Renal: CKD Flashcards
1
Q
What is CKD?
A
A progressive loss of renal function due to numerous conditions
2
Q
How many stages does it have?
A
5
3
Q
Is stage 5 CKD common in children?
A
No very rare
4
Q
Is it true that congenital and familial causes are more common in childhood compared to acquired diseases?
A
Yes
5
Q
What causes are there?
A
Renal dysplasia +/- reflux Obstruction Glomerular disease Congenital nephrotic syndrome Tubulointerstitial disease Renovascular disease Polycystic kidney disease Metabolic
6
Q
Stage 4 and 5 present with…
A
Anorexia and lethargy
Polydipsia and polyuria
Faltering growth
Bony deformities from renal osteodystrophy (renal rickets)
HTN
Acute in chronic e.g precipitated by infection
Incidental finding on proteinuria
7
Q
Symptoms are rarely detected before…
A
Renal function falls to less than 1/3 of normal or CKD stage 4
8
Q
How should diet be managed?
A
Improve nutrition via calorie supplements
Nasogastric or gastrostomy feeds
