RT Book, Section
A1 Lerma, Edgar V.
A2 Lerma, Edgar V.
A2 Berns, Jeffrey S.
A2 Nissenson, Allen R.
SR Print(0)
ID 6333001
T1 Chapter 1. Approach to the Patient with Renal Disease
T2 CURRENT Diagnosis & Treatment: Nephrology & Hypertension
YR 2009
FD 2009
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-144787-4
LK accessmedicine.mhmedical.com/content.aspx?aid=6333001
RD 2024/04/19
AB A  patient  with  renal  disease  can  present  either  as  an  initial  outpatient  or  inpatient  consultation.  Some  patients  may  be  referred  because  of  abnormal  urinary  findings,  such  as  hematuria  or  proteinuria,  which  may  have  been  incidentally  discovered  during  routine  clinical  evaluation  or  as  part  of  initial  employment  requirements.  Depending  on  the  stage  of  renal  disease,  they  can  present  with  mild  edema  or  generalized  pruritus,  as  well  as  more  advanced  signs  and  symptoms  of  uremia,  such  as  decreased  appetite,  weight  loss,  and  even  alterations  in  mental  status.  In  general,  the  symptoms  and  signs  of  patients  with  renal  disease  tend  to  be  nonspecific  (Table  1–1).  Still  others  would  present  only  with  elevation  in  serum  creatinine.