Acute renal failure history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
When a patient presents with [[uremia|uremic]] symptoms, first step is to differentiate an acute from a chronic process. A recent rise in serum [[creatinine]] levels indicate an acute pathology of renal failure, whereas chronically elevated [[creatinine]] levels are seen in [[chronic renal failure]]. | When a patient presents with [[uremia|uremic]] symptoms, first step is to differentiate an acute from a chronic process. A recent rise in serum [[creatinine]] levels indicate an acute pathology of renal failure, whereas chronically elevated [[creatinine]] levels are seen in [[chronic renal failure]]. However, [[chronic renal insufficiency]] is also associated with [[osteopathy]], [[neuropathy]] and small, scarred [[kidney]]s. | ||
==History | |||
==History== | |||
Patients should be asked about use of nephrotoxic agents, which are a common cause of acute kidney injury. History of a diagnosed renal disorder like [[amyloidosis]] or [[polycystic kidney disease]] can also help to establish the diagnosis. Long standing history of [[anemia]] unresponsive to therapy is associated with [[chronic renal insufficiency]]. | |||
==Common Symptoms== | |||
*Bloody stools | *Bloody stools | ||
*Breath odor | *Breath odor | ||
| Line 26: | Line 31: | ||
*Swelling of the ankle, foot, and leg | *Swelling of the ankle, foot, and leg | ||
*Urination changes: | *Urination changes: | ||
*Decrease in amount of urine | :*Decrease in amount of urine | ||
*Excessive urination at night | :*Excessive urination at night | ||
*Urination stops completely | :*Urination stops completely | ||
==References== | ==References== | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Nephrology]] | |||
[[Category:Medical emergencies]] | [[Category:Medical emergencies]] | ||
[[Category:Kidney diseases]] | [[Category:Kidney diseases]] | ||
[[Category:Organ failure]] | [[Category:Organ failure]] | ||
[[Category:Causes of death]] | [[Category:Causes of death]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Intensive care medicine]] | [[Category:Intensive care medicine]] | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
Latest revision as of 14:05, 25 February 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
When a patient presents with uremic symptoms, first step is to differentiate an acute from a chronic process. A recent rise in serum creatinine levels indicate an acute pathology of renal failure, whereas chronically elevated creatinine levels are seen in chronic renal failure. However, chronic renal insufficiency is also associated with osteopathy, neuropathy and small, scarred kidneys.
History
Patients should be asked about use of nephrotoxic agents, which are a common cause of acute kidney injury. History of a diagnosed renal disorder like amyloidosis or polycystic kidney disease can also help to establish the diagnosis. Long standing history of anemia unresponsive to therapy is associated with chronic renal insufficiency.
Common Symptoms
- Bloody stools
- Breath odor
- Bruising easily
- Changes in mental status or mood
- Decreased appetite
- Decreased sensation, especially in the hands or feet
- Fatigue
- Flank pain (between the ribs and hips)
- Hand tremor
- High blood pressure
- Metallic taste in mouth
- Nausea or vomiting, may last for days
- Nosebleeds
- Persistent hiccups
- Prolonged bleeding
- Seizures
- Slow, sluggish movements
- Swelling - generalized (fluid retention)
- Swelling of the ankle, foot, and leg
- Urination changes:
- Decrease in amount of urine
- Excessive urination at night
- Urination stops completely