chronic kidney disease


chronic kidney disease

A condition defined as either:
(1) Kidney damage for = 3 months, defined by structural or functional renal abnormalities with or without a reduced glomerular filtration rate, manifest by either:
• Pathological abnormalities, or
• Markers of kidney damage, including abnormalities in the composition of the blood or urine, or abnormalities in imaging tests;
(2) GFR < 60 mL/min/1.73 m2 for = 3 months, with or without kidney damage.
 
Workup
Serum creatinine for GFR, protein to creatinine ratio, examine urine sediment or dipstick for red cells, WBCs, imaging of kidneys, serum electrolytes (Na+, K+, Cl-, bicarbonate).

chronic kidney disease

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CKD

Any illness in which kidney function remains diminished for a long period of time. CKD is defined as > 30 mg of urinary albumin excretion per gram of urinary creatinine, or a glomerular filtration rate of < 60mL/min/1.73m2 and includes both end-stage renal disease and improper functioning of kidney transplants. “Renal insufficiency” is a less-preferred term.