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Kidney failure

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663: 155: 38: 673:(CKD) can also develop slowly and, initially, show few symptoms. CKD can be the long term consequence of irreversible acute disease or part of a disease progression. CKD is divided into 5 different stages (1–5) according to the estimated glomerular filtration rate (eGFR). In CKD1 eGFR is normal and in CKD5 eGFR has decreased to less than 15 ml/min. 1096:. Stage 1 CKD is mildly diminished renal function, with few overt symptoms. Stages 2 and 3 need increasing levels of supportive care from their medical providers to slow and treat their renal dysfunction. People with stage 4 and 5 kidney failure usually require preparation towards active treatment in order to survive. 1136:
Before the advancement of modern medicine, renal failure was often referred to as uremic poisoning. Uremia was the term for the contamination of the blood with urea. It is the presence of an excessive amount of urea in blood. Starting around 1847, this included reduced urine output, which was thought
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Acute kidney injury (previously known as acute renal failure) – or AKI – usually occurs when the blood supply to the kidneys is suddenly interrupted or when the kidneys become overloaded with toxins. Causes of acute kidney injury include accidents, injuries, or complications from surgeries in which
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Drug overdoses, accidental or from chemical overloads of drugs such as antibiotics or chemotherapy, along with bee stings may also cause the onset of acute kidney injury. Unlike chronic kidney disease, however, the kidneys can often recover from acute kidney injury, allowing the person with AKI to
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In the United States, acute failure affects about 3 per 1,000 people a year. Chronic failure affects about 1 in 1,000 people with 3 per 10,000 people newly developing the condition each year. In Canada, the lifetime risk of kidney failure or end-stage renal disease (ESRD) was estimated to be 2.66%
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Acute kidney injuries can be present on top of chronic kidney disease, a condition called acute-on-chronic kidney failure (AoCRF). The acute part of AoCRF may be reversible, and the goal of treatment, as with AKI, is to return the person to baseline kidney function, typically measured by serum
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People who receive earlier referrals to a nephrology specialist, meaning a longer time before they must start dialysis, have a shorter initial hospitalization and reduced risk of death after the start of dialysis. Other methods of reducing disease progression include minimizing exposure to
545:. Other recommended measures from chronic disease include staying active and specific dietary changes. Depression is also common among patients with kidney failure, and is associated with poor outcomes including higher risk of kidney function decline, hospitalization, and death. A recent 1029:
is another well-known cause of chronic failure. The majority of people affected with polycystic kidney disease have a family history of the disease. Systemic lupus erythematosus (SLE) is also a known cause of chronic kidney failure. Other genetic illnesses cause kidney failure, as well.
2608:"Protein Diet Restriction Slows Chronic Kidney Disease Progression in Non-Diabetic and in Type 1 Diabetic Patients, but Not in Type 2 Diabetic Patients: A Meta-Analysis of Randomized Controlled Trials Using Glomerular Filtration Rate as a Surrogate" 2829: 2810: 703:. Very low levels of azotemia may produce few, if any, symptoms. If the disease progresses, symptoms become noticeable (if the failure is of sufficient degree to cause symptoms). Kidney failure accompanied by noticeable symptoms is termed 698:
Symptoms can vary from person to person. Someone in early stage kidney disease may not feel sick or notice symptoms as they occur. When the kidneys fail to filter properly, waste accumulates in the blood and the body, a condition called
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Normally proteins are too large to pass through the kidneys. However they are able to pass through when the glomeruli are damaged. This does not cause symptoms until extensive kidney damage has occurred, after which symptoms include:
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Mehrotra R, Cukor D, Unruh M, Rue T, Heagerty P, Cohen SD, et al. (March 2019). "Comparative Efficacy of Therapies for Treatment of Depression for Patients Undergoing Maintenance Hemodialysis: A Randomized Clinical Trial".
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A normal GFR varies according to many factors, including sex, age, body size and ethnic background. Renal professionals consider the glomerular filtration rate (GFR) to be the best overall index of kidney function.
1478: 852:. As the kidneys fail, they produce less erythropoietin, resulting in decreased production of red blood cells to replace the natural breakdown of old red blood cells. As a result, the blood carries less 945:
resume a normal life. People with acute kidney injury require supportive treatment until their kidneys recover function, and they often remain at increased risk of developing future kidney failure.
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not attributed to other etiologies. Two western African variants in APOL1 have been shown to be associated with end stage kidney disease in African Americans and Hispanic Americans.
549:-funded study of patients with kidney failure receiving outpatient hemodialysis found similar effectiveness between nonpharmacological and pharmacological treatments for depression. 1227:
may help some people with kidney disease. A high protein diet from either animal or plant sources appears to have negative effects on kidney function at least in the short term.
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for men and 1.76% for women. Acute failure is often reversible while chronic failure often is not. With appropriate treatment many with chronic disease can continue working.
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and then drained, with this process being repeated multiple times per day. Kidney transplantation involves surgically placing a kidney from someone else and then taking
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Smart NA, Dieberg G, Ladhani M, Titus T (June 2014). "Early referral to specialist nephrology services for preventing the progression to end-stage kidney disease".
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that appears after the release of the crushing pressure. The mechanism is believed to be the release into the bloodstream of muscle breakdown products – notably
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Those with end stage renal failure who undergo haemodialysis have higher risk of spontaneous intra-abdominal bleeding than the general population (21.2%) and
1219:, a low protein diet is found to have a preventive effect on progression of chronic kidney disease. However, this effect does not apply to people with 2237: 419:
can no longer adequately filter waste products from the blood, functioning at less than 15% of normal levels. Kidney failure is classified as either
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gene has been proposed as a major genetic risk locus for a spectrum of nondiabetic renal failure in individuals of African origin, these include
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Chauveau P, Combe C, Fouque D, Aparicio M (November 2013). "Vegetarianism: advantages and drawbacks in patients with chronic kidney diseases".
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Bernstein AM, Treyzon L, Li Z (April 2007). "Are high-protein, vegetable-based diets safe for kidney function? A review of the literature".
