Acute Kidney Injury: Diagnosis and Management - American Family Physician
Dec 1, 2019 - Acute kidney injury is a clinical syndrome characterized by a rapid decline in glomerular filtration rate and resultant accumulation of metabolic waste products. Acute kidney injury is associated with an increased risk of mortality, cardiovascular events, and progression to chronic ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1201/p687.html

Kidney Disease - American Family Physician
Dec 1, 2019 - This collection features AFP content on kidney disease and related issues, including acute renal failure, chronic kidney disease, dialysis, hematuria, proteinuria, and renal disease. This collection features AFP content on kidney disease and related issues, including acute renal ...
- Overview
- Screening and Diagnosis
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=15
Diabetic Kidney Disease: Diagnosis, Treatment, and Prevention - American Family Physician
Jun 15, 2019 - Globally, approximately 20% of the 400 million individuals with diabetes mellitus have diabetic kidney disease (DKD). DKD is associated with higher cardiovascular and all-cause morbidity and mortality, so timely diagnosis and treatment are critical. Screening for early DKD is best done ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0615/p751.html
Kidney Stones: Treatment and Prevention - American Family Physician
Apr 15, 2019 - Kidney stones are a common disorder, with an annual incidence of eight cases per 1,000 adults. During an episode of renal colic, the first priority is to rule out conditions requiring immediate referral to an emergency department, then to alleviate pain, preferably with a nonsteroidal ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0415/p490.html
Direct Oral Anticoagulants vs. Warfarin to Prevent Stroke and Embolic Events in ...
Apr 1, 2019 - Direct oral anticoagulants are as likely as warfarin to prevent all strokes and systemic embolic events in patients with atrial fibrillation and CKD stage 3. They do not increase the risk of major bleeding events. The evidence remains insufficient to make recommendations for the use of ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0401/p422.html
Renal Cell Carcinoma: Diagnosis and Management - American Family Physician
Feb 1, 2019 - Kidney cancer is one of the 10 most common cancers in the United States with 90% being attributed to renal cell carcinoma. Men, especially black men, are more likely to be affected than women. Renal masses, either cystic or solid, are best detected with contrast-enhanced, triple-phase ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0201/p179.html
Stumbling onto Cancer: Avoiding Overdiagnosis of Renal Cell Carcinoma - Editorials - ...
Feb 1, 2019 - We all need to test wisely and weigh the risks and benefits of diagnostic imaging. Imaging—and testing in general—has real downsides, such as stumbling onto things you wish you had not.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/0201/p145.html
Intensive Blood Pressure Control in Older Patients Can Decrease Renal Function - POEMs ...
Jan 1, 2018 - In this post-hoc analysis of the previously published SPRINT trial, lowering the systolic blood pressure of patients who are at increased risk of cardiovascular events (average age = 66 years) will decrease their risk of cardiovascular disease but increase their likelihood of developing...
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0101/p54.html
Chronic Kidney Disease: Detection and Evaluation - American Family Physician
Dec 15, 2017 - Chronic kidney disease affects 47 million people in the United States and is associated with significant health care costs, morbidity, and mortality. Because this disease can silently progress to advanced stages, early detection is critical for initiating timely interventions. Multiple ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1215/p776.html
Secondary Hypertension: Discovering the Underlying Cause - American Family Physician
Oct 1, 2017 - Most patients with hypertension have no clear etiology and are classified as having primary hypertension. However, 5% to 10% of these patients may have secondary hypertension, which indicates an underlying and potentially reversible cause. The prevalence and potential etiologies of ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1001/p453.html
Effects of Altered Dietary Salt Intake in Patients with Chronic Kidney Disease - ...
Apr 1, 2017 - Reducing salt intake lowers blood pressure and reduces proteinuria in patients with CKD, but there is no evidence to determine whether lowering salt consumption leads to clinically significant reductions in end-stage renal disease, cardiovascular events, or all-cause mortality.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2017/0401/p423.html
Proteinuria in Children: Evaluation and Differential Diagnosis - American Family Physician
Feb 15, 2017 - Although proteinuria is usually benign in the form of transient or orthostatic proteinuria, persistent proteinuria may be associated with more serious renal diseases. Proteinuria may be an independent risk factor for the progression of chronic kidney disease in children. Mechanisms of ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0215/p248.html
Diagnosis and Management of Nephrotic Syndrome in Adults - American Family Physician
Mar 15, 2016 - Nephrotic syndrome (NS) consists of peripheral edema, heavy proteinuria, and hypoalbuminemia, often with hyperlipidemia. Patients typically present with edema and fatigue, without evidence of heart failure or severe liver disease. The diagnosis of NS is based on typical clinical ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0315/p479.html
Potassium Disorders: Hypokalemia and Hyperkalemia - American Family Physician
Sep 15, 2015 - Hypokalemia and hyperkalemia are common electrolyte disorders caused by changes in potassium intake, altered excretion, or transcellular shifts. Diuretic use and gastrointestinal losses are common causes of hypokalemia, whereas kidney disease, hyperglycemia, and medication use are ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0915/p487.html
Diagnosis and Management of Sodium Disorders: Hyponatremia and Hypernatremia - American...
