What is the examination of chronic kidney disease patient?

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(1) and urine sediment microscopy.(2) proteinuria, especially those with a large number of proteinuria, should be checked regularly for a pe

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(1) and urine sediment microscopy.

(2) proteinuria, especially those with a large number of proteinuria, should be checked regularly for a period of up to 24 hours. Some of them need to be determined by the molecular weight of urine protein, and the blood and urine are determined by immuno electrophoresis.

(3) hematuria patients should be suspected of urinary red blood cell phase examination, surgical hematuria is needed to find TB, urine cytology etc..

(4) renal function test, including glomerular filtration function, renal tubular, uric acid, urine osmotic pressure, and so on, and so on. Three.

(5) renal B ultrasound examination should be performed in patients with suspected renal vascular disease. If necessary, CT/ NMR and renal artery angiography.

(6) radionuclide renal dynamic examination on renal function can be evaluated.

(7) patients with abnormal blood lipids and uric acid should be reviewed regularly.

(8) patients with secondary kidney disease should be regularly tested with the primary diseases such as systemic lupus erythematosus, hepatitis, multiple myeloma, amyloidosis, antiphospholipid syndrome and other related indicators.

(9) adult patients with GFR less than 60ml/ (min * 1.73m2) (CKD3-5) should be regularly tested for associated comorbidities:

Electrolytes (potassium, sodium, chlorine) and carbon dioxide binding capacity.

The anemia related examination: blood, such as anemia, should detect serum iron, total iron binding capacity, ferritin, fecal occult blood etc..

Check the bone metabolism and vascular calcification, serum calcium, phosphorus, alkaline phosphatase, intact parathyroid hormone (iPTH), bone mineral density, X-ray etc..

 

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