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The treatment of acute kidney injury depends on the cause. The treatment of chronic kidney failure may include renal replacement therapy:
1155:(FENa) index and the renal failure index (RFI). The renal failure index is equal to urine sodium times plasma creatinine divided by urine 3294: 2127: 1241: 2370:"Missense mutations in the APOL1 gene are highly associated with end stage kidney disease risk previously attributed to the MYH9 gene" 2027: 1067: 941:
the kidneys are deprived of normal blood flow for extended periods of time. Heart-bypass surgery is an example of one such procedure.
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offers an easy to use on-line GFR calculator for anyone who is interested in knowing their glomerular filtration rate. (A serum
2949: 55: 3138: 1287: 1118: 533:. Hemodialysis uses a machine to filter the blood outside the body. In peritoneal dialysis specific fluid is placed into the 102: 59: 1159:. A FENa score greater than 3% or a renal failure index (RFI) greater than 3 are helpful in confirming acute renal failure. 74: 2954: 2891: 1180: 686:. Like AKI, AoCRF can be difficult to distinguish from chronic kidney disease if the person has not been monitored by a 3204: 2925: 1152: 621: 81: 3014: 2197:"Risk of kidney failure associated with the use of acetaminophen, aspirin, and nonsteroidal antiinflammatory drugs" 1093: 1063: 507: 48: 3049: 1026: 829: 511: 495: 479: 304: 275: 88: 3150: 3044: 2848: 1324: 3054: 2884: 196: 70: 3320: 3271: 3197: 3090: 3004: 2996: 2961: 2944: 1950: 1105: 1097: 1071: 1012: 670: 657: 572: 515: 424: 239: 221: 3113: 3034: 2489:"Urinary indices - fractional excretion of sodium ( FENA ), renal failure index. Acute tubular necrosis" 1913: 2178: 1137:
to be caused by the urine mixing with the blood instead of being voided through the urethra. The term
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Treatment of acute failure depends on the underlying cause. Treatment of chronic failure may include
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Silva GB, Vasconcelos AG, Rocha AM, Vasconcelos VR, Barros J, Fujishima JS, et al. (June 2017).
1955:. Deerfield, Illinois: Baxter International Inc. 2008-05-01. pp. 14–15. 08/1046R. Archived from 1863: 579:; other factors that may help differentiate acute kidney failure from chronic kidney failure include 568: 562: 483: 420: 289: 235: 209: 3315: 3266: 3249: 3239: 3085: 2833: 1245: 1200: 1172: 1168: 1092:
Chronic kidney failure is measured in five stages, which are calculated using the person's GFR, or
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Genovese G, Friedman DJ, Ross MD, Lecordier L, Uzureau P, Freedman BI, et al. (August 2010).
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is suddenly relieved from the pressure obstructing the blood flow through its tissues, causing
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FACP, FASN. Calculators for HealthCare Professionals. National Kidney Foundation. 13 Oct 2008
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Turin TC, Tonelli M, Manns BJ, Ahmed SB, Ravani P, James MT, Hemmelgarn BR (September 2012).
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per day in adults, less than 0.5 mL/kg/h in children or less than 1 mL/kg/h in infants); and
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Tzur S, Rosset S, Shemer R, Yudkovsky G, Selig S, Tarekegn A, et al. (September 2010).
2340: 2332: 2283: 2275: 2208: 2098: 2090: 1811: 1744: 1703: 1662: 1654: 1580: 1409: 1399: 1224: 832:, which causes large, fluid-filled cysts on the kidneys and sometimes the liver, can cause: 534: 503: 475: 332: 95: 2031: 1981: 1220: 1216: 1101: 1017:
Chronic kidney failure has numerous causes. The most common causes of chronic failure are
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may be necessary to bridge the time gap required for treating these fundamental causes.
3278: 3166: 3039: 3009: 2915: 2907: 2642: 2607: 2583: 2558: 2394: 2369: 2345: 2312: 2288: 2263: 2103: 2078: 1667: 1642: 1414: 1387: 1237: 997: 985: 961: 949: 849: 841: 605: 346: 270: 3309: 3244: 3234: 3145: 3080: 2313:"Association of trypanolytic ApoL1 variants with kidney disease in African Americans" 2238:"Renal involvement with hantavirus infection (hemorrhagic fever with renal syndrome)" 2155:"[The role of arterial hypertension in development of chronic renal failure]" 1038: 787: 604:(AKI), previously called acute renal failure (ARF), is a rapidly progressive loss of 471: 452: 262: 2842: 2838: 2729: 2543: 2001: 1600: 1100:
is considered a severe illness and requires some form of renal replacement therapy (
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Less frequent urination, or in smaller amounts than usual, with dark coloured urine
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Shortness of breath due to extra fluid on the lungs (may also be caused by anemia)
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Dirkx TC, Woodell T, Watnick S (2017). Papadakis MA, McPhee SJ, Rabow MW (eds.).
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Disease where the kidneys fail to adequately filter waste products from the blood
3157: 2936: 2559:"Letter to the editor: spontaneous renal haemorrhage in end-stage renal disease" 2213: 2196: 2094: 1815: 1176: 845: 729: 617: 498:. Diagnosis of acute failure is often based on a combination of factors such as 188: 37: 2864: 2713: 2488: 1708: 1691: 2678: 2574: 2385: 1156: 1122: 1045: 1000: 981: 912: 853: 769: 683: 584: 576: 176: 17: 2527: 1440: 148:
Renal failure, end-stage renal disease (ESRD), stage 5 chronic kidney disease
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as chronic kidney disease generally leads to anemia and small kidney size.
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More frequent urination, or in greater amounts than usual, with pale urine
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National Kidney and Urologic Diseases Information Clearinghouse (2012).
575:. The type of renal failure is differentiated by the trend in the serum 2519: 704: 460: 2802: 3095: 2814: 2503: 1584: 1139: 993: 857: 734: 690:
and no baseline (i.e., past) blood work is available for comparison.
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Kes P, Basić-Jukić N, Ljutić D, Brunetta-Gavranić B (October 2011).
624:. AKI can result from a variety of causes, generally classified as 2504:"Acute renal failure in neonates: Incidence, etiology and outcome" 1977: 1058: 953: 661: 613: 546: 428: 2876: 2056:(10th ed.). New York, NY: McGraw Hill Medical. p. 733. 666:
Illustration of a kidney from a person with chronic renal failure
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National Institute of Diabetes and Digestive and Kidney Diseases
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in the blood that diseased kidneys cannot filter out may cause:
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level, a simple blood test, is needed to use the calculator.)