Mar 1, 2015 - Hyponatremia and hypernatremia are common findings in the inpatient and outpatient settings. Sodium disorders are associated with an increased risk of morbidity and mortality. Plasma osmolality plays a critical role in the pathophysiology and treatment of sodium disorders. Hyponatremia ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0301/p299.html
Autosomal Dominant Polycystic Kidney Disease - American Family Physician
Sep 1, 2014 - Autosomal dominant polycystic kidney disease (ADPKD) is the most common inherited cause of kidney disease. Enlarging cysts within the kidneys are the clinical hallmark of the disease. Renal manifestations include varying degrees of kidney injury, urinary tract infections, kidney stones,...
American Family Physician : Article
https://www.aafp.org/afp/2014/0901/p303.html
ACP Releases Guideline on Screening, Monitoring, and Treatment of Stage 1 to 3 Chronic ...
Jul 15, 2014 - Based on a systematic evidence review, this guideline from the American College of Physicians (ACP) presents recommendations on screening, monitoring, and treatment of stage 1 to 3 chronic kidney disease in adults.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2014/0715/p121.html
No Benefit to Addition of Stenting for Treatment of Atherosclerotic Renal Artery ...
Apr 1, 2014 - In patients with severe atherosclerotic renal artery stenosis and hypertension or chronic kidney disease, renal artery stenting does not provide an additional benefit when added to comprehensive medical therapy that includes blood pressure and diabetes mellitus management, and ...
American Family Physician : POEMs
https://www.aafp.org/afp/2014/0401/p576.html
Screening for Chronic Kidney Disease: Recommendation Statement - U.S. Preventive ...
Feb 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence is insufficient to assess the balance of benefits and harms of routine screening for chronic kidney disease (CKD) in asymptomatic adults.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2014/0215/od1.html
Screening for Chronic Kidney Disease - Putting Prevention into Practice - American ...
Feb 15, 2014 - A 55-year-old woman with no history of diabetes mellitus or hypertension asks to be screened for chronic kidney disease (CKD). Her 88-year-old mother has end-stage renal disease and is currently undergoing renal dialysis. The patient says she wants to take all necessary precautions to ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2014/0215/p293.html
Assessment of Asymptomatic Microscopic Hematuria in Adults - American Family Physician
Dec 1, 2013 - Although routine screening for bladder cancer is not recommended, microscopic hematuria is often incidentally discovered by primary care physicians. The American Urological Association has published an updated guideline for the management of asymptomatic microscopic hematuria, which is ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1201/p747.html
Kidney Stones: Prevention Options - POEMs - American Family Physician
Nov 1, 2013 - Increased fluid intake or decreased soft drink intake may prevent further kidney stones in patients with a single episode of a calcium stone, but other dietary interventions are not effective. Thiazides and citrates with increased fluid intake decrease recurrence in patients with ...
American Family Physician : POEMs
https://www.aafp.org/afp/2013/1101/p609a.html
Kidney Stones - Clinical Evidence Handbook - American Family Physician
Mar 15, 2013 - What are the effects of interventions for the removal of asymptomatic renal or ureteric stones? What are the effects of interventions for the management of acute renal colic?
American Family Physician : Clinical Evidence Handbook
https://www.aafp.org/afp/2013/0315/p441.html
Update on the Management of Chronic Kidney Disease - American Family Physician
Oct 15, 2012 - Chronic kidney disease is common and associated with significant morbidity. Given the high risk of cardiovascular morbidity and mortality in patients with chronic kidney disease, it is important to identify and treat related risk factors. However, there is growing uncertainty about the ...
American Family Physician : Article
https://www.aafp.org/afp/2012/1015/p749.html
Acute Kidney Injury: A Guide to Diagnosis and Management - American Family Physician
Oct 1, 2012 - Acute kidney injury is characterized by abrupt deterioration in kidney function, manifested by an increase in serum creatinine level with or without reduced urine output. The spectrum of injury ranges from mild to advanced, sometimes requiring renal replacement therapy. The diagnostic ...
American Family Physician : Article
https://www.aafp.org/afp/2012/1001/p631.html