Ned is a 55 yo male with DM, HTN, arthritis, hyperlipidemia Meds: lisinopril, metoprolol, simvastatin, insulin, aspirin, ibuprofen PE: BP 170/100, HR 60, bmi 40, no edema Labs Na 140, Cl 100, bicarb 20, K 5.5, Cr 3.5, eGFR 20 ml/min, BUN 50
Does Ned have AKI or CKD? How would you distinguish the two?
Definition of CKD • Progressive kidney damage over months or years (minimum >3 mo), manifested by
Definition of CKD • Progressive kidney damage over months or years (minimum >3 mo), manifested by – Markers of kidney damage: • Proteinuria • Abnormal urinary sediment • Abnormal imaging studies
Definition of CKD • Progressive kidney damage over months or years (minimum >3 mo), manifested by – Markers of kidney damage: • Proteinuria • Abnormal urinary sediment • Abnormal imaging studies
and/or – Decreased GFR 90 GFR 60-90 GFR 30-60 GFR 15-30 GFR
