Study of clinical profile of chronic kidney disease at tertiary care hospital

Abstract

Backgrounds: CKD is a progressive disease characterized by an increasing inability of the kidneys to maintain normal low levels of the products of protein metabolism, normal blood pressure, hematocrit, sodium, water, potassium and acid-base balance. Major etiology was diabetes & hypertension. Anorexia, nausea, vomiting, oliguria, easy fatigability, breathlessness, pedal edema were Common complaints where as Common complications were anemia, electrolyte imbalance and pulmonary edema. Early diagnosis and proper treatment of conditions like HT, DM, & Renal Stones may retard the progression of renal disease. Objectives:
1. To assess clinical profile of the patient with chronic kidney disease at the time of presentation
2. To assess the biochemical of patient with chronic kidney disease
3. To determine the etiology of CKD.
Methods: In the present study 100 patient with CKD presenting to Kamineni Institute of Medical Sciences were included. Results: The commonest etiology for chronic kidney disease is found to be diabetic nephropathy followed by hypertensive nephropathy. Common symptoms presented were generalized weakness, lower limb swelling. Commonest signs are pallor, pedal edema and hypertension. Conclusion: Chronic kidney disease is a major health problem. Diabetic nephropathy is the commonest cause for CKD. Anaemia, hypertension, pedal oedema, oliguria, and generalised weakness were the major presenting clinical signs and symptoms in chronic kidney disease. This condition when detected in early stages and managed can slow down the progression of chronic kidney diseases and delay the need of renal replacement therapy.