RT Book, Section A1 Bowling, C. Barrett A1 Booth, Katrina A2 Williams, Brie A. A2 Chang, Anna A2 Ahalt, Cyrus A2 Chen, Helen A2 Conant, Rebecca A2 Landefeld, C. Seth A2 Ritchie, Christine A2 Yukawa, Michi SR Print(0) ID 1100067821 T1 Chronic Kidney Disease T2 Current Diagnosis & Treatment: Geriatrics, 2e YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-179208-0 LK accessmedicine.mhmedical.com/content.aspx?aid=1100067821 RD 2023/03/29 AB Evaluation 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.