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Kembara's Health Solutions

What is Nephrology - What important details should be gathered from the medical histories of individuals who have been referred for renal disease evaluation?

6/7/2022

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What is Nephrology - What important details should be gathered from the medical histories of individuals who have been referred for renal disease evaluation?
• Previous kidney disease diagnosis (e.g., documentation of BUN and serum creatinine levels) • Any asymptomatic urine problems in the past (e.g., hematuria, proteinuria)
• Urinary frequency or urgency changes in the past, etc.
• Urinary character or appearance changes (e.g., smell, color, frothy appearance)
• Diabetes history (duration, severity, end-organ damage) • Hypertension history (including cardiac history)
• Previous exposure to nephrotoxic pharmaceuticals (e.g., nonsteroidal anti-inflammatory drugs [NSAIDs], aminoglycoside antibiotics)
• Adverse reactions to drugs that block the renin-angiotensin-aldosterone pathway (e.g., angiotensin-converting enzyme inhibitors, angiotensin receptor antagonists) in the past
• Recent gastrointestinal endoscopic operations that necessitated bowel cleansing (risk of acute phosphate nephropathy in people who utilize phosphate-containing enema)
• Recent exposure to procedures that necessitate the use of contrast (risk of contrast-induced acute kidney injury)
• Recent systemic infections or co-infections
• A family history of kidney disease or a relative who requires renal replacement therapy (e.g., polycystic kidney disease [PKD], Alport syndrome)
• Autoimmune disease history
• Any over-the-counter medications used (e.g., NSAIDs) and/or herbal, natural supplements
​• Any recent changes in dose of a medication or any new medication recently began
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  • Kembara's Health Solutions
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  • The Foundation of Islamic Finance
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  • The Relationship between the Bank, Customers and Users of Fund in Islamic Banking
  • Islamic Insurance Takaful
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