Chronic Kidney Disease

CHRONIC KIDNEY DISEASE
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Introduction
The Chronic Kidney Disease is a condition that results when the kidney loses its ability to shed of the excess waste and water from the bloodstream. When fluids and waste accumulate, the functions of some body systems are affected thus resulting in complications. The primary causes of this chronic disease are high blood pressures and diabetes. In this case, it is significant to ascertain that the kidney disease is known as the largest killer.
Clinical Presentation of the Chronic Kidney Disease (CKD)
An efficient way of presenting CKD in a clinical way is calculating patient's glomerular filtration rate (GFR). The glomerular filtration rate (GFR) is a measurement tool that is used in establishing the level of waste fluid in a patient's kidney filtered from the bloodstream within a given period of time. Patient's who presents the symptoms of CKD between the first and the third stage (glomerular filtration rate [GFR]>30ML/min.1.73m2), are considered to be asymptomatic (Buttaro, et.al.2013). This is attributed to the loss of glomerular filtration rate (GFR) that may result in an imbalance in the patient's electrolyte, metabolic and water derangements. Generally, such an imbalance is likely to manifest clinically within the fourth stage of CKD (GFR<30Ml/min/1.73m2).
In addition to this, the Uremic manifestations of CKD in patients within the fifth stage may result out of the accumulation of toxins with a full level of sputum. This depicts the fact that a metabolic acidosis is likely to occur in patients in their fifth stages of CKD that manifest as a result of inadequate protein-energy, thus resulting into the loss of the body's lean mass and muscle weaknesses. An alteration in the water and salt content in the kidney in patients who suffer from CKD may cause peripheral edema (Buttaro, et.al.2013). On the other hand, the decrease in a patient's erythropoietin or renal synthesis may cause Armenia that may cause fatigues and impairment in a patient's immune and cognitive functions, thus demining the quality of a patient's life.
The Significance of a Diagnosis on a Patients CKD History and Physical Exams
A patients CKD history and physical exams remain essential in helping the clinical practitioners to establish the stages of the disease and the impact of the ailment in a patient. In addition to this, medical personnel are in a position to determine whether a patient is likely to contract proteinuria and hypertension as a result of this disease and the number of previous serum creatinine that have been performed on a patient before a visit (Adams, et.al.2011). Clinical personnel are also in a position to question a patient with the aim of understanding the voiding symptoms of the ailment such as the decrease in hesitancy, stream strength and an intermittent voiding since the presentation of these symptoms may depict the contraction of obstructive uropathy in a patient.
It is therefore significant to establish that a patient who presents an elevated level of serum creatinine may be required to present his/her medical history to determine if they are ailing from diabetes, arthritis, or any other medical exposure. This helps the clinicians to ...