790:(caused by low levels of calcium which can be associated with 31: 803:
in the blood that diseased kidneys cannot filter out (called
1929: 1918:. Deerfield, Illinois: Baxter International Inc. p. 6. 1733:"New insights in acute kidney failure in the critically ill" 1388:"Insulin resistance in patients with chronic kidney disease" 166:
machine which is used to replace the function of the kidneys
1893:"Kidney failure (renal failure with uremia, or azotaemia)" 1779:. U.S. National Library of Medicine. 2012. Archived from 1143:
is now used for the illness accompanying kidney failure.
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Appetite loss, which may include a bad taste in the mouth
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Unusual amounts of urination, usually in large quantities
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Tonolini M, Ierardi AM, Carrafiello G (December 2015).
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Clinical Journal of the American Society of Nephrology
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Revista do Instituto de Medicina Tropical de Sao Paulo
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Liao MT, Sung CC, Hung KC, Wu CC, Lo L, Lu KC (2012).
1362:. Springer Science & Business Media. p. 19. 1041:(paracetamol) can also cause chronic kidney failure. 818:
Failure of kidneys to remove excess fluid may cause:
439:. Complications of acute and chronic failure include 2792: 948:
Among the accidental causes of renal failure is the
3287: 3227: 3106: 3063: 3025: 2995: 2935: 2914: 2796: 2450:Meyer TW, Hostetter TH (September 2007). "Uremia". 1844:. Medline Plus, National Institutes of Health. 2011 1802:Klahr S, Miller SB (March 1998). "Acute oliguria". 996:is not fully understood, but may be due in part to 567:Kidney failure can be divided into two categories: 386: 359: 313: 245: 231: 195: 182: 170: 144: 139: 62:. Unsourced material may be challenged and removed. 2195:Perneger TV, Whelton PK, Klag MJ (December 1994). 1617:Ferri's Clinical Advisor 2018 E-Book: 5 Books in 1 1546:Ferri's Clinical Advisor 2018 E-Book: 5 Books in 1 1048:, can attack the kidneys, causing kidney failure. 821:Swelling of the hands, legs, ankles, feet, or face 710:Symptoms of kidney failure include the following: 2606:Rughooputh MS, Zeng R, Yao Y (28 December 2015). 1915:Understanding Treatment Options For Renal Therapy 1690:Moore EM, Bellomo R, Nichol AD (November 2012). 451:. Complications of chronic failure also include 2502:Stapleton FB, Jones DP, Green RS (1987-09-01). 2777:Current Medical Diagnosis & Treatment 2018 1538: 1536: 889:Swelling in the hands, feet, abdomen, and face 423:, which develops rapidly and may resolve; and 3205: 2892: 2264:"The spectrum of MYH9-associated nephropathy" 1187:does not differ from the general population. 988:(the breakdown of skeletal muscle damaged by 616:production, quantified as less than 400  506:. Diagnosis of chronic failure is based on a 191:, feeling tired, loss of appetite, confusion 8: 2702:Journal of the American Dietetic Association 915:, people with kidney failure may experience 2745:The Cochrane Database of Systematic Reviews 1886: 1884: 482:. Causes of chronic kidney failure include 3212: 3198: 3190: 2899: 2885: 2877: 2793: 2026:Hebert LA, Charleston J, Miller E (2009). 1508: 1506: 1504: 1392:Journal of Biomedicine & Biotechnology 1351: 1349: 1347: 1345: 1319: 153: 136: 2641: 2631: 2582: 2393: 2344: 2287: 2212: 2102: 1748: 1707: 1666: 1620:. Elsevier Health Sciences. p. 294. 1473: 1471: 1469: 1467: 1465: 1463: 1461: 1413: 1403: 1317: 1315: 1313: 1311: 1309: 1307: 1305: 1303: 1301: 1299: 1282:. Elsevier Health Sciences. p. 457. 1271: 1269: 1267: 1265: 1263: 1261: 122:Learn how and when to remove this message 1549:. Elsevier Health Sciences. p. 37. 1435: 1433: 1381: 1379: 1044:Some infectious disease agents, such as 992:conditions). The specific action on the 1359:Renal Failure and Replacement Therapies 1257: 1066:(HIVAN), primary nonmonogenic forms of 466:Causes of acute kidney failure include 415:), is a medical condition in which the 2780:. New York, NY: McGraw-Hill Education. 2483: 2481: 510:(GFR) of less than 15 or the need for 2262:Bostrom MA, Freedman BI (June 2010). 1519:. John Wiley & Sons. p. 28. 