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Renal failure: examination, diagnosis and identification

2016-12-25 18:31
Kidney failure is a very serious kidney disease, this disease is difficult to cure after the occurrence of the disease has a relatively high mortality.
Identification: when the patient's urine volume sharply reduced, renal function deteriorated rapidly, should consider the possibility of ARF, and ARF diagnosis once identified, must be further identified as pre renal, renal or post renal ARF.
1, patients with nocturia disease? Night urine volume over the day, suggesting that distal renal tubule dysfunction, the disease history of more than CRF.
2, whether patients with anemia? CRF almost have anemia, glomerular and renal vascular ARF also anemia, renal tubular and interstitial renal ARF were anemia or only mild anemia, so without anemia of kidney failure, more suggestive of renal tubular or renal interstitial ARF.
Examination of renal failure:
1 blood routine examination: obvious anemia, normal cell anemia, white blood cell count is normal or increased. Platelet decreased, cell sedimentation rate accelerated.
2 urine routine examination: different with the original disease. The common points are: increasing the quantity of urinary protein: most have been late due to glomerular injury, urinary protein decreased; the urine osmolality: low proportion, less than 1.018, serious when fixed in 1.010 ~ 1.012 between urine concentration and dilution test at night urine volume more than the daily urine volume, the urine the proportion of more than 1.020, the highest and the lowest proportion of urine is less than 0.008; the urine volume decreased in the following: 1000ml daily; the urinary sediment examination: can have varying amounts of red blood cells, white blood cells, epithelial cells and granular casts, like wax tube type is most significant.
3 renal function test: all indexes suggest renal function decline.
4 blood biochemical examination: albumin decrease in plasma calcium is low, phosphorus increased, serum potassium and blood sodium dependent disease.
5 other tests: kub and X-ray angiography, radionuclide renography, renal scan, renal biopsy, etiological diagnosis for help.
The above article content on renal failure disease diagnostic method for everyone to do a detailed introduction, experts suggest that when disease renal failure we have to make timely diagnosis and timely treatment, to understand the disease diagnosis method of renal failure is what.
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