CKD_Overview

What is CKD?

Chronic Kidney Disease

CKD, or Chronic Kidney Disease,
is defined the presence of reduced kidney function for more than 3 months
(no matter what the cause) OR the presence of ‘kidney damage’.

‘Kidney Damage’ includes:

–   Pathologic abnormalities (diagnosed by a kidney biopsy)

–   History of kidney transplantation.

–   Urinary sediment abnormalities (found on urinalysis).
     For example, findings of RBC, WBC, granular or fatty casts

–   Protein in urine, more specifically albumin in more than
    normal amounts.

–   Abnormalities found on imaging  (ultrasound, CT and MRI
    with or without contrast).

Kidney-Patient
Kidney-Operation

Symptoms of CKD

–   Low GFR — Less than 60 mL/min.

–   Anemia — Low kidney hormone production.

–   Abnormal urine — Contains blood or protein.

–   Abnormal CT scan or kidney ultrasound — Indicated by
     kidney size change or shadowing.

–   Low blood calcium — Caused by low vitamin D production.

–   Other diseases — Pathologic changes on kidney biopsy.

Stages of CKD

Chronic Kidney Disease

There are five stages of CKD.

Stage # Stage Description GFR, mL/min per 1.73 m3
1
Kidney damage with normal or increased GFR
> 90
2
Kidney damage with decreased GFR
60 – 89
3
Kidney damage with moderately decreased GFR
30 – 59
4
Kidney damage with severely decreased GFR
15 – 29
5
Kidney failure
< 15 or dialysis