Reducing hyperglycemia in older patients with chronic kidney disease may be best accomplished using incretin-based agents.
Gout is associated with a 57% increased risk of ESRD, independent of hypertension and diabetes, according to new research.
Autosomal dominant polycystic kidney disease (ADPKD) is common. Presenting symtpoms include hypertension, hematuria, proteinuria, and renal insufficiency.
<img height="68" width="100" data-cke-saved-src=" http://www.consultantlive.com/image/image_gallery?img_id=2055702&t=13336... alt=" src=" http://www.consultantlive.com/image/image_gallery?img_id=2055702&t=13336... alt=" "="" border="0" align="left" style="padding-right:5px;"> A 92-year-old woman presented with a 6-month history of progressively worsening fatigue, weight loss, generalized bone pain, and dyspnea on exertion. A skeletal survey found lytic lesions in the pelvis, sacrum, and calvarium (shown here).
Patients with hypertension and/or diabetes are at high risk for CV and renal disease. How can the busy primary care provider stay a step ahead of potential renal deterioration? Here, a look at a quick, inexpensive, and reliable screening test.
Adding aliskiren to antihypertension regimens that already include losartan reduced blood protein levels from 19% to 22% in hypertensive type 2 diabetic patients with nephropathy.
Chronic kidney disease (CKD) has become a burgeoning epidemic. Patients with various stages of CKD initially seek care from their primary care physician; some of these patients sustain acute, reversible renal injuries as well.
A 48-year-old woman sought medical attention after an episode of gross hematuria associated with mild right-sided loin discomfort. She did not have urinary frequency, urgency, or dysuria. Her history included 3 urinary tract infections; a Proteus species was cultured on each occasion. The family history was unremarkable. Other than mild loin tenderness, physical findings were normal.
For about 2 weeks, a 61-year-old woman with diet-controlled diabetes and hypertension had fatigue and generalized weakness. For the past 3 months, she had had poorly localized back pain and bilateral flank pain. She denied dysuria, fever, decreased urinary output, or weight loss.
Patients with kidney stones are
often sent home with a bulky plastic
filter cup and told to use it to strain