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Chronic Kidney Disease

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Chronic Kidney Disease

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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

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