1171:(18.1%). Meanwhile, those undergoing 7: 3129:Abderhalden–Kaufmann–Lignac syndrome 1516:Nephrology: Clinical Cases Uncovered 850:make oxygen-carrying red blood cells 840:Healthy kidneys produce the hormone 640:experience AKI, sometimes requiring 60:adding citations to reliable sources 3295:Multiple organ dysfunction syndrome 2452:The New England Journal of Medicine 2201:The New England Journal of Medicine 1804:The New England Journal of Medicine 1175:have a higher chance of developing 1151:Two other urinary indices, are the 718:in the blood, which can result in: 514:. It is also equivalent to stage 5 1068:focal segmental glomerulosclerosis 25: 1215:In non-diabetics and people with 1169:non-occlusive mesenteric ischemia 760:Pressure, or difficulty urinating 1033:Overuse of common drugs such as 36: 2128:"The Kidneys and How They Work" 2054:Basic and Clinical Pharmacology 1982:"10 Symptoms of Kidney Disease" 677:Acute-on-chronic kidney failure 622:fluid and electrolyte imbalance 47:needs additional citations for 2753:10.1002/14651858.CD007333.pub2 1696:Anaesthesia and Intensive Care 1119:The National Kidney Foundation 1070:, and hypertension affiliated 1: 2236:Appel GB, Mustonen J (2012). 1842:A.D.A.M. Medical Encyclopedia 1777:A.D.A.M. Medical Encyclopedia 956:are suddenly released in the 636:. Many people diagnosed with 608:, generally characterized by 2633:10.1371/journal.pone.0145505 1181:gastrointestinal perforation 1021:and long-term, uncontrolled 2926:Template:Glomerular disease 2214:10.1056/NEJM199412223312502 2095:10.1590/S1678-9946201759025 1816:10.1056/NEJM199803053381007 1573:Annals of Internal Medicine 1153:fractional sodium excretion 984:– that are the products of 908:Excess protein in the blood 728:(or both) that may lead to 3337: 3015:Balkan endemic nephropathy 2714:10.1016/j.jada.2007.01.002 2667:Journal of Renal Nutrition 1864:"Stages of kidney disease" 1709:10.1177/0310057X1204000604 1112:Glomerular filtration rate 1094:glomerular filtration rate 1064:HIV-associated nephropathy 1010: 933: 655: 594: 560: 508:glomerular filtration rate 500:decreased urine production 347:Glomerular filtration rate 327:Decreased urine production 3050:Renovascular hypertension 2679:10.1053/j.jrn.2013.08.004 2575:10.1007/s13244-015-0439-4 2416:Fadem, Stephen Z., M.D., 2386:10.1007/s00439-010-0861-0 1891:Grinsted P (2005-03-02). 1731:Ricci Z, Ronco C (2012). 1279:Primer on Kidney Diseases 1027:Polycystic kidney disease 830:Polycystic kidney disease 512:renal replacement therapy 496:polycystic kidney disease 480:hemolytic uremic syndrome 305:polycystic kidney disease 276:hemolytic uremic syndrome 161: 152: 3151:Renal papillary necrosis 3045:Hypertensive nephropathy 1838:"Chronic kidney disease" 1479:"What is renal failure?" 1088:Stages of kidney failure 960:after a long compressed 952:, when large amounts of 894:Other symptoms include: 869:Difficulty concentrating 835:Pain in the back or side 435:, loss of appetite, and 3055:Renal cortical necrosis 2337:10.1126/science.1193032 1643:"Lifetime risk of ESRD" 1183:. However, the rate of 856:, a condition known as 583:and the kidney size on 474:, certain medications, 409:end-stage renal disease 224:, high blood pressure, 3091:Chronic kidney disease 3005:Interstitial nephritis 2962:Acute tubular necrosis 2945:Renal tubular acidosis 1912:Stein A (2007-07-01). 1773:"Acute kidney failure" 1750:10.4414/smw.2012.13662 1659:10.1681/ASN.2012020164 1483:Johns Hopkins Medicine 1072:chronic kidney disease 1052:Genetic predisposition 1013:Chronic kidney disease 1007:Chronic kidney failure 860:. This can result in: 810:Abnormal heart rhythms 671:Chronic kidney disease 667: 658:Chronic kidney disease 652:Chronic kidney failure 573:chronic kidney failure 541:medication to prevent 516:chronic kidney disease 425:chronic kidney failure 393:: 3 per 1,000 per year 366:: Depends on the cause 240:chronic kidney failure 3114:Analgesic nephropathy 3035:Renal artery stenosis 2563:Insights into Imaging 1513:Clatworthy M (2010). 905:Darkening of the skin 886:Foamy or bubbly urine 863:Feeling tired or weak 742:Nocturnal urination ( 665: 638:paraquat intoxication 3119:Renal osteodystrophy 2508:Pediatric Nephrology 2464:10.1056/NEJMra071313 2280:10.2215/CJN.08721209 2163:Acta Medica Croatica 1737:Swiss Medical Weekly 1246:intravenous contrast 1221:type 2 diabetes 1217:type 1 diabetes 844:that stimulates the 591:Acute kidney failure 569:acute kidney failure 563:Hepatorenal syndrome 421:acute kidney failure 236:Acute kidney failure 210:high blood potassium 56:improve this article 3240:Respiratory failure 3086:Acute renal failure 2624:2015PLoSO..1045505R 2329:2010Sci...329..841G 2052:Katzung BG (2007). 1405:10.1155/2012/691369 1356:Blakeley S (2010). 