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Chronic Kidney Disease Joel Reynolds, MD, FASN Chief, Nephrology Service
Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Defining Chronic Kidney Disease ,[object Object],[object Object],[object Object],[object Object],[object Object]
Stages of CKD ,[object Object],[object Object],[object Object],[object Object],[object Object],AM J Kidney Dis 39[Suppl 1]: S1-S266, 2002
Estimating GFR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Measuring CrCl ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Measuring CrCl ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Measuring Proteinuria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Defining Proteinuria ,[object Object],[object Object],[object Object],[object Object],[object Object]
Epidemiology ,[object Object],[object Object],[object Object],[object Object]
Epidemiology   NHANES study (’88-’94) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Differential of CKD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Differential of CKD ,[object Object],[object Object],[object Object],[object Object],[object Object]
Work-Up of CKD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risks of Progression to ESRD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Implications of ESRD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CKD Under-Diagnosed ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
At Initiation of Dialysis  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mortality in 5 yrs ,[object Object],[object Object],[object Object],[object Object]
CV Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CV Disease in CKD ,[object Object],[object Object],[object Object],[object Object],[object Object]
CV Disease in CKD ,[object Object],[object Object],[object Object]
Anemia in CKD ,[object Object],[object Object],[object Object],[object Object]
Anemia in CKD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epogen ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypertension in CKD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HTN in CKD ,[object Object],[object Object],[object Object],[object Object],[object Object]
HTN in CKD Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]
HTN in CKD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hyperlipidemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Renal Osteodystrophy: ( aka Secondary Hyperparathyroidism) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Renal Osteodystrophy So What? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Monitoring PTH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treating hyperPTH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Phosphate binders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Phosphate binders ,[object Object],[object Object],[object Object],[object Object],[object Object]
Phosphate binders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acidosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nutrition in CKD ,[object Object],[object Object],[object Object],[object Object]
Referral to Nephrologist ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Preparation for Dialysis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Preparation for Dialysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Preparation for Dialysis ,[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]
Questions????

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Chronic kidney disease

  • 1. Chronic Kidney Disease Joel Reynolds, MD, FASN Chief, Nephrology Service
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