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1. Chronic Kidney Disease Justin A. Glass, MD
Emory Family Medicine
12.06.07
3. Objectives CKD
Definition
Epidemiology
Management
Treatment to delay progression
Treatment to prevent secondary complications
4. Literature sources National Kidney Foundation Practice Guidelines for CKD (N/KDOQI)
www.kidney.org/professionals/kdoqi/guidelines.cfm
ADA Position Statement on Screening for Diabetic nephropathy (Supplement A, 1/06)
5. Normal Kidney Function Regulation of fluid / electrolyte balance
Regulation of blood pressure
Regulation of red cell mass
Regulation of calcium / phosphate metabolism
6. Normal Kidney Function Renal hormones
Renin
Bradykinin
Prostaglandins (PGE2 / PGI2)
Erythropoietin
Calcitriol
7. Definition of CKD Chronic Kidney Disease (CKD)
Kidney damage or decreased kidney function (decreased GFR) for 3 or more months
8. Definition: Chronic Kidney Disease Kidney Damage
Proteinuria
Abnormal urine sediment
Abnormal serum or urine chemistries
Abnormal imaging study
9. Proteinuria