1231:Slowing progression 1201:peritoneal dialysis 1173:peritoneal dialysis 1147:Renal failure index 1108:whenever feasible. 1083:Measurement for CKD 1078:Diagnostic approach 936:Acute kidney injury 930:Acute kidney injury 911:With high doses of 901:Difficulty sleeping 602:Acute kidney injury 597:Acute kidney injury 527:peritoneal dialysis 488:high blood pressure 457:high blood pressure 377:peritoneal dialysis 295:high blood pressure 267:certain medications 3177:Reflux nephropathy 3134:Diabetes insipidus 2916:Glomerular disease 2520:10.1007/BF00849230 2169:(Suppl 3): 78–84. 1868:www.kidneyfund.org 1783:on 17 January 2014 1276:Cheung AK (2005). 1185:acute pancreatitis 970:reperfusion injury 877:Low blood pressure 756:Blood in the urine 694:Signs and symptoms 668: 492:nephrotic syndrome 470:, blockage of the 468:low blood pressure 398:: 1 per 1,000 (US) 300:nephrotic syndrome 257:Low blood pressure 3303: 3302: 3187: 3186: 3064:General syndromes 2985:Liddle's syndrome 2980:Gitelman syndrome 2874: 2873: 2063:978-0-07-145153-6 1925:978-1-85959-070-6 1614:Ferri FF (2017). 1543:Ferri FF (2017). 1205:kidney transplant 1106:kidney transplant 1019:diabetes mellitus 958:blood circulation 792:hyperphosphatemia 539:immunosuppressant 531:kidney transplant 431:, feeling tired, 402: 401: 381:kidney transplant 315:Diagnostic method 134:Medical condition 132: 131: 124: 106: 16:(Redirected from 3328: 3214: 3207: 3200: 3191: 2975:Bartter syndrome 2970:Fanconi syndrome 2901: 2894: 2887: 2878: 2794: 2782: 2781: 2771: 2765: 2764: 2740: 2734: 2733: 2697: 2691: 2690: 2662: 2656: 2655: 2645: 2635: 2618:(12): e0145505. 2603: 2597: 2596: 2586: 2554: 2548: 2547: 2499: 2493: 2492: 2485: 2476: 2475: 2447: 2441: 2440: 2438: 2437: 2430:"GFR calculator" 2426: 2420: 2414: 2408: 2407: 2397: 2365: 2359: 2358: 2348: 2308: 2302: 2301: 2291: 2259: 2253: 2252: 2250: 2248: 2233: 2227: 2226: 2216: 2192: 2186: 2185: 2183: 2177:. Archived from 2160: 2150: 2144: 2143: 2141: 2139: 2123: 2117: 2116: 2106: 2074: 2068: 2067: 2049: 2043: 2042: 2040: 2039: 2030:. Archived from 2023: 2017: 2016: 2014: 2013: 2006:MedicineNet, Inc 1998: 1992: 1991: 1989: 1988: 1974: 1968: 1967: 1965: 1964: 1952:The PD Companion 1947: 1941: 1940: 1938: 1937: 1928:. Archived from 1909: 1903: 1902: 1900: 1899: 1888: 1879: 1878: 1876: 1875: 1860: 1854: 1853: 1851: 1849: 1834: 1828: 1827: 1799: 1793: 1792: 1790: 1788: 1769: 1763: 1762: 1752: 1728: 1722: 1721: 1711: 1687: 1681: 1680: 1670: 1653:(9): 1569–1578. 1647:J Am Soc Nephrol 1638: 1632: 1631: 1611: 1605: 1604: 1585:10.7326/M18-2229 1567: 1561: 1560: 1540: 1531: 1530: 1510: 1499: 1498: 1496: 1494: 1485:. Archived from 1475: 1456: 1455: 1453: 1451: 1441:"Kidney Failure" 1437: 1428: 1427: 1417: 1407: 1383: 1374: 1373: 1353: 1340: 1339: 1337: 1335: 1325:"Kidney Failure" 1321: 1294: 1293: 1273: 1225:plant-based diet 1223:. A whole food, 1129:Use of the term 1098:Stage 5 CKD 813:Muscle paralysis 535:abdominal cavity 504:serum creatinine 476:muscle breakdown 407:, also known as 333:serum creatinine 271:muscle breakdown 261:blockage of the 157: 137: 127: 120: 116: 113: 107: 105: 71:"Kidney failure" 64: 40: 32: 21: 3336: 3335: 3331: 3330: 3329: 3327: 3326: 3325: 3306: 3305: 3304: 3299: 3283: 3223: 3218: 3188: 3183: 3102: 3059: 3021: 2991: 2931: 2910: 2905: 2875: 2870: 2869: 2805: 2791: 2786: 2785: 2773: 2772: 2768: 2747:(6): CD007333. 2742: 2741: 2737: 2699: 2698: 2694: 2664: 2663: 2659: 2605: 2604: 2600: 2556: 2555: 2551: 2501: 2500: 2496: 2487: 2486: 2479: 2458:(13): 1316–25. 2449: 2448: 2444: 2435: 2433: 2428: 2427: 2423: 2415: 2411: 2367: 2366: 2362: 2323:(5993): 841–5. 2310: 2309: 2305: 2261: 2260: 2256: 2246: 2244: 2235: 2234: 2230: 2194: 2193: 2189: 2181: 2165:(in Croatian). 2158: 2152: 2151: 2147: 2137: 2135: 2125: 2124: 2120: 2076: 2075: 2071: 2064: 2051: 2050: 2046: 2037: 2035: 2025: 2024: 2020: 2011: 2009: 2000: 1999: 1995: 1986: 1984: 1976: 1975: 1971: 1962: 1960: 1949: 1948: 1944: 1935: 1933: 1926: 1911: 1910: 1906: 1897: 1895: 1890: 1889: 1882: 1873: 1871: 1862: 1861: 1857: 1847: 1845: 1836: 1835: 1831: 1801: 1800: 1796: 1786: 1784: 1771: 1770: 1766: 1730: 1729: 1725: 1689: 1688: 1684: 1640: 1639: 1635: 1628: 1613: 1612: 1608: 1569: 1568: 1564: 1557: 1542: 1541: 1534: 1527: 1512: 1511: 1502: 1492: 1490: 1489:on 18 June 2017 1477: 1476: 1459: 1449: 1447: 1439: 1438: 1431: 1385: 1384: 1377: 1370: 1355: 1354: 1343: 1333: 1331: 1323: 1322: 1297: 1290: 1275: 1274: 1259: 1254: 1233: 1213: 1193: 1165: 1149: 1134: 1085: 1080: 1054: 1015: 1009: 938: 932: 927: 866:Memory