Podcast
Questions and Answers
What is the function of the kidneys?
What is the function of the kidneys?
What are some early signs of kidney problems?
What are some early signs of kidney problems?
What are the leading causes of kidney failure in the United States?
What are the leading causes of kidney failure in the United States?
What types of examinations are included in urine examination for evaluating renal function?
What types of examinations are included in urine examination for evaluating renal function?
Signup and view all the answers
What are some blood tests used as markers of renal function?
What are some blood tests used as markers of renal function?
Signup and view all the answers
What is the best measure of glomerular function?
What is the best measure of glomerular function?
Signup and view all the answers
What are some clinical manifestations of severe renal function impairment?
What are some clinical manifestations of severe renal function impairment?
Signup and view all the answers
What are vital signs?
What are vital signs?
Signup and view all the answers
What is included in respiratory examination?
What is included in respiratory examination?
Signup and view all the answers
What is checked during neck examination?
What is checked during neck examination?
Signup and view all the answers
What is checked during posterior chest examination?
What is checked during posterior chest examination?
Signup and view all the answers
What is checked during anterior chest examination?
What is checked during anterior chest examination?
Signup and view all the answers
What are the main functions of the kidneys?
What are the main functions of the kidneys?
Signup and view all the answers
What are some early signs of kidney problems?
What are some early signs of kidney problems?
Signup and view all the answers
What are the leading causes of kidney failure in the United States?
What are the leading causes of kidney failure in the United States?
Signup and view all the answers
What are some markers of renal function in blood tests?
What are some markers of renal function in blood tests?
Signup and view all the answers
What is the best measure of glomerular function?
What is the best measure of glomerular function?
Signup and view all the answers
What are some clinical manifestations of uremia?
What are some clinical manifestations of uremia?
Signup and view all the answers
What are some important indicators of overall health?
What are some important indicators of overall health?
Signup and view all the answers
What does a respiratory examination involve?
What does a respiratory examination involve?
Signup and view all the answers
What does a neck examination involve?
What does a neck examination involve?
Signup and view all the answers
What does a posterior chest examination involve?
What does a posterior chest examination involve?
Signup and view all the answers
What does an anterior chest examination involve?
What does an anterior chest examination involve?
Signup and view all the answers
What other assessments may be included in evaluating kidney disease?
What other assessments may be included in evaluating kidney disease?
Signup and view all the answers
What is the function of the kidneys?
What is the function of the kidneys?
Signup and view all the answers
What are some early signs of kidney problems?
What are some early signs of kidney problems?
Signup and view all the answers
What are the leading causes of kidney failure in the United States?
What are the leading causes of kidney failure in the United States?
Signup and view all the answers
What is a valuable test for evaluating renal function?
What is a valuable test for evaluating renal function?
Signup and view all the answers
What are some blood tests that can indicate impaired renal function?
What are some blood tests that can indicate impaired renal function?
Signup and view all the answers
What is the best measure of glomerular function?
What is the best measure of glomerular function?
Signup and view all the answers
What are some clinical manifestations of uremia?
What are some clinical manifestations of uremia?
Signup and view all the answers
What are some important indicators of overall health?
What are some important indicators of overall health?
Signup and view all the answers
What does a respiratory examination involve?
What does a respiratory examination involve?
Signup and view all the answers
What does a neck examination involve?
What does a neck examination involve?
Signup and view all the answers
What does a posterior chest examination involve?
What does a posterior chest examination involve?
Signup and view all the answers
What does an anterior chest examination involve?
What does an anterior chest examination involve?
Signup and view all the answers
What are the main functions of the kidneys?
What are the main functions of the kidneys?
Signup and view all the answers
What are some early signs of kidney problems?
What are some early signs of kidney problems?
Signup and view all the answers
What are the leading causes of kidney failure in the United States?
What are the leading causes of kidney failure in the United States?
Signup and view all the answers
What are some markers of renal function in blood tests?
What are some markers of renal function in blood tests?
Signup and view all the answers
What is the best measure of glomerular function?
What is the best measure of glomerular function?
