اكتشف ما تعرفه عن وظيفة الكلى واختباراتها الكيميائية!
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Questions and Answers

What is the function of the kidneys?

  • Producing insulin
  • Producing red blood cells
  • Controlling heart rate
  • Filtering blood (correct)
  • What are some early signs of kidney problems?

  • Headache and dizziness
  • Cough and chest pain
  • Fever and chills
  • Decreased urine output and fluid retention (correct)
  • What are the leading causes of kidney failure in the United States?

  • Lack of exercise and poor diet
  • Diabetes and high blood pressure (correct)
  • Excessive alcohol consumption
  • Genetic factors
  • What types of examinations are included in urine examination for evaluating renal function?

    <p>Physical, chemical, and microscopic examination</p> Signup and view all the answers

    What are some blood tests used as markers of renal function?

    <p>Creatinine, urea, uric acid, and electrolytes</p> Signup and view all the answers

    What is the best measure of glomerular function?

    <p>Glomerular filtration rate (GFR)</p> Signup and view all the answers

    What are some clinical manifestations of severe renal function impairment?

    <p>Acidemia and volume overload</p> Signup and view all the answers

    What are vital signs?

    <p>Important indicators of overall health</p> Signup and view all the answers

    What is included in respiratory examination?

    <p>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</p> Signup and view all the answers

    What is checked during neck examination?

    <p>Midline trachea and cervical lymph nodes</p> Signup and view all the answers

    What is checked during posterior chest examination?

    <p>Chest shape abnormalities and spine deformity</p> Signup and view all the answers

    What is checked during anterior chest examination?

    <p>Radiotherapy marks and subcutaneous emphysema</p> Signup and view all the answers

    What are the main functions of the kidneys?

    <p>Filtering blood and removing waste products</p> Signup and view all the answers

    What are some early signs of kidney problems?

    <p>Decreased urine output and fluid retention</p> Signup and view all the answers

    What are the leading causes of kidney failure in the United States?

    <p>Diabetes and high blood pressure</p> Signup and view all the answers

    What are some markers of renal function in blood tests?

    <p>Creatinine and urea</p> Signup and view all the answers

    What is the best measure of glomerular function?

    <p>Glomerular filtration rate (GFR)</p> Signup and view all the answers

    What are some clinical manifestations of uremia?

    <p>Acidemia and volume overload</p> Signup and view all the answers

    What are some important indicators of overall health?

    <p>Temperature and pulse rate</p> Signup and view all the answers

    What does a respiratory examination involve?

    <p>Checking for peripheral cyanosis and clubbing</p> Signup and view all the answers

    What does a neck examination involve?

    <p>Checking for midline trachea and cervical lymph nodes</p> Signup and view all the answers

    What does a posterior chest examination involve?

    <p>Inspecting for radiotherapy marks and chest shape abnormalities</p> Signup and view all the answers

    What does an anterior chest examination involve?

    <p>Checking for radiotherapy marks and subcutaneous emphysema</p> Signup and view all the answers

    What other assessments may be included in evaluating kidney disease?

    <p>Chest x-ray and spirometry</p> Signup and view all the answers

    What is the function of the kidneys?

    <p>Filtering blood and removing waste products</p> Signup and view all the answers

    What are some early signs of kidney problems?

    <p>Fatigue and confusion</p> Signup and view all the answers

    What are the leading causes of kidney failure in the United States?

    <p>Diabetes and high blood pressure</p> Signup and view all the answers

    What is a valuable test for evaluating renal function?

    <p>Urine examination</p> Signup and view all the answers

    What are some blood tests that can indicate impaired renal function?

    <p>Creatinine and urea</p> Signup and view all the answers

    What is the best measure of glomerular function?

    <p>Glomerular filtration rate (GFR)</p> Signup and view all the answers

    What are some clinical manifestations of uremia?

    <p>All of the above</p> Signup and view all the answers

    What are some important indicators of overall health?

    <p>Temperature and pulse rate</p> Signup and view all the answers

    What does a respiratory examination involve?

    <p>Assessing peripheral cyanosis and clubbing</p> Signup and view all the answers

    What does a neck examination involve?

    <p>Checking for midline trachea and cervical lymph nodes</p> Signup and view all the answers

    What does a posterior chest examination involve?

    <p>Palpating chest expansion and tactile vocal fremitus</p> Signup and view all the answers

    What does an anterior chest examination involve?

