Chronic Kidney Disease

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Original Editor - Lucinda hampton

Top Contributors - Lucinda hampton, Bruno Serra, Vidya Acharya and Kim Jackson  

Introduction[edit | edit source]

Chronic kidney disease (CKD):

  • A progressive loss of glomerular function caused by a long-standing renal parenchymal disease. It is present when the glomerular filtration rate (GFR) is less than 60 ml/min/1.73 m2 for three consecutive months or greater than or equal to this value in patients with a kidney damage that is present for three or more months.[1]
  • A non-communicable disease usually caused by diabetes and hypertension[2]
  • Often involves a progressive loss of kidney function necessitating renal replacement therapy (dialysis or transplantation). When a patient needs renal replacement therapy, the condition is called end-stage renal disease (ESRD)[3].

Function[edit | edit source]

Filter the blood to remove excess water, minerals, and waste products of protein metabolism, producing urine in the process

Kidneys are involved in

  • Blood pressure regulation
  • Regulation of body fluid volume, osmolality and pH
  • Vitamin D and red blood cell (RBC) production

Renal function tests

  • Estimated glomerular filtration rate (eGFR)
  • Electrolytes
  • Blood urea nitrogen (BUN) (urea in the UK)
  • Creatinine levels[4]

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Resources[edit | edit source]

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References[edit | edit source]

  1. Radiopedia CKD Available from:https://radiopaedia.org/articles/chronic-kidney-disease (last accessed 20.10.20)
  2. Cockwell P, Fisher LA. The global burden of chronic kidney disease. The Lancet. 2020 Feb 29;395(10225):662-4.Available from:https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)32977-0/fulltext (last accessed 20.10.2020)
  3. Radiopedia Kidney Failure Available from:https://www.ncbi.nlm.nih.gov/books/NBK519012/ (last accessed 20.10.2020)
  4. Radiopedia Kidneys Available from:https://radiopaedia.org/articles/kidneys (last accessed 20.10.2020)