Signup and view all the answers
What are some clinical manifestations of uremia?
What are some clinical manifestations of uremia?
Signup and view all the answers
What are some important vital signs to measure?
What are some important vital signs to measure?
Signup and view all the answers
What is involved in a respiratory examination?
What is involved in a respiratory examination?
Signup and view all the answers
What is involved in a neck examination?
What is involved in a neck examination?
Signup and view all the answers
What is involved in a posterior chest examination?
What is involved in a posterior chest examination?
Signup and view all the answers
What is involved in an anterior chest examination?
What is involved in an anterior chest examination?
Signup and view all the answers
What are some additional assessments that may be done?
What are some additional assessments that may be done?
Signup and view all the answers
What are the main functions of the kidneys?
What are the main functions of the kidneys?
Signup and view all the answers
What are some early signs of kidney problems?
What are some early signs of kidney problems?
Signup and view all the answers
What are the leading causes of kidney failure in the United States?
What are the leading causes of kidney failure in the United States?
Signup and view all the answers
What is the best measure of glomerular function?
What is the best measure of glomerular function?
Signup and view all the answers
What do blood tests for creatinine, urea, uric acid, and electrolytes measure?
What do blood tests for creatinine, urea, uric acid, and electrolytes measure?
Signup and view all the answers
What are some clinical manifestations of uremia?
What are some clinical manifestations of uremia?
Signup and view all the answers
What are some important indicators of overall health that can be measured through vital signs?
What are some important indicators of overall health that can be measured through vital signs?
Signup and view all the answers
What is included in a respiratory examination?
What is included in a respiratory examination?
Signup and view all the answers
What is checked in a neck examination?
What is checked in a neck examination?
Signup and view all the answers
What is included in a posterior chest examination?
What is included in a posterior chest examination?
Signup and view all the answers
What is included in an anterior chest examination?
What is included in an anterior chest examination?
Signup and view all the answers
What are some additional assessments that may be included in evaluating kidney function?
What are some additional assessments that may be included in evaluating kidney function?
Signup and view all the answers
What are the main functions of the kidneys?
What are the main functions of the kidneys?
Signup and view all the answers
What are some early signs of kidney problems?
What are some early signs of kidney problems?
Signup and view all the answers
What are the leading causes of kidney failure in the United States?
What are the leading causes of kidney failure in the United States?
Signup and view all the answers
What is the best measure of glomerular function?
What is the best measure of glomerular function?
Signup and view all the answers
What do blood tests for creatinine, urea, uric acid, and electrolytes measure?
What do blood tests for creatinine, urea, uric acid, and electrolytes measure?
Signup and view all the answers
What are some clinical manifestations of uremia?
What are some clinical manifestations of uremia?
Signup and view all the answers
What are some important indicators of overall health that can be measured through vital signs?
What are some important indicators of overall health that can be measured through vital signs?
Signup and view all the answers
What is included in a respiratory examination?
What is included in a respiratory examination?
Signup and view all the answers
What is checked in a neck examination?
What is checked in a neck examination?
Signup and view all the answers
What is included in a posterior chest examination?
What is included in a posterior chest examination?
Signup and view all the answers
What is included in an anterior chest examination?
What is included in an anterior chest examination?
Signup and view all the answers
What are some additional assessments that may be included in evaluating kidney function?
What are some additional assessments that may be included in evaluating kidney function?
Signup and view all the answers
The kidneys filter about a quarter cup of blood every minute.
The kidneys filter about a quarter cup of blood every minute.
Signup and view all the answers
Decreased urine output is an early sign of kidney problems.
Decreased urine output is an early sign of kidney problems.
Signup and view all the answers
High blood pressure is not a leading cause of kidney failure in the United States.
High blood pressure is not a leading cause of kidney failure in the United States.
Signup and view all the answers
Blood tests for creatinine, urea, uric acid, and electrolytes are markers of renal function.
Blood tests for creatinine, urea, uric acid, and electrolytes are markers of renal function.
Signup and view all the answers
The glomerular filtration rate (GFR) is not an important measure of glomerular function.
