answer 5

• Serum creatinine increases by 0.3 mg/dL or more in 48 hrs.
• Serum creatinine increases 1.5 times from baseline, which is know or presumed to have occurred within prior 7 days.
• A urine volume less than 0.5 mL/kg/hr for 6 hrs.

Test to order:
- serum creatinine, with trend in values over time.
- time-averaged urine output, if available.