End-stage renal disease

Disease	Injury	Nutrition	Poison

Special Topic	Surgery	Symptoms	Test

Kidney anatomy

Overview

Symptoms

Treatment

Prevention

End-stage renal disease

Alternative Names:

Renal failure - end stage; Kidney failure - end stage; ESRD

Symptoms:

an unintentional weight loss
nausea, vomiting
a general ill feeling
fatigue
a headache
frequent hiccups
generalized itching (pruritus)
greatly decreased urine output
no urine output
easy bruising or bleeding
may have blood in the vomit or stools
decreased alertness
drowsiness, somnolence, lethargy
confusion, delirium
coma
muscle twitching or cramps
seizures
an increased skin pigmentation
skin may appear yellow or brown
nail abnormalities
decreased sensation in the hands, feet, or other areas

Signs and tests:

The patient usually has a long history of chronic renal failure, which has progressed. The person may have required dialysis to control chronic renal failure. The urine volume may decrease or urine production may stop totally. Signs of complications commonly are present.

Creatinine and BUN levels are chronically high.
Creatinine clearance is very low.

Review Date: 12/1/2001
Reviewed By: Andrew Koren, M.D., Department of Nephrology, NYU-Mount Sinai Medical Center, New York, NY. Review provided by VeriMed Healthcare Network.

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