The glomerular filtration rate (GFR) is not an important measure of glomerular function.
Signup and view all the answers
Severely impaired renal function cannot lead to biochemical abnormalities and clinical manifestations of uremia.
Severely impaired renal function cannot lead to biochemical abnormalities and clinical manifestations of uremia.
Signup and view all the answers
Vital signs are not important indicators of overall health.
Vital signs are not important indicators of overall health.
Signup and view all the answers
Respiratory examination involves assessing peripheral cyanosis and clubbing.
Respiratory examination involves assessing peripheral cyanosis and clubbing.
Signup and view all the answers
Neck examination does not involve checking for cervical lymph nodes.
Neck examination does not involve checking for cervical lymph nodes.
Signup and view all the answers
Posterior chest examination involves inspecting for spine deformity.
Posterior chest examination involves inspecting for spine deformity.
Signup and view all the answers
Anterior chest examination does not involve inspecting for upper chest expansion.
Anterior chest examination does not involve inspecting for upper chest expansion.
Signup and view all the answers
Other assessments may include a recent chest x-ray and evaluation for right heart failure.
Other assessments may include a recent chest x-ray and evaluation for right heart failure.
Signup and view all the answers
The kidneys are responsible for producing insulin.
The kidneys are responsible for producing insulin.
Signup and view all the answers
Early signs of kidney problems may include confusion.
Early signs of kidney problems may include confusion.
Signup and view all the answers
Diabetes and high blood pressure are the leading causes of kidney failure in the United States.
Diabetes and high blood pressure are the leading causes of kidney failure in the United States.
Signup and view all the answers
Urine examination is not a valuable test for evaluating renal function.
Urine examination is not a valuable test for evaluating renal function.
Signup and view all the answers
Blood tests for creatinine, urea, uric acid, and electrolytes are markers of renal function.
Blood tests for creatinine, urea, uric acid, and electrolytes are markers of renal function.
Signup and view all the answers
The glomerular filtration rate (GFR) is the best measure of glomerular function.
The glomerular filtration rate (GFR) is the best measure of glomerular function.
Signup and view all the answers
Severely impaired renal function does not lead to biochemical abnormalities and clinical manifestations of uremia.
Severely impaired renal function does not lead to biochemical abnormalities and clinical manifestations of uremia.
Signup and view all the answers
Vital signs, including temperature, pulse rate, respiratory rate, blood pressure, and oxygen saturation, are important indicators of overall health.
Vital signs, including temperature, pulse rate, respiratory rate, blood pressure, and oxygen saturation, are important indicators of overall health.
Signup and view all the answers
Respiratory examination involves checking for midline trachea and cervical lymph nodes.
Respiratory examination involves checking for midline trachea and cervical lymph nodes.
Signup and view all the answers
Posterior chest examination involves inspecting for chest shape abnormalities.
Posterior chest examination involves inspecting for chest shape abnormalities.
Signup and view all the answers
Anterior chest examination involves inspecting for radiotherapy marks.
Anterior chest examination involves inspecting for radiotherapy marks.
Signup and view all the answers
Evaluation for right heart failure may include leg edema examination.
Evaluation for right heart failure may include leg edema examination.
Signup and view all the answers
The kidneys are responsible for producing insulin.
The kidneys are responsible for producing insulin.
Signup and view all the answers
Early signs of kidney problems may include fatigue and confusion.
Early signs of kidney problems may include fatigue and confusion.
Signup and view all the answers
Diabetes and high blood pressure are the two leading causes of kidney failure in the United States.
Diabetes and high blood pressure are the two leading causes of kidney failure in the United States.
Signup and view all the answers
Urine examination is not a valuable test for evaluating renal function.
Urine examination is not a valuable test for evaluating renal function.
Signup and view all the answers
Blood tests for creatinine, urea, uric acid, and electrolytes are markers of renal function.
Blood tests for creatinine, urea, uric acid, and electrolytes are markers of renal function.
Signup and view all the answers
The glomerular filtration rate (GFR) is the best measure of glomerular function.