problems 784:in broken bones 714:High levels of 696: 679: 660: 654: 599: 593: 565: 559: 449:volume overload 394: 367: 355: 338: 337: 309: 281: 280: 216: 214:volume overload 135: 128: 117: 111: 108: 65: 63: 53: 41: 28: 23: 22: 15: 12: 11: 5: 3334: 3332: 3324: 3323: 3318: 3308: 3307: 3301: 3300: 3298: 3297: 3291: 3289: 3285: 3284: 3282: 3281: 3279:Encephalopathy 3276: 3275: 3274: 3269: 3259: 3258: 3257: 3252: 3242: 3237: 3231: 3229: 3225: 3224: 3219: 3217: 3216: 3209: 3202: 3194: 3185: 3184: 3182: 3181: 3180: 3179: 3174: 3169: 3167:Hydronephrosis 3155: 3154: 3153: 3143: 3142: 3141: 3131: 3126: 3121: 3116: 3110: 3108: 3104: 3103: 3101: 3100: 3099: 3098: 3093: 3088: 3078: 3073: 3067: 3065: 3061: 3060: 3058: 3057: 3052: 3047: 3042: 3040:Renal ischemia 3037: 3031: 3029: 3023: 3022: 3020: 3019: 3018: 3017: 3012: 3010:Pyelonephritis 3001: 2999: 2993: 2992: 2990: 2989: 2988: 2987: 2982: 2977: 2972: 2964: 2959: 2958: 2957: 2952: 2941: 2939: 2933: 2932: 2930: 2929: 2920: 2918: 2912: 2911: 2908:Kidney disease 2906: 2904: 2903: 2896: 2889: 2881: 2872: 2871: 2868: 2867: 2856: 2845: 2826: 2806: 2801: 2800: 2798: 2797:Classification 2790: 2789:External links 2787: 2784: 2783: 2766: 2735: 2692: 2673:(6): 399–405. 2657: 2598: 2569:(6): 693–695. 2549: 2514:(3): 314–320. 2494: 2477: 2442: 2421: 2409: 2374:Human Genetics 2360: 2303: 2274:(6): 1107–13. 2254: 2228: 2207:(25): 1675–9. 2187: 2184:on 2013-07-19. 2145: 2118: 2069: 2062: 2044: 2018: 2002:"Hyperkalemia" 1993: 1969: 1942: 1924: 1904: 1880: 1855: 1829: 1794: 1764: 1723: 1682: 1633: 1626: 1606: 1579:(6): 369–379. 1562: 1555: 1532: 1525: 1500: 1457: 1429: 1375: 1368: 1341: 1295: 1288: 1256: 1255: 1253: 1250: 1232: 1229: 1212: 1209: 1192: 1189: 1164: 1161: 1148: 1145: 1133: 1127: 1114: 1113: 1090: 1089: 1084: 1081: 1079: 1076: 1053: 1050: 1011:Main article: 1008: 1005: 1003:of myoglobin. 986:rhabdomyolysis 950:crush syndrome 934:Main article: 931: 928: 926: 923: 922: 921: 920: 919: 909: 906: 903: 898: 892: 891: 890: 887: 880: 879: 878: 875: 870: 867: 864: 842:erythropoietin 838: 837: 836: 827: 826: 825: 822: 816: 815: 814: 811: 797: 796: 795: 785: 779: 776: 766: 765: 764: 761: 758: 753: 750: 747: 740: 737: 732: 695: 692: 678: 675: 656:Main article: 653: 650: 606:renal function 595:Main article: 592: 589: 558: 557:Classification 555: 405:Kidney failure 400: 399: 388: 384: 383: 361: 357: 356: 354: 353: 350: 343: 336: 335: 329: 323: 317: 311: 310: 308: 307: 302: 297: 292: 286: 279: 278: 273: 268: 265: 259: 253: 247: 243: 242: 233: 229: 228: 199: 193: 192: 186: 180: 179: 174: 168: 167: 159: 158: 150: 149: 146: 142: 141: 140:Kidney failure 133: 130: 129: 44: 42: 35: 26: 24: 18:Kidney Failure 14: 13: 10: 9: 6: 4: 3: 2: 3333: 3322: 3321:Organ failure 3319: 3317: 3314: 3313: 3311: 3296: 3293: 3292: 3290: 3286: 3280: 3277: 3273: 3270: 3268: 3265: 3264: 3263: 3262:Renal failure 3260: 3256: 3253: 3251: 3248: 3247: 3246: 3245:Liver failure 3243: 3241: 3238: 3236: 3235:Heart failure 3233: 3232: 3230: 3226: 3222: 3221:Organ failure 3215: 3210: 3208: 3203: 3201: 3196: 3195: 3192: 3178: 3175: 3173: 3170: 3168: 3165: 3164: 3163: 3159: 3156: 3152: 3149: 3148: 3147: 3146:Renal papilla 3144: 3140: 3137: 3136: 3135: 3132: 3130: 3127: 3125: 3122: 3120: 3117: 3115: 3112: 3111: 3109: 3105: 3097: 3094: 3092: 3089: 3087: 3084: 3083: 3082: 3081:Renal failure 3079: 3077: 3074: 3072: 3069: 3068: 3066: 3062: 3056: 3053: 3051: 3048: 3046: 3043: 3041: 3038: 3036: 3033: 3032: 3030: 3028: 3024: 3016: 3013: 3011: 3008: 3007: 3006: 3003: 3002: 3000: 2998: 2994: 2986: 2983: 2981: 2978: 2976: 2973: 2971: 2968: 2967: 2965: 2963: 2960: 2956: 2953: 2951: 2948: 2947: 2946: 2943: 2942: 2940: 2938: 2934: 2928: 2927: 2922: 2921: 2919: 2917: 2913: 2909: 2902: 2897: 2895: 2890: 2888: 2883: 2882: 2879: 2866: 2862: 2861: 2857: 2855: 2851: 2850: 2846: 2844: 2840: 2836: 2835: 2831: 2827: 2825: 2821: 2817: 2816: 2812: 2808: 2807: 2804: 2799: 2795: 2788: 2779: 2778: 2770: 2767: 2762: 2758: 2754: 2750: 2746: 2739: 2736: 2731: 2727: 2723: 2719: 2715: 2711: 2708:(4): 644–50. 2707: 2703: 2696: 2693: 2688: 2684: 2680: 2676: 2672: 2668: 2661: 2658: 2653: 2649: 2644: 2639: 2634: 2629: 2625: 2621: 2617: 2613: 2609: 2602: 2599: 2594: 2590: 2585: 2580: 2576: 2572: 2568: 2564: 2560: 2553: 2550: 2545: 2541: 2537: 2533: 2529: 2525: 2521: 2517: 2513: 2509: 2505: 2498: 2495: 2490: 2484: 2482: 2478: 2473: 2469: 2465: 2461: 2457: 2453: 2446: 2443: 2431: 2425: 2422: 2419: 2413: 2410: 2405: 2401: 2396: 2391: 2387: 2383: 2380:(3): 345–50. 