    <p>Inspecting for radiotherapy marks and subcutaneous emphysema</p> Signup and view all the answers

    What are the main functions of the kidneys?

    <p>Removing waste products and drugs, balancing fluids, and controlling red blood cell production</p> Signup and view all the answers

    What are some early signs of kidney problems?

    <p>Decreased urine output, fluid retention, and shortness of breath</p> Signup and view all the answers

    What are the leading causes of kidney failure in the United States?

    <p>Diabetes and high blood pressure</p> Signup and view all the answers

    What are some markers of renal function in blood tests?

    <p>Creatinine, urea, and uric acid</p> Signup and view all the answers

    What is the best measure of glomerular function?

    <p>Glomerular filtration rate (GFR)</p> Signup and view all the answers

    What are some clinical manifestations of uremia?

    <p>Acidemia, volume overload, and neurologic, cardiac, and respiratory symptoms</p> Signup and view all the answers

    What are some important vital signs to measure?

    <p>Temperature, pulse rate, and respiratory rate</p> Signup and view all the answers

    What is involved in a respiratory examination?

    <p>Checking for peripheral cyanosis and clubbing</p> Signup and view all the answers

    What is involved in a neck examination?

    <p>Checking for midline trachea and cervical lymph nodes</p> Signup and view all the answers

    What is involved in a posterior chest examination?

    <p>Palpating chest expansion and tactile vocal fremitus</p> Signup and view all the answers

    What is involved in an anterior chest examination?

    <p>Inspecting for radiotherapy marks, subcutaneous emphysema, and upper chest expansion</p> Signup and view all the answers

    What are some additional assessments that may be done?

    <p>Recent chest x-ray and evaluation for right heart failure</p> Signup and view all the answers

    What are the main functions of the kidneys?

    <p>Filtering blood, balancing fluids, producing hormones, and controlling red blood cell production</p> Signup and view all the answers

    What are some early signs of kidney problems?

    <p>Decreased urine output and fluid retention</p> Signup and view all the answers

    What are the leading causes of kidney failure in the United States?

    <p>Diabetes and high blood pressure</p> Signup and view all the answers

    What is the best measure of glomerular function?

    <p>Glomerular filtration rate (GFR)</p> Signup and view all the answers

    What do blood tests for creatinine, urea, uric acid, and electrolytes measure?

    <p>Renal function</p> Signup and view all the answers

    What are some clinical manifestations of uremia?

    <p>Acidemia, volume overload, and neurologic, cardiac, and respiratory symptoms</p> Signup and view all the answers

    What are some important indicators of overall health that can be measured through vital signs?

    <p>Temperature, pulse rate, respiratory rate, blood pressure, and oxygen saturation</p> Signup and view all the answers

    What is included in a respiratory examination?

    <p>Preparing the patient and assessing peripheral cyanosis and clubbing</p> Signup and view all the answers

    What is checked in a neck examination?

    <p>Midline trachea and cervical lymph nodes</p> Signup and view all the answers

    What is included in a posterior chest examination?

    <p>Inspecting for scars and chest shape abnormalities</p> Signup and view all the answers

    What is included in an anterior chest examination?

    <p>Inspecting for general signs</p> Signup and view all the answers

    What are some additional assessments that may be included in evaluating kidney function?

    <p>Peak expiratory flow rate (PEFR) or spirometry and evaluation for right heart failure</p> Signup and view all the answers

    What are the main functions of the kidneys?

    <p>Filtering blood, balancing fluids, producing hormones, and controlling red blood cell production</p> Signup and view all the answers

    What are some early signs of kidney problems?

    <p>Decreased urine output and fluid retention</p> Signup and view all the answers

    What are the leading causes of kidney failure in the United States?

    <p>Diabetes and high blood pressure</p> Signup and view all the answers

    What is the best measure of glomerular function?

    <p>Glomerular filtration rate (GFR)</p> Signup and view all the answers

    What do blood tests for creatinine, urea, uric acid, and electrolytes measure?

    <p>Renal function</p> Signup and view all the answers

    What are some clinical manifestations of uremia?

    <p>Acidemia, volume overload, and neurologic, cardiac, and respiratory symptoms</p> Signup and view all the answers

    What are some important indicators of overall health that can be measured through vital signs?

    <p>Temperature, pulse rate, respiratory rate, blood pressure, and oxygen saturation</p> Signup and view all the answers

    What is included in a respiratory examination?

    <p>Preparing the patient and assessing peripheral cyanosis and clubbing</p> Signup and view all the answers

    What is checked in a neck examination?