The glomerular filtration rate (GFR) is the best measure of glomerular function.
Signup and view all the answers
Severely impaired renal function can lead to clinical manifestations of uremia.
Severely impaired renal function can lead to clinical manifestations of uremia.
Signup and view all the answers
Vital signs are not important indicators of overall health.
Vital signs are not important indicators of overall health.
Signup and view all the answers
Anterior chest examination involves inspecting for radiotherapy marks.
Anterior chest examination involves inspecting for radiotherapy marks.
Signup and view all the answers
Assessing for right heart failure may involve evaluating for leg edema.
Assessing for right heart failure may involve evaluating for leg edema.
Signup and view all the answers
PEFR or spirometry may be used for respiratory assessment.
PEFR or spirometry may be used for respiratory assessment.
Signup and view all the answers
JVP elevation is not a sign of right heart failure.
JVP elevation is not a sign of right heart failure.
Signup and view all the answers
Study Notes
Overview of Kidney Disease and Renal Function Tests
- The kidneys are bean-shaped organs that filter about a half cup of blood every minute, removing waste products and drugs, balancing fluids, releasing hormones, producing vitamin D, and controlling red blood cell production.
- Early signs of kidney problems include decreased urine output, fluid retention, shortness of breath, fatigue, confusion, nausea, weakness, and irregular heartbeat.
- Diabetes and high blood pressure are the leading causes of kidney failure in the United States, accounting for 3 out of 4 new cases.
- Urine examination is a valuable test for evaluating renal function, including physical examination, chemical examination, and microscopic examination of the sediment.
- Blood tests for creatinine, urea, uric acid, and electrolytes are markers of renal function, with increased levels indicating impaired renal function.
- The glomerular filtration rate (GFR) is the best measure of glomerular function, with a normal GFR of approximately 125 mL/min.
- Severely impaired renal function can lead to biochemical abnormalities and clinical manifestations of uremia, including acidemia, volume overload, and neurologic, cardiac, and respiratory symptoms.
- Vital signs, including temperature, pulse rate, respiratory rate, blood pressure, and oxygen saturation, are important indicators of overall health and can be measured through various routes, such as sublingual, axillary, or rectal.
- Respiratory examination involves preparing the patient, inspecting for general signs, assessing peripheral cyanosis and clubbing, testing wrist strength and tenderness, and checking the radial pulse, face, sinuses, nose, mouth, and voice.
- Neck examination involves checking for midline trachea and cervical lymph nodes.
- Posterior chest examination involves inspecting for scars, chest shape abnormalities, and spine deformity, palpating chest expansion and tactile vocal fremitus, and percussing for stony dullness or hyperresonance.
- Anterior chest examination involves inspecting for radiotherapy marks, subcutaneous emphysema, and upper chest expansion, and percussing for supraclavicular regions, clavicles, ant chest, and the liver upper edge.
- Other assessments may include a recent chest x-ray, peak expiratory flow rate (PEFR) or spirometry, and evaluation for right heart failure through JVP elevation, Pemberton's sign, heart auscultation, liver palpation/percussion, and leg edema examination.
Overview of Kidney Disease and Renal Function Tests
- The kidneys are bean-shaped organs that filter about a half cup of blood every minute, removing waste products and drugs, balancing fluids, releasing hormones, producing vitamin D, and controlling red blood cell production.
- Early signs of kidney problems include decreased urine output, fluid retention, shortness of breath, fatigue, confusion, nausea, weakness, and irregular heartbeat.
- Diabetes and high blood pressure are the leading causes of kidney failure in the United States, accounting for 3 out of 4 new cases.
- Urine examination is a valuable test for evaluating renal function, including physical examination, chemical examination, and microscopic examination of the sediment.
- Blood tests for creatinine, urea, uric acid, and electrolytes are markers of renal function, with increased levels indicating impaired renal function.
- The glomerular filtration rate (GFR) is the best measure of glomerular function, with a normal GFR of approximately 125 mL/min.
- Severely impaired renal function can lead to biochemical abnormalities and clinical manifestations of uremia, including acidemia, volume overload, and neurologic, cardiac, and respiratory symptoms.
