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Kidney Disorders

Feb 15, 2017 Issue
Proteinuria in Children: Evaluation and Differential Diagnosis [Article]

Proteinuria is usually benign; however, persistent proteinuria may be associated with more serious renal diseases. Proteinuria may also be an independent risk factor for the progression of chronic kidney disease in children. Learn to differentiate the diverse etiologies of proteinuria.


Aug 15, 2015 Issue
Prevention of Recurrent Nephrolithiasis: Dietary and Pharmacologic Options Recommended by the ACP [Practice Guidelines]

Nephrolithiasis occurs in 13% of men and 7% of women; if not managed appropriately, it will typically recur within five years in 35% to 50% of patients. The American College of Physicians (ACP) has provided recommendations regarding management of recurrent nephrolithiasis using diet and medication.


Sep 1, 2014 Issue
Autosomal Dominant Polycystic Kidney Disease [Article]

Enlarging cysts in the kidneys are the hallmark of the disease. Because the disease cannot be reversed, treatment focuses on the resulting manifestations.


Jul 15, 2014 Issue
A Helmet to the Flank [Photo Quiz]

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.


Feb 15, 2014 Issue
Screening for Chronic Kidney Disease: Recommendation Statement [U.S. Preventive Services Task Force]

The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence is insufficient to assess the balance of benefits and harms of routine screening for chronic kidney disease (CKD) in asymptomatic adults.


Feb 15, 2014 Issue
Screening for Chronic Kidney Disease [Putting Prevention into Practice]

A 55-year-old woman with no history of diabetes mellitus or hypertension asks to be screened for chronic kidney disease (CKD). Her 88-year-old mother has end-stage renal disease and is currently undergoing renal dialysis. The patient says she wants to take all necessary precautions to prevent this from happening to her.


Oct 15, 2012 Issue
Update on the Management of Chronic Kidney Disease [Article]

Chronic kidney disease is common and associated with significant morbidity. Given the high risk of cardiovascular morbidity and mortality in patients with chronic kidney disease, it is important to identify and treat related risk factors. However, there is growing uncertainty about the benefits of ...


Oct 1, 2012 Issue
Acute Kidney Injury: A Guide to Diagnosis and Management [Article]

Acute kidney injury is characterized by abrupt deterioration in kidney function, manifested by an increase in serum creatinine level with or without reduced urine output. The spectrum of injury ranges from mild to advanced, sometimes requiring renal replacement therapy. The diagnostic evaluation c...


May 1, 2012 Issue
Diabetic Nephropathy--The Family Physician's Role [Article]

Nearly one-half of persons with chronic kidney disease have diabetes mellitus. Diabetes accounted for 44 percent of new cases of kidney failure in 2008. Diabetic nephropathy, also called diabetic kidney disease, is associated with significant macrovascular risk, and is the leading cause of kidney fa...


Apr 1, 2012 Issue
End-Stage Renal Disease: Symptom Management and Advance Care Planning [Article]

The prevalence of end-stage renal disease continues to increase, and dialysis is offered to older and more medically complex patients. Pain is problematic in up to one-half of patients receiving dialysis and may result from renal and nonrenal etiologies. Opioids can be prescribed safely, but the pat...


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