2379: 2375: 2371: 2364: 2361: 2356: 2352: 2347: 2342: 2338: 2334: 2330: 2326: 2322: 2318: 2314: 2307: 2304: 2299: 2295: 2290: 2285: 2281: 2277: 2273: 2269: 2265: 2258: 2255: 2243: 2239: 2232: 2229: 2224: 2220: 2215: 2210: 2206: 2202: 2198: 2191: 2188: 2180: 2176: 2172: 2168: 2164: 2156: 2149: 2146: 2134:on 2 May 2015 2133: 2129: 2122: 2119: 2114: 2110: 2105: 2100: 2096: 2092: 2088: 2084: 2080: 2073: 2070: 2065: 2059: 2055: 2048: 2045: 2034:on 2011-05-05 2033: 2029: 2028:"Proteinuria" 2022: 2019: 2007: 2003: 1997: 1994: 1983: 1979: 1973: 1970: 1959:on 2010-06-25 1958: 1954: 1953: 1946: 1943: 1932:on 2019-01-30 1931: 1927: 1921: 1917: 1916: 1908: 1905: 1894: 1887: 1885: 1881: 1869: 1865: 1859: 1856: 1843: 1839: 1833: 1830: 1825: 1821: 1817: 1813: 1810:(10): 671–5. 1809: 1805: 1798: 1795: 1782: 1778: 1774: 1768: 1765: 1760: 1756: 1751: 1746: 1742: 1738: 1734: 1727: 1724: 1719: 1715: 1710: 1705: 1702:(6): 929–48. 1701: 1697: 1693: 1686: 1683: 1678: 1674: 1669: 1664: 1660: 1656: 1652: 1648: 1644: 1637: 1634: 1629: 1627:9780323529570 1623: 1619: 1618: 1610: 1607: 1602: 1598: 1594: 1590: 1586: 1582: 1578: 1574: 1566: 1563: 1558: 1556:9780323529570 1552: 1548: 1547: 1539: 1537: 1533: 1528: 1526:9781405189903 1522: 1518: 1517: 1509: 1507: 1505: 1501: 1488: 1484: 1480: 1474: 1472: 1470: 1468: 1466: 1464: 1462: 1458: 1446: 1442: 1436: 1434: 1430: 1425: 1421: 1416: 1411: 1406: 1401: 1397: 1393: 1389: 1382: 1380: 1376: 1371: 1369:9781846289378 1365: 1361: 1360: 1352: 1350: 1348: 1346: 1342: 1330: 1326: 1320: 1318: 1316: 1314: 1312: 1310: 1308: 1306: 1304: 1302: 1300: 1296: 1291: 1285: 1281: 1280: 1272: 1270: 1268: 1266: 1264: 1262: 1258: 1251: 1249: 1247: 1243: 1239: 1230: 1228: 1226: 1222: 1218: 1210: 1208: 1206: 1202: 1198: 1190: 1188: 1186: 1182: 1178: 1174: 1170: 1163:Complications 1162: 1160: 1158: 1154: 1146: 1144: 1142: 1141: 1132: 1128: 1126: 1124: 1120: 1111: 1110: 1109: 1107: 1103: 1099: 1095: 1087: 1086: 1082: 1077: 1075: 1073: 1069: 1065: 1061: 1060: 1051: 1049: 1047: 1042: 1040: 1039:acetaminophen 1036: 1031: 1028: 1024: 1020: 1014: 1006: 1004: 1002: 999: 995: 991: 987: 983: 979: 975: 971: 967: 963: 959: 955: 951: 946: 942: 937: 929: 924: 918: 914: 910: 907: 904: 902: 899: 896: 895: 893: 888: 885: 884: 881: 876: 874: 871: 868: 865: 862: 861: 859: 855: 851: 847: 843: 839: 834: 833: 831: 828: 823: 820: 819: 817: 812: 809: 808: 807:) may cause: 806: 802: 799:A buildup of 798: 793: 789: 788:Muscle cramps 786: 783: 780: 777: 774: 773: 771: 768:A buildup of 767: 762: 759: 757: 754: 751: 748: 745: 741: 738: 736: 733: 731: 727: 723: 720: 719: 717: 713: 712: 711: 708: 706: 702: 693: 691: 689: 685: 676: 674: 672: 664: 659: 651: 649: 647: 643: 639: 635: 631: 627: 623: 619: 615: 611: 607: 603: 598: 590: 588: 586: 582: 578: 574: 570: 564: 556: 554: 550: 548: 544: 540: 536: 532: 528: 524: 519: 517: 513: 509: 505: 502:or increased 501: 497: 493: 489: 485: 481: 477: 473: 472:urinary tract 469: 464: 462: 458: 454: 453:heart disease 450: 446: 442: 438: 434: 430: 426: 422: 418: 414: 410: 406: 397: 392: 389: 385: 382: 378: 374: 370: 365: 362: 358: 351: 348: 345: 344: 341: 334: 330: 328: 325: 324: 321: 318: 316: 312: 306: 303: 301: 298: 296: 293: 291: 288: 287: 284: 277: 274: 272: 269: 266: 264: 263:urinary tract 260: 258: 255: 254: 251: 248: 244: 241: 237: 234: 230: 227: 223: 222:Heart disease 219: 215: 211: 207: 203: 200: 198: 197:Complications 194: 190: 187: 185: 181: 178: 175: 173: 169: 165: 160: 156: 151: 147: 143: 138: 126: 123: 115: 104: 101: 97: 94: 90: 87: 83: 80: 76: 73: â€“  72: 68: 67:Find sources: 61: 57: 51: 50: 45:This article 43: 39: 34: 33: 30: 19: 3261: 3172:Pyonephrosis 3124:Nephroptosis 2997:Interstitium 2923: 2858: 2847: 2828: 2809: 2776: 2769: 2744: 2738: 2705: 2701: 2695: 2670: 2666: 2660: 2615: 2611: 2601: 2566: 2562: 2552: 2511: 2507: 2497: 2455: 2451: 2445: 2434:. Retrieved 2432:. Kidney.org 2424: 2412: 2377: 2373: 2363: 2320: 2316: 2306: 2271: 2267: 2257: 2245:. Retrieved 2231: 2204: 2200: 2190: 2179:the original 2166: 2162: 2148: 2136:. Retrieved 2132:the original 2121: 2086: 2082: 2072: 2053: 2047: 2036:. Retrieved 2032:the original 2021: 2010:. Retrieved 2008:. 2008-07-03 2005: 1996: 1985:. Retrieved 1972: 1961:. Retrieved 1957:the original 1951: 1945: 1934:. Retrieved 1930:the original 1914: 1907: 1896:. Retrieved 1872:. Retrieved 1870:. 