- Vital signs, including temperature, pulse rate, respiratory rate, blood pressure, and oxygen saturation, are important indicators of overall health and can be measured through various routes, such as sublingual, axillary, or rectal.
- Respiratory examination involves preparing the patient, inspecting for general signs, assessing peripheral cyanosis and clubbing, testing wrist strength and tenderness, and checking the radial pulse, face, sinuses, nose, mouth, and voice.
- Neck examination involves checking for midline trachea and cervical lymph nodes.
- Posterior chest examination involves inspecting for scars, chest shape abnormalities, and spine deformity, palpating chest expansion and tactile vocal fremitus, and percussing for stony dullness or hyperresonance.
- Anterior chest examination involves inspecting for radiotherapy marks, subcutaneous emphysema, and upper chest expansion, and percussing for supraclavicular regions, clavicles, ant chest, and the liver upper edge.
- Other assessments may include a recent chest x-ray, peak expiratory flow rate (PEFR) or spirometry, and evaluation for right heart failure through JVP elevation, Pemberton's sign, heart auscultation, liver palpation/percussion, and leg edema examination.
Overview of Kidney Disease and Renal Function Tests
- The kidneys are bean-shaped organs that filter about a half cup of blood every minute, removing waste products and drugs, balancing fluids, releasing hormones, producing vitamin D, and controlling red blood cell production.
- Early signs of kidney problems include decreased urine output, fluid retention, shortness of breath, fatigue, confusion, nausea, weakness, and irregular heartbeat.
- Diabetes and high blood pressure are the leading causes of kidney failure in the United States, accounting for 3 out of 4 new cases.
- Urine examination is a valuable test for evaluating renal function, including physical examination, chemical examination, and microscopic examination of the sediment.
- Blood tests for creatinine, urea, uric acid, and electrolytes are markers of renal function, with increased levels indicating impaired renal function.
- The glomerular filtration rate (GFR) is the best measure of glomerular function, with a normal GFR of approximately 125 mL/min.
- Severely impaired renal function can lead to biochemical abnormalities and clinical manifestations of uremia, including acidemia, volume overload, and neurologic, cardiac, and respiratory symptoms.
- Vital signs, including temperature, pulse rate, respiratory rate, blood pressure, and oxygen saturation, are important indicators of overall health and can be measured through various routes, such as sublingual, axillary, or rectal.
- Respiratory examination involves preparing the patient, inspecting for general signs, assessing peripheral cyanosis and clubbing, testing wrist strength and tenderness, and checking the radial pulse, face, sinuses, nose, mouth, and voice.
- Neck examination involves checking for midline trachea and cervical lymph nodes.
- Posterior chest examination involves inspecting for scars, chest shape abnormalities, and spine deformity, palpating chest expansion and tactile vocal fremitus, and percussing for stony dullness or hyperresonance.
- Anterior chest examination involves inspecting for radiotherapy marks, subcutaneous emphysema, and upper chest expansion, and percussing for supraclavicular regions, clavicles, ant chest, and the liver upper edge.
- Other assessments may include a recent chest x-ray, peak expiratory flow rate (PEFR) or spirometry, and evaluation for right heart failure through JVP elevation, Pemberton's sign, heart auscultation, liver palpation/percussion, and leg edema examination.
Overview of Kidney Disease and Renal Function Tests
- The kidneys are bean-shaped organs that filter about a half cup of blood every minute, removing waste products and drugs, balancing fluids, releasing hormones, producing vitamin D, and controlling red blood cell production.
- Early signs of kidney problems include decreased urine output, fluid retention, shortness of breath, fatigue, confusion, nausea, weakness, and irregular heartbeat.
- Diabetes and high blood pressure are the leading causes of kidney failure in the United States, accounting for 3 out of 4 new cases.
- Urine examination is a valuable test for evaluating renal function, including physical examination, chemical examination, and microscopic examination of the sediment.
- Blood tests for creatinine, urea, uric acid, and electrolytes are markers of renal function, with increased levels indicating impaired renal function.
