Acute renal failure history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
When a patient presents with uremic symptoms, first step is to differentiate an acute from a chronic process. A recent rise in serum creatinine levels indicate an acute pathology of renal failure, whereas chronically elevated creatinine levels are seen in chronic renal failure. However, chronic renal insufficiency is also associated with osteopathy, neuropathy and small, scarred kidneys.
History and Symptoms
- Bloody stools
- Breath odor
- Bruising easily
- Changes in mental status or mood
- Decreased appetite
- Decreased sensation, especially in the hands or feet
- Fatigue
- Flank pain (between the ribs and hips)
- Hand tremor
- High blood pressure
- Metallic taste in mouth
- Nausea or vomiting, may last for days
- Nosebleeds
- Persistent hiccups
- Prolonged bleeding
- Seizures
- Slow, sluggish movements
- Swelling - generalized (fluid retention)
- Swelling of the ankle, foot, and leg
- Urination changes:
- Decrease in amount of urine
- Excessive urination at night
- Urination stops completely