2021-11-22 1867: 1858: 1846:. Retrieved 1841: 1832: 1807: 1803: 1797: 1785:. Retrieved 1781:the original 1776: 1767: 1740: 1736: 1726: 1699: 1695: 1685: 1650: 1646: 1636: 1616: 1609: 1576: 1572: 1565: 1545: 1515: 1491:. Retrieved 1487:the original 1482: 1448:. Retrieved 1444: 1395: 1391: 1358: 1332:. Retrieved 1328: 1278: 1238:nephrotoxins 1234: 1214: 1197:hemodialysis 1194: 1166: 1150: 1138: 1135: 1130: 1115: 1091: 1057: 1055: 1043: 1032: 1023:hypertension 1016: 947: 943: 939: 805:hyperkalemia 709: 697: 680: 669: 642:hemodialysis 633: 629: 625: 600: 566: 551: 523:hemodialysis 520: 465: 445:hyperkalemia 429:leg swelling 412: 408: 404: 403: 395: 390: 373:Hemodialysis 368: 363: 339: 319: 282: 249: 217: 201: 189:Leg swelling 164:hemodialysis 118: 109: 99: 92: 85: 78: 66: 54:Please help 49:verification 46: 29: 3158:Major calyx 3139:Nephrogenic 1493:18 December 1450:11 November 1445:MedlinePlus 1334:11 November 1177:peritonitis 1001:metabolites 998:nephrotoxic 846:bone marrow 778:Bone damage 739:Weight loss 730:dehydration 612:(decreased 145:Other names 3316:Nephrology 3310:Categories 2860:DiseasesDB 2436:2011-09-25 2038:2011-03-24 2012:2009-05-26 1987:2009-05-26 1978:Amgen Inc. 1963:2010-07-12 1936:2010-07-12 1898:2009-05-26 1874:2023-03-09 1743:: w13662. 1398:: 691369. 1289:1416023127 1252:References 1157:creatinine 1123:creatinine 1046:hantavirus 982:phosphorus 913:penicillin 854:hemoglobin 770:phosphates 684:creatinine 585:sonography 577:creatinine 561:See also: 331:increased 177:Nephrology 82:newspapers 3076:Nephrosis 3071:Nephritis 2528:1432-198X 2247:1 January 2138:1 January 1848:1 January 1787:1 January 1191:Treatment 1035:ibuprofen 978:potassium 974:myoglobin 873:Dizziness 801:potassium 688:physician 634:postrenal 630:intrinsic 543:rejection 437:confusion 387:Frequency 360:Treatment 172:Specialty 3288:Multiple 3027:Vascular 2966:Genetic 2950:proximal 2761:24938824 2730:39551628 2722:17383270 2687:24070587 2652:26710078 2612:PLOS ONE 2593:26472545 2544:23333812 2472:17898101 2404:20635188 2355:20647424 2298:20299374 2242:UpToDate 2175:23120821 2113:28591253 1980:(2009). 1759:22923149 1718:23194202 1677:22904351 1601:67876948 1593:30802897 1424:22919275 1240:such as 1102:dialysis 990:ischemic 966:ischemia 917:seizures 782:Nonunion 744:nocturia 726:diarrhea 722:Vomiting 701:azotemia 646:dialysis 626:prerenal 610:oliguria 484:diabetes 433:vomiting 290:Diabetes 184:Symptoms 112:May 2024 3272:Chronic 3255:Chronic 3228:General 2937:Tubules 2854:D051437 2643:4692386 2620:Bibcode 2584:4656237 2536:3153295 2395:2921485 2346:2980843 2325:Bibcode 2317:Science 2289:4890964 2223:7969358 2104:5459532 2089:: e25. 1824:9486997 1668:3431421 1415:3420350 994:kidneys 775:Itching 705:uraemia 529:, or a 461:anaemia 417:kidneys 396:Chronic 369:Chronic 352:< 15 340:Chronic 283:Chronic 218:Chronic 96:scholar 3162:pelvis 3096:Uremia 2955:distal 2759:  2728:  2720:  2685:  2650:  2640:  2591:  2581:  2542:  2534:  2526:  2470:  2402:  2392:  2353:  2343:  2296:  2286:  2221:  2173:  2111:  2101:  2060:  1922:  1822:  1757:  1716:  1675:  1665:  1624:  1599:  1591:  1553:  1523:  1422:  1412:  1366:  1286:  1242:NSAIDs 1140:uremia 1131:uremia 1037:, and 980:, and 954:toxins 925:Causes 858:anemia 735:Nausea 632:, and 581:anemia 494:, and 478:, and 459:, and 447:, and 441:uremia 246:Causes 226:anemia 206:Uremia 98:  91:  84:  77:  69:  3267:Acute 3250:Acute 3107:Other 2865:26060 2726:S2CID 2540:S2CID 2182:(PDF) 2159:(PDF) 1597:S2CID 1203:, or 1104:) or 1059:APOL1 614:urine 547:PCORI 391:Acute 364:Acute 349:(GFR) 320:Acute 250:Acute 232:Types 202:Acute 103:JSTOR 89:books 2924:See 2849:MeSH 2834:9-CM 2757:PMID 2718:PMID 2683:PMID 2648:PMID 2589:PMID 2532:PMID 2524:ISSN 2468:PMID 2400:PMID 2351:PMID 2294:PMID 2249:2013 2219:PMID 2171:PMID 2140:2013 2109:PMID 2058:ISBN 1920:ISBN 1850:2013 1820:PMID 1789:2013 1755:PMID 1714:PMID 1673:PMID 1622:ISBN 1589:PMID 1551:ISBN 1521:ISBN 1495:2017 1452:2017 1420:PMID 1396:2012 1364:ISBN 1336:2017 1284:ISBN 1244:and 1211:Diet 1179:and 1056:The 962:limb 716:urea 413:ESRD 75:news 2843:585 2839:584 2830:ICD 2824:N19 2820:N17 2811:ICD 2749:doi 2710:doi 2706:107 2675:doi 2638:PMC 2628:doi 2579:PMC 2571:doi 2516:doi 2460:doi 2456:357 2390:PMC 2382:doi 2378:128 2341:PMC 2333:doi 2321:329 2284:PMC 2276:doi 2209:doi 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Index

Kidney Failure

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hemodialysis
Specialty
Nephrology
Symptoms
Leg swelling
Complications
Uremia
high blood potassium
volume overload
Heart disease
anemia
Acute kidney failure
chronic kidney failure
Low blood pressure
urinary tract
muscle breakdown
hemolytic uremic syndrome

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