Investigation Of Renal Patients

In patients with kidney disease, the symptoms and complaints may be nonspecific, absent until the disease is difficult, or both. The results can be local (eg. As in accordance with a kidney infection or ground) arising from the systemic effects of kidney dysfunction, or urinating concern (for. Example, changes in urine itself or in the urine production). History The symptoms of patients with kidney diseases are often not specific, so the history plays a limited role. Haematuria (isolated hematuria) is relatively specific for a Urogenitalstörung, but patients whose red urine occurs can also suffer from the following: myoglobinuria hemoglobinuria porphyrinuria Porphobilinurie food-induced colored urine (some foods, such as beets, rhubarb, sometimes food coloring. can urine appear red) drug-induced colored urine (some drugs, mostly Phenazopyridine, but sometimes cascara, diphenylhydantoin, rifampicin, methyldopa, phenacetin, phenindione, phenolphthalein, phenothiazines and Senna let the urine dark yellow to orange or red appear) A high protein concentration in the urine leads to a frothy and soapy urine. A Pollakusirie (frequent urination urination) should of polyuria (a larger amount of urine output than normal polyuria) are distinguished in patients who report excessive urination. Urination at night (nocturia) can be a symptom of both, but is often the result of excessive fluid intake before bedtime, an enlarged prostate or chronic kidney disease. A family history is helpful to find out inheritance patterns and the risk of polycystic kidney disease and other hereditary kidney disease (eg. B. heriditäre nephritis, syndrome of thin basement membrane, thin basement membrane disease, nail patella syndrome, cystinuria, hyperoxaluria). Physical examination in patients with moderate or severe chronic kidney disease can sometimes appear pale, emaciated or sick. Deep breathing (Kussmaul-Atmun) suggests a hyperventilation in response to metabolic acidosis with acidemia. Examination of the chest and pleuritic Pericardial friction sounds can signs of uremia sein.Untersuchung of the abdomen A visible bulge in the upper abdomen is an unusual, non-specific finding in polycystic kidney disease. It may be to act a vague mass in the kidneys, abdomen or hydronephrosis. A light, laterally audible noise is sometimes experienced with renal artery stenosis or epigastric the flanks; diastolic component increases the likelihood of diagnosis of renovascular hypertension. Pain caused by light tapping of the back, the edge or the angle between the 12th rib and spine fist (kostovertebraler pressure – / knock pain) may be triggered speak for pyelonephritis or Harntraktobstruktion (eg due to stone formation.). Normal-sized kidneys are usually not palpable. In some women, however, the lower pole of the right kidney can sometimes be felt during deep inspiration and great masses of the kidneys can be felt sometimes without special procedures. In newborns, the kidneys can scan by the thumb ventral, and the fingers are placed in the costovertebral angle (n. D. Talk .: due to the ubiquitously available sonography uncommon). In some children <1 year the optical fluoroscopy may reveal solid cystic masses when kidney and mass werden.Untersuchung pressed against the abdominal wall skin Chronic kidney disease can lead to the following symptoms: xerosis due to atrophy of the sebaceous and eccrine sweat glands pallor due to anemia due to hyperpigmentation of melanin deposition buckthorn colored or yellow-brown skin due to Urochromablagerung petechiae or bruising due to platelet dysfunction due to excoriation of itching caused by xeroderma hyperphosphatemia or uremia © Springer Science + Business Media var model = {thumbnailUrl: '/-/media/manual/professional/images/271_xerosis_slide_12_springer_high1_de.jpg?la=de&thn=0&mw=350' imageUrl: '/ - / media / manual / professional / images / ? 271_xerosis_slide_12_springer_high1_de.jpg lang = en & thn = 0 ', title:' xeroderma 'description:' u003Ca id = "v38396816 " class = ""anchor "" u003e u003c / a u003e u003cdiv class = "" para "" u003e u003cp u003eXerosis in a patient with advanced chronic kidney disease. The skin is very rough and dry u003c / p u003e u003c / div u003e 'credits' © Springer Science + Business Media'

Health Life Media Team

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