Renal Flashcards Preview

RACGP Exam > Renal > Flashcards

Flashcards in Renal Deck (7)
Loading flashcards...
1

Causes of end stage kidney disease

Diabetes 36%
Glomerulonephritis 19%
HTN 12%
PKD 5%

2

Who needs kidney health check every 1-2 years

Diabetes
HTN
Established CVD
FHx of CKD
BMI =/> 30
Smoker
ATSI >/= 30yo

3

Definition of CKD

eGFR < 60ml/min/1.73m2 for >/= 3 months
Or
Evidence of kidney damage >/= 3 months
Albuminuria
Haematuria
structural abnormalities
Pathological abnormalities

4

Diagnostic evaluation for CKD

Renal US
Repeat EUC, egfr, albumin
FBC, CRP, ESR
Urine ACR
Fasting lipids and glucose
Urine MCS

5

EGFR may be unreliable in

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

Increase urine albumin excretion

UTI
High protein diet
CCF
Acute febrile illness
Heavy exercise within 24hr
Menstruation or PV discharge
Drugs (e.g. NSAIDs)

7

Indications to referral to nephrologist

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