- The glomerular filtration rate (GFR) is the best measure of glomerular function, with a normal GFR of approximately 125 mL/min.
- Severely impaired renal function can lead to biochemical abnormalities and clinical manifestations of uremia, including acidemia, volume overload, and neurologic, cardiac, and respiratory symptoms.
- Vital signs, including temperature, pulse rate, respiratory rate, blood pressure, and oxygen saturation, are important indicators of overall health and can be measured through various routes, such as sublingual, axillary, or rectal.
- Respiratory examination involves preparing the patient, inspecting for general signs, assessing peripheral cyanosis and clubbing, testing wrist strength and tenderness, and checking the radial pulse, face, sinuses, nose, mouth, and voice.
- Neck examination involves checking for midline trachea and cervical lymph nodes.
- Posterior chest examination involves inspecting for scars, chest shape abnormalities, and spine deformity, palpating chest expansion and tactile vocal fremitus, and percussing for stony dullness or hyperresonance.
- Anterior chest examination involves inspecting for radiotherapy marks, subcutaneous emphysema, and upper chest expansion, and percussing for supraclavicular regions, clavicles, ant chest, and the liver upper edge.
- Other assessments may include a recent chest x-ray, peak expiratory flow rate (PEFR) or spirometry, and evaluation for right heart failure through JVP elevation, Pemberton's sign, heart auscultation, liver palpation/percussion, and leg edema examination.
Overview of Kidney Disease and Renal Function Tests
- The kidneys are bean-shaped organs that filter about a half cup of blood every minute, removing waste products and drugs, balancing fluids, releasing hormones, producing vitamin D, and controlling red blood cell production.
- Early signs of kidney problems include decreased urine output, fluid retention, shortness of breath, fatigue, confusion, nausea, weakness, and irregular heartbeat.
- Diabetes and high blood pressure are the leading causes of kidney failure in the United States, accounting for 3 out of 4 new cases.
- Urine examination is a valuable test for evaluating renal function, including physical examination, chemical examination, and microscopic examination of the sediment.
- Blood tests for creatinine, urea, uric acid, and electrolytes are markers of renal function, with increased levels indicating impaired renal function.
- The glomerular filtration rate (GFR) is the best measure of glomerular function, with a normal GFR of approximately 125 mL/min.
- Severely impaired renal function can lead to biochemical abnormalities and clinical manifestations of uremia, including acidemia, volume overload, and neurologic, cardiac, and respiratory symptoms.
- Vital signs, including temperature, pulse rate, respiratory rate, blood pressure, and oxygen saturation, are important indicators of overall health and can be measured through various routes, such as sublingual, axillary, or rectal.
- Respiratory examination involves preparing the patient, inspecting for general signs, assessing peripheral cyanosis and clubbing, testing wrist strength and tenderness, and checking the radial pulse, face, sinuses, nose, mouth, and voice.
- Neck examination involves checking for midline trachea and cervical lymph nodes.
- Posterior chest examination involves inspecting for scars, chest shape abnormalities, and spine deformity, palpating chest expansion and tactile vocal fremitus, and percussing for stony dullness or hyperresonance.
- Anterior chest examination involves inspecting for radiotherapy marks, subcutaneous emphysema, and upper chest expansion, and percussing for supraclavicular regions, clavicles, ant chest, and the liver upper edge.
- Other assessments may include a recent chest x-ray, peak expiratory flow rate (PEFR) or spirometry, and evaluation for right heart failure through JVP elevation, Pemberton's sign, heart auscultation, liver palpation/percussion, and leg edema examination.
Overview of Kidney Disease and Renal Function Tests
- The kidneys are bean-shaped organs that filter about a half cup of blood every minute, removing waste products and drugs, balancing fluids, releasing hormones, producing vitamin D, and controlling red blood cell production.
- Early signs of kidney problems include decreased urine output, fluid retention, shortness of breath, fatigue, confusion, nausea, weakness, and irregular heartbeat.
- Diabetes and high blood pressure are the leading causes of kidney failure in the United States, accounting for 3 out of 4 new cases.
