TY - CHAP M1 - Book, Section TI - Approach to the Patient with Renal Disease A1 - M. Madariaga, Hector A1 - Lerma, Edgar V. A2 - Lerma, Edgar V. A2 - Rosner, Mitchell H. A2 - Perazella, Mark A. PY - 2017 T2 - CURRENT Diagnosis & Treatment: Nephrology & Hypertension, 2e AB - Any patient with renal disease can present either as an outpatient or inpatient consultation. Some patients may be referred because of abnormal urinary findings, such as hematuria or proteinuria, or abnormal laboratory work such as an elevated serum creatinine, which may have been incidentally discovered during routine clinical evaluation or as part of initial employment requirements. Depending on the stage of renal disease, patients can present with mild edema, generalized pruritus, or more advanced signs and symptoms of uremia, such as decreased appetite, weight loss, dysgeusia, pruritus, and change in mental status. In general, the symptoms and signs of patients presenting with renal disease are nonspecific (Table 1–1) and some patients may present only with an elevation in serum creatinine. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accessmedicine.mhmedical.com/content.aspx?aid=1149111222 ER -