革山院 Chronic Kidney Diseases (CKD Minmin zhang Division of Nephrology ashan Hospital, Fudan Univeristy
Chronic Kidney Diseases (CKD) Minmin Zhang Division of Nephrology Huashan Hospital, Fudan Univeristy
革山院 Contents Definition, stage, epidemiology of CKD Causes and pathophysiology of CKD Clinical and laboratory manifestations of CKD Treatment of cKd
Contents • Definition, stage, epidemiology of CKD • Causes and pathophysiology of CKD • Clinical and laboratory manifestations of CKD • Treatment of CKD
革山院 Chronic Kidney Diseases(CKD) Definition (NKF-K/) CKD presence of kidney damage gFR <60 mL/min pathologIc abnormalities with or without markers of kidney kidney damage damage ° imaging tests >3 months ≥>3 months Loss of kidney function Kidney damage
Chronic Kidney Diseases (CKD) ---Definition (NKF-K/DOQI) •GFR <60 mL/min •with or without kidney damage • ≥3 months CKD •presence of kidney damage •pathologic abnormalities •markers of kidney damage • imaging tests •≥3 months Loss of kidney function Kidney damage
革山院 ) Defining“ Kidney Damage” a Pathologic abnormalities By Radiology (Us, CT, Mr, etc)e.g Multiple cysts consistent with PKd 上 xtensive scarring Small kidneys REMEMBER: Renal masses or complex cysts that are not simple should be referred to a UROLOGIST!! By Histology--ie, renal biopsy
Defining ―Kidney Damage‖ Pathologic Abnormalities By Radiology (US, CT, MR, etc)--e.g. Multiple cysts consistent with PKD Extensive scarring Small kidneys REMEMBER: Renal masses or complex cysts that are not simple should be referred to a UROLOGIST!! By Histology--ie, renal biopsy
革山院 ) Defining“ Kidney Damage” Markers of Kidney Damage Proteinuria Microalbuminuria Hematuria(especially when seen with proteinuria) Isolated hematuria has a long differential: infection stone malignancy, etc Casts(especially with cellular elements
Defining ―Kidney Damage‖ Markers of Kidney Damage Proteinuria Microalbuminuria Hematuria (especially when seen with proteinuria) Isolated hematuria has a long differential: infection, stone, malignancy, etc. Casts (especially with cellular elements)