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Uremia information


Uremia
Other namesUraemia
Uremic frost present on the forehead and scalp of a young male who presented with complaints of anorexia and fatigue, with blood urea nitrogen and serum creatinine levels of approximately 100 and 50 mg/dL respectively.
SpecialtyNephrology

Uremia is the term for high levels of urea in the blood. Urea is one of the primary components of urine. It can be defined as an excess in the blood of amino acid and protein metabolism end products, such as urea and creatinine, which would be normally excreted in the urine. Uremic syndrome can be defined as the terminal clinical manifestation of kidney failure (also called renal failure).[1] It is the signs, symptoms and results from laboratory tests which result from inadequate excretory, regulatory, and endocrine function of the kidneys.[2] Both uremia and uremic syndrome have been used interchangeably to denote a very high plasma urea concentration that is the result of renal failure.[1] The former denotation will be used for the rest of the article.

Azotemia is a similar, less severe condition with high levels of urea, where the abnormality can be measured chemically but is not yet so severe as to produce symptoms. Uremia describes the pathological and symptomatic manifestations of severe azotemia.[1]

There is no specific time for the onset of uremia for people with progressive loss of kidney function. People with kidney function below 50% (i.e. a glomerular filtration rate [GFR] between 50 and 60 mL/min) and over 30 years of age may have uremia to a degree. This means an estimated 8 million people in the United States with a GFR of less than 60 mL/min have uremic symptoms.[3] The symptoms, such as fatigue, can be very vague, making the diagnosis of impaired kidney function difficult. Treatment can be by dialysis or a kidney transplant, though some patients choose to pursue symptom control and conservative care instead.[3]

  1. ^ a b c Bishop, M.L.; Fody, E.P.; Schoeff, L.E. (2010). Clinical Chemistry: Techniques, Principles, Correlations (6th ed.). Lippincott Williams and Wilkins. p. 268. ISBN 9780781790451.
  2. ^ Burtis, C.A.; Ashwood, E.R.; Bruns, D.E. Tietz (2006). Textbook of Clinical Chemistry and Molecular Diagnostics (5th ed.). Elsevier Saunders. p. 1554. ISBN 9780721601892.
  3. ^ a b Meyer TW; Hostetter, TH (2007). "Uremia". N Engl J Med. 357 (13): 1316–25. doi:10.1056/NEJMra071313. PMID 17898101.

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deposits over the skin of patients with prolonged kidney failure and severe uremia. High blood urea level leads to high secretion of urea by sweat glands as...

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of the normal, creatinine clearance is less than 10 mL per minute, and uremia is present. Dialysis is used as a temporary measure in either acute kidney...

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complicated by other dialysis complications such as malignant hypertension, uremia, encephalopathy, subdural hemorrhage, hyper- and hypoglycaemia, or electrolyte...

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insufficient or dysfunctional filtering of blood by the kidneys. It can lead to uremia and acute kidney injury (kidney failure) if not controlled. Azotemia has...

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the central component of thyroid allostasis in critical illness, tumors, uremia and starvation (TACITUS). In addition, both illness and medication (e.g...

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on a film with Clark Gable, and died before the film was completed, from uremia, at age 26 in June 1937. Powell received his third Academy Award nomination...

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commonly used to treat nausea and vomiting associated with conditions such as uremia, radiation sickness, cancer and the effects of chemotherapy, labor, infection...

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later still to potential mercury poisoning, modern analyses indicate Brahe's death resulted from a fatal case of uremia caused by an inflamed prostate....

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Emperor Meiji

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deposits over the skin of patients with prolonged kidney failure and severe uremia. Urea was first noticed by Herman Boerhaave in the early 18th century from...

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collagen can indicate intrinsic defects such as von Willebrand disease, uremia, or circulating platelet inhibitors. The follow-up test involving collagen...

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cause a serious medical condition called uremia, which is a high level of urea in blood. Symptoms of uremia include nausea, vomiting, fatigue, anorexia...

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Robert Earl Hughes

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his trailer, and determined he was suffering from measles. He developed uremia. He died on July 10, 1958, at the age of 32. He was buried in a small church...

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Jack London

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prostate cancer, which led to urinary retention, overflow incontinence, and uremia. Investigations in the 1990s suggested that Tycho may not have died from...

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Woodrow Wilson Problems playing this file? See media help. Wilson died from uremia on February 12, 1944, at the age of 57, and was buried in Pondicherry, India...

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