TY - CHAP M1 - Book, Section TI - Chapter 1. Approach to the Patient with Renal Disease A1 - Lerma, Edgar V. A2 - Lerma, Edgar V. A2 - Berns, Jeffrey S. A2 - Nissenson, Allen R. PY - 2009 T2 - CURRENT Diagnosis & Treatment: Nephrology & Hypertension 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. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/29 UR - accessmedicine.mhmedical.com/content.aspx?aid=6333001 ER -