TY - CHAP M1 - Book, Section TI - Chronic Kidney Disease A1 - Bowling, C. Barrett A1 - Perry, Laura A2 - Walter, Louise C. A2 - Chang, Anna A2 - Chen, Pei A2 - Harper, G. Michael A2 - Rivera, Josette A2 - Conant, Rebecca A2 - Lo, Daphne A2 - Yukawa, Michi PY - 2021 T2 - Current Diagnosis & Treatment Geriatrics, 3e AB - ESSENTIALS OF DIAGNOSISEvaluation of chronic kidney disease (CKD) includes a thorough medical history, physical exam, and specific laboratory measures.Symptoms related to CKD may not occur until disease is advanced and include sleep disturbance, decreased attentiveness, nausea, vomiting, weight change, dyspnea, lower extremity edema, fatigue, muscle cramps, peripheral neuropathy, and pruritus.Reduced estimated glomerular filtration rate (eGFR) (<60 mL/min/1.73 m2) should be interpreted in the context of the medical history and other lab abnormalities (eg, history of diabetic retinopathy, rate of eGFR decline, presence of elevated albumin-to-creatinine ratio) before a diagnosis of CKD is made. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/24 UR - accessmedicine.mhmedical.com/content.aspx?aid=1180017343 ER -