Tags » Laboratory Testing
Male 62, diabetic since 2007, blood sugar is well maintained, A1c is 6.2, blood pressure is 120/80 (have some hypo tension lately 80/50), cholesterol is at the low end of the scale. In the last 6 months, start having some number issues with my kidney performance the creatinine serum jumped from 99 to 110 and my estimated GFR dropped from 70 to 62 also my microalbumin/creatinine ratio, urine is up and down like a yo yo, the sequence is 1.1, 3.8, 1.2, 4.1, 1.9, but my 24 hours urine microalbumin/creatinine ratio is 0.7 Due to my lack of knowledge about renal disease, I really do not know what that meant. All I know I am still within the "limit". But looking at the trend, if it continues, it might get me into trouble very soon. Since I am still within the "limit", my GP will do nothing. Took some clinic sponsor workshop on living with kidney disease, not able to get any appropriate information only comment I got is I "don't have kidney disease" I understand at my age, 1 or 2 percentage up and down of my GFR is expected, but I sure would like to know why the big slide in 6 months (confirmed with 3 tests), and is there anything I can do to stop the slide, or even reverse the current performance
(Female Patient, around 60 yrs old) The condition started a few months ago when the patient develped convulsions and was admitted to hospital; the work up revealed uremia, hyperkalemia and the patient was dialysed; during the course of hospitalization she was diagnosed with pneumonia, hypothyroidism and received CT with contrast & was administered antibiotics and steroids for pneumonia, and prescribed (thyroxine) for hypothyroidism; the patient was discharged on demand; then she sought medical advice at a physician office regarding renal impairment and was given a diagnosis of ESRD and advice on initiating hemodialysis and preparation for a renal transplant; the patient developed generalized edema and AF and was prescribed diuretics and amiodarone; she then sought RRT at a hemodialysis unit and advised to do workup for generalized edema and renal impairment which consisted initially of an urinalysis, serum Cr., CBC, Ca, Phosphorus, albumin-creatinine ratio (ACR) & renal ultrasound (US), TSH for the follow up of thyroid status, and viral markers; urinalysis revealed hematuria and proteinuria, serial serum Cr ranged between 4.5 and 5.9 (the patient is on dialysis) the ACR revealed an estimated 9 gm albumin per 24 hrs urine, and the US revealed grade I renal medical disease with normal kidney size bilaterally with normal renal doppler study; and normal TSH despite "unpremediated" discontinuation of the thyroxine by the patient; -ve HCV, HBV, HIV further investigations included C3 & C4, RF, ANA and ANCA; the results showed low C3 & C4 (mild reduction) and positive p-ANCA & c-ANCA; -ve RF,-ve ANA a renal biopsy was then obtained; the comment was : Picture of Probably Benign Nephrosclerosis, however Vasculitis as well as Myeloma Kidney to be considered the past medical history is unremarkable except for hypertension for which the patient received antihypertensive drugs and was advised repeatedly to discontinue the medications on account of being "hypotensive" while on antihypertensive medications which were deemed unnecessary by some physicians, but when she came to HD unit she was on antihypertensive medications (carvedilol, amlodipine and torsemide as a diuretic) What is the suggested further management ?
I cannot give medical advice without performing a complete history and physical examination. The biopsy should be more definitive than the description that you provide. I suggest that you discuss the results of the… 37 more words
In March of 2015. My GFR was 38, Bun 34, Creat 1.4. May of 2015 GFR 35 Bun 29 Creat 1.5, June of 2015 GFR 33 Bun 30 Creat 1.6 couldn't get in to see family doctor so the attending PA said its holding steady and didn't see the need for a biopsy while my kidney doctor wants to do a biopsy. I'm not sure what to do.
In this circumstance, I suggest you consult your primary care physician (PCP) for a discussion about your particular situation. You should seek advice from someone who knows your case well and can help you make a decision. 25 more words
I am 50 years old. In my renal function test, blood urea (enzymatic) is 100 and its range is 20-40 mg/dl. My S.Creatinine is 3.26 and its range is 0.6-1.4 mg/dl. My S.Uric acid (Enzymatic) is 6.56 and its normal range is 2-7
Should I be alarmed? A 90 year old has a BUN of 28 & a GFR of 35. Non-Fasting Glucose of 145. Other test are in normal range
The estimated glomerular filtration rate (eGFR) is lower than would otherwise be expected for a 90 year old. I suggest you discuss this with your physician.
I had a physical done for insurance. Everything came back normal except My Urine Creatinine level was 307.9 mg/dL. The protein/ Creatinine Ratio was 0.05 mg/mg Creat. Hemoglobin Screen was negative. Protein urine test was 15 mg/dl. BUN SCRN was 15 mg/dl. Should I be concerned about my Kidneys. Could something else have caused a high Creatinine level in my Urine?
An elevated urine creatinine concentration usually means that you were somewhat dehydrated at the time. It does not indicate kidney disease. On the contrary, your kidney is capable of concentrating the creatinine in your urine to a very high level. 14 more words
I have SLE Lupus, Lupus Nephritis (stage 4 kidney disease), Discoid Lupus, Sjogrens, Raynauds, Scleroderma, Barrett's, Gastritis, Allergies, Asthma, chronic back pain, etc. My GI doctor ordered extensive blood work recently. Results as follows: Hep C- reactive but negative for virus. Doctor suspects Autoimmune Hepatitis. Rapid decline in GFR: 56 in 2010; 36 in 3/2015 and 29 5/2015 w/UREA NITROGEN 34, CREATININE 1.92. Nephrologist said breaking thru meds for lupus and uncontrolled. Rheumy said lupus is not active despite bloodwork which shows otherwise. He won't change meds or up the dosage. Getting new rheumy. I'm a mess.
I am unable to provide a diagnosis or medical treatments without performing a complete history and physical examination. In order to confirm the activity of your Lupus, it may be necessary to perform a kidney biopsy. 37 more words