What are the earliest and most prominent manifestations of chronic renal failure

Anemia, the digestive tract appears the earliest but does not cause concern.

In the early stage, there may be no obvious symptoms, and gradually multisystem manifestations, digestive system manifestations, such as loss of appetite, nausea, vomiting, anorexia, abdominal distension and other symptoms. In addition, there are symptoms such as lack of urine, fatigue, edema, palpitation and shortness of breath. For kidney failure, the first thing is to clarify what causes kidney failure, and at the same time, it is necessary to choose different programs according to different periods of kidney function.

In the early stage of renal failure, it is necessary to control blood sugar, blood pressure, and blood lipids, and at the same time use Chinese patent medicines that protect the kidneys and reduce creatinine**. Generally speaking, in the early stage of kidney failure, it can be carried out by combining traditional Chinese and Western medicine**, which is the largest of Western medicine, but it is easy to control the patient's symptoms. It is recommended to treat the kidney with Chinese and Western medicine and the disadvantages of kidney injury, which can fundamentally prevent the further progress of renal fibrosis.

It can also be taken for a long time.

Gastrointestinal tract: is the earliest and most common symptom. Anorexia (loss of appetite at the earliest), nausea, vomiting, bloating, ulcers on the tongue and mouth, ammonia odor in the mouth, upper gastrointestinal bleeding, etc.

Don't worry, kidney failure generally has no very obvious clinical symptoms in the early stage, so when there are symptoms such as hematuria and high blood pressure, you should go to the hospital for examination and diagnosis in time, and the earlier you diagnose it, the easier it is to avoid kidney failure.

Patients with kidney failure should eat a low-protein diet, 20-40g a day, high biological high-quality protein such as eggs, milk, lean meat, fish, etc., and supplement with multivitamins.

Urine output changes – the most common early symptom of kidney failure is a symptom caused by decreased kidney function. Due to the decrease in the filtration function of the kidneys, some patients will gradually decrease their urine output as the course of the disease stops. Even if the urine output is normal, because the toxins removed in the urine are reduced, the quality is reduced, and the excess waste products in the body cannot be excreted, so to a certain extent, the urine output is not a good indication of the function of your kidneys.

Some people will not pay too much attention to the above symptoms when they appear on their bodies, thinking that they will be fine after a period of time, and then find that their symptoms are getting more and more serious, and after going to the hospital, they find that they are patients with advanced chronic renal failure, which increases the difficulty, so the disease of chronic renal failure must be detected early and early, so that people's bodies will not have big problems.

The earliest symptoms in patients with chronic renal failure are ().

a.Hematologic symptoms.

b.Neurological and muscular system symptoms.

c.Respiratory symptoms.

d.Digestive symptoms.

e.Symptoms of the stool system of the heart and blood trousers.

Correct Hu Brigade Answer: d

It may be caused by diabetes, high blood pressure, or some other diseases, which are related to lifestyle, not paying attention to rest, staying up late, and drinking alcohol frequently, which may lead to diseases.

It may be because of staying up late, or kidney function is impaired, not paying attention to lifestyle habits, not paying attention to eating habits, malnutrition, or bacterial infection, which should be the most common**.

Unhealthy diet, irregular rest, staying up late, smoking and drinking, indiscriminate consumption of medicines, and chaotic private life.

In the early stages of chronic renal failure, sporadic conjunctions often occur ().

a.Metabolic alkalosis.

b.Breathing noxosis.

c.Respiratory acidosis.

d.Hyperchloric acidosis.

e.Normal blood chloric acidosis.

Correct Answer: D

Answer]: A The vast majority of acute renal failure is oliguric acute renal failure, the early stage is called oliguria or anuria, often 1 2 days after the primary onset of the disease, there is little early anuria or anuria, the urine output does not increase after rehydration, there may be gastrointestinal symptoms such as loss of appetite, nausea and vomiting, diarrhea, secondary water, electrolytes, acid-base imbalance, metabolite accumulation, blood urea nitrogen increase, severe consciousness impairment, dyspnea. Therefore, A is selected for this question, and the other options are later performances.

The key to solving the problem: understand the manifestations of each stage of acute renal failure, and acute renal failure is usually acute necrosis of the renal tubules, so the main manifestations are often oliguria and decreased urine specific gravity.

Answer]: B leukocyte casts are common in pyelonephritis. Renal epithelial cell casts can be seen in acute tubular necrosis, renal amyloidosis, acute glomerulonephritis, chronic nephritis, simple and crude nephropathy syndrome, rejection after kidney transplantation, and poisoning of metals and other chemicals.

The transparent casts are thin and colorless, transparent, and cylindrical with no particles inside. In normal people, there may be transparent casts in the morning urine (there should be enough time to form casts), which are common in nephritis, renal congestion, and febrile diseases. Waxy casts:

Degeneration of granular casts, cellular casts, or direct lysis of amyloidosis epithelial cells in the renal tubules for a long time indicates severe tubular necrosis and poor prognosis. It is also seen in advanced glomerulonephritis, renal failure, and renal amyloidosis. Red blood cell casts are common in acute nephritis.

Answer: Age Case] :d

The clinical manifestations of chronic renal failure include acidosis, hyperkalemia, hypertension, growth retardation, renal bone disease, and insufficient urine concentration. The mechanism of urinary focal condensation is renal tubular injury and solute diuresis.

1.Changes in urine: urine output is less than 400 ml at the beginning of the disease, but it is rare to have complete anuria throughout the day.

2.Azotaemia: Serum creatinine rises day by day.

3.Metabolic acidosis: Metabolic acidosis can occur after a few days of oliguria4Water intoxication and sodium retention: Water intoxication can occur if the patient does not control water intake well and has too much water in the body.

5.Hyperkalemia: Due to tissue trauma, septic shock, acidosis, hypercatabolic state, etc., potassium will overflow from the cell and extracellular, and potassium-rich foods, drugs, and transfusion of blood will be ingested.

1.Oliguric stage: (1) three lows (sodium, calcium, pH decrease), three highs (potassium, phosphorus, creatinine increase) and edema; (2) Uremia symptoms may include nausea, vomiting, gastrointestinal bleeding, dyspnea, cough, chest pain, hypertension, heart failure, drowsiness, confusion, tremor and epileptiform seizures, anemia and bleeding tendency; (3) Infection produces corresponding symptoms according to the site of infection.

2.Polyuria: Renal function is not restored, blood urea nitrogen and creatinine can still rise, and dehydration, infection, hypokalemia, gastrointestinal bleeding, etc. are likely to occur.

3.Convalescence: Blood urea nitrogen and creatinine are close to normal, urine output gradually returns to normal, and glomerular filtration function mostly returns to normal within 3-12 months.

Acute renal failure is a clinical syndrome caused by a variety of **, which is a sudden complete loss of kidney function caused by renal circulatory failure or changes in the renal tubules, so that the kidneys are unable to remove the body's metabolic wastes. When the kidneys are unable to function properly, toxins, waste products and water accumulate in the body, causing acute kidney failure. The clinical manifestations mainly include nausea, vomiting, headache, dizziness, irritability, fatigue, palpitations, shortness of breath, weight loss, anemia, and drowsiness and coma in severe cases.

This disease is very good in time**, kidney failure needs to fundamentally repair the damaged kidney cells, I understand the patient's condition, I am a nephrologist.

Can acute kidney failure be cured completely?