- Urine examination is a valuable test for evaluating renal function, including physical examination, chemical examination, and microscopic examination of the sediment.
- Blood tests for creatinine, urea, uric acid, and electrolytes are markers of renal function, with increased levels indicating impaired renal function.
- The glomerular filtration rate (GFR) is the best measure of glomerular function, with a normal GFR of approximately 125 mL/min.
- Severely impaired renal function can lead to biochemical abnormalities and clinical manifestations of uremia, including acidemia, volume overload, and neurologic, cardiac, and respiratory symptoms.
- Vital signs, including temperature, pulse rate, respiratory rate, blood pressure, and oxygen saturation, are important indicators of overall health and can be measured through various routes, such as sublingual, axillary, or rectal.
- Respiratory examination involves preparing the patient, inspecting for general signs, assessing peripheral cyanosis and clubbing, testing wrist strength and tenderness, and checking the radial pulse, face, sinuses, nose, mouth, and voice.
- Neck examination involves checking for midline trachea and cervical lymph nodes.
- Posterior chest examination involves inspecting for scars, chest shape abnormalities, and spine deformity, palpating chest expansion and tactile vocal fremitus, and percussing for stony dullness or hyperresonance.
- Anterior chest examination involves inspecting for radiotherapy marks, subcutaneous emphysema, and upper chest expansion, and percussing for supraclavicular regions, clavicles, ant chest, and the liver upper edge.
- Other assessments may include a recent chest x-ray, peak expiratory flow rate (PEFR) or spirometry, and evaluation for right heart failure through JVP elevation, Pemberton's sign, heart auscultation, liver palpation/percussion, and leg edema examination.
Overview of Kidney Disease and Renal Function Tests
- The kidneys are bean-shaped organs that filter about a half cup of blood every minute, removing waste products and drugs, balancing fluids, releasing hormones, producing vitamin D, and controlling red blood cell production.
- Early signs of kidney problems include decreased urine output, fluid retention, shortness of breath, fatigue, confusion, nausea, weakness, and irregular heartbeat.
- Diabetes and high blood pressure are the leading causes of kidney failure in the United States, accounting for 3 out of 4 new cases.
- Urine examination is a valuable test for evaluating renal function, including physical examination, chemical examination, and microscopic examination of the sediment.
- Blood tests for creatinine, urea, uric acid, and electrolytes are markers of renal function, with increased levels indicating impaired renal function.
- The glomerular filtration rate (GFR) is the best measure of glomerular function, with a normal GFR of approximately 125 mL/min.
- Severely impaired renal function can lead to biochemical abnormalities and clinical manifestations of uremia, including acidemia, volume overload, and neurologic, cardiac, and respiratory symptoms.
- Vital signs, including temperature, pulse rate, respiratory rate, blood pressure, and oxygen saturation, are important indicators of overall health and can be measured through various routes, such as sublingual, axillary, or rectal.
- Respiratory examination involves preparing the patient, inspecting for general signs, assessing peripheral cyanosis and clubbing, testing wrist strength and tenderness, and checking the radial pulse, face, sinuses, nose, mouth, and voice.
- Neck examination involves checking for midline trachea and cervical lymph nodes.
- Posterior chest examination involves inspecting for scars, chest shape abnormalities, and spine deformity, palpating chest expansion and tactile vocal fremitus, and percussing for stony dullness or hyperresonance.
- Anterior chest examination involves inspecting for radiotherapy marks, subcutaneous emphysema, and upper chest expansion, and percussing for supraclavicular regions, clavicles, ant chest, and the liver upper edge.
- Other assessments may include a recent chest x-ray, peak expiratory flow rate (PEFR) or spirometry, and evaluation for right heart failure through JVP elevation, Pemberton's sign, heart auscultation, liver palpation/percussion, and leg edema examination.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
هل ترغب في التعرف على مرض الكلى واختبارات وظيفة الكلى؟ هذا الاختبار سيساعدك على فهم أساسيات وظيفة الكلى وكيفية فحصها باستخدام الفحوصات الكيميائية و