    <p>Midline trachea and cervical lymph nodes</p> Signup and view all the answers

    What is included in a posterior chest examination?

    <p>Inspecting for scars and chest shape abnormalities</p> Signup and view all the answers

    What is included in an anterior chest examination?

    <p>Inspecting for general signs</p> Signup and view all the answers

    What are some additional assessments that may be included in evaluating kidney function?

    <p>Peak expiratory flow rate (PEFR) or spirometry and evaluation for right heart failure</p> Signup and view all the answers

    The kidneys filter about a quarter cup of blood every minute.

    <p>False</p> Signup and view all the answers

    Decreased urine output is an early sign of kidney problems.

    <p>True</p> Signup and view all the answers

    High blood pressure is not a leading cause of kidney failure in the United States.

    <p>False</p> Signup and view all the answers

    Blood tests for creatinine, urea, uric acid, and electrolytes are markers of renal function.

    <p>True</p> Signup and view all the answers

    The glomerular filtration rate (GFR) is not an important measure of glomerular function.

    <p>False</p> Signup and view all the answers

    Severely impaired renal function cannot lead to biochemical abnormalities and clinical manifestations of uremia.

    <p>False</p> Signup and view all the answers

    Vital signs are not important indicators of overall health.

    <p>False</p> Signup and view all the answers

    Respiratory examination involves assessing peripheral cyanosis and clubbing.

    <p>True</p> Signup and view all the answers

    Neck examination does not involve checking for cervical lymph nodes.

    <p>False</p> Signup and view all the answers

    Posterior chest examination involves inspecting for spine deformity.

    <p>True</p> Signup and view all the answers

    Anterior chest examination does not involve inspecting for upper chest expansion.

    <p>False</p> Signup and view all the answers

    Other assessments may include a recent chest x-ray and evaluation for right heart failure.

    <p>True</p> Signup and view all the answers

    The kidneys are responsible for producing insulin.

    <p>False</p> Signup and view all the answers

    Early signs of kidney problems may include confusion.

    <p>True</p> Signup and view all the answers

    Diabetes and high blood pressure are the leading causes of kidney failure in the United States.

    <p>True</p> Signup and view all the answers

    Urine examination is not a valuable test for evaluating renal function.

    <p>False</p> Signup and view all the answers

    Blood tests for creatinine, urea, uric acid, and electrolytes are markers of renal function.

    <p>True</p> Signup and view all the answers

    The glomerular filtration rate (GFR) is the best measure of glomerular function.

    <p>True</p> Signup and view all the answers

    Severely impaired renal function does not lead to biochemical abnormalities and clinical manifestations of uremia.

    <p>False</p> 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.

    <p>True</p> Signup and view all the answers

    Respiratory examination involves checking for midline trachea and cervical lymph nodes.

    <p>False</p> Signup and view all the answers

    Posterior chest examination involves inspecting for chest shape abnormalities.

    <p>True</p> Signup and view all the answers

    Anterior chest examination involves inspecting for radiotherapy marks.

    <p>True</p> Signup and view all the answers

    Evaluation for right heart failure may include leg edema examination.

    <p>True</p> Signup and view all the answers

    The kidneys are responsible for producing insulin.

    <p>False</p> Signup and view all the answers

    Early signs of kidney problems may include fatigue and confusion.

    <p>True</p> Signup and view all the answers

    Diabetes and high blood pressure are the two leading causes of kidney failure in the United States.

    <p>True</p> Signup and view all the answers

    Urine examination is not a valuable test for evaluating renal function.

    <p>False</p> Signup and view all the answers

    Blood tests for creatinine, urea, uric acid, and electrolytes are markers of renal function.

    <p>True</p> Signup and view all the answers

    The glomerular filtration rate (GFR) is the best measure of glomerular function.

    <p>True</p> Signup and view all the answers

    Severely impaired renal function can lead to clinical manifestations of uremia.

    <p>True</p> Signup and view all the answers

    Vital signs are not important indicators of overall health.

    <p>False</p> Signup and view all the answers

    Anterior chest examination involves inspecting for radiotherapy marks.

    <p>True</p> Signup and view all the answers

    Assessing for right heart failure may involve evaluating for leg edema.

    <p>True</p> Signup and view all the answers

    PEFR or spirometry may be used for respiratory assessment.

    <p>True</p> Signup and view all the answers

    JVP elevation is not a sign of right heart failure.

    <p>False</p> 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.

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