Renal Flashcards
1
Q
Causes of end stage kidney disease
A
Diabetes 36%
Glomerulonephritis 19%
HTN 12%
PKD 5%
2
Q
Who needs kidney health check every 1-2 years
A
Diabetes HTN Established CVD FHx of CKD BMI =/> 30 Smoker ATSI >/= 30yo
3
Q
Definition of CKD
A
eGFR < 60ml/min/1.73m2 for >/= 3 months Or Evidence of kidney damage >/= 3 months Albuminuria Haematuria structural abnormalities Pathological abnormalities
4
Q
Diagnostic evaluation for CKD
A
Renal US Repeat EUC, egfr, albumin FBC, CRP, ESR Urine ACR Fasting lipids and glucose Urine MCS
5
Q
EGFR may be unreliable in
A
Acute kidney injury On dialysis Recently ate cooked meat Exceptional dietary intake Extremes of body sizes <18 yo Severe liver disease Drugs (e.g. fenofibrate or trimethoprim) Pregnancy
6
Q
Increase urine albumin excretion
A
UTI High protein diet CCF Acute febrile illness Heavy exercise within 24hr Menstruation or PV discharge Drugs (e.g. NSAIDs)
7
Q
Indications to referral to nephrologist
A
EGFR < 30mL/min/1.73mm2
Persistent significant albumonuria (ACR >/= 30mg/mmol)
A sustained decrease in EGFR >/= 25% Or EGFR 15ml/min/1.73mm2 within 12 months
CKD with HTN hard to get to target despite at least on 3 agents
