Chronic Kidney Disease Detection

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  • Age>50

  • Diabetes

  • High BP

  • Smokers

  • Obesity

  • Family history of kidney disease

  • ATSI

Who is at higher risk of kidney disease
  • Blood pressure

  • Urine Dipstick or urinary Albumin/creatinine ratio if diabetes present every 12 months

  • eGFR

What should be done

If the abnormal eGFR is confirmed on repeat testing, further assessment is recommended:

  • Urine ACR (preferably on first morning void, although a random urine is acceptable)

  • Confirmatory serum urea/electrolytes/creatinine

  • Blood pressure

  • Full blood count

  • Fasting lipids and glucose

  • Urine culture and specificity, including dipstick for haematuria

  • Urinary tract ultrasound scan

  • Depending on the age of the individual and the severity of CKD,

Consideration may also be given to iron studies, serum calcium, phosphate and parathyroid hormone

Assessment of abnormal eGFR