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Differential Diagnosis For End Stage Renal Failure

2013-02-08 13:55

Since end stage renal failure patients will have systemic symptoms and complications besides metabolic disorder of protein, sugar, fat, water, electrolytes and acid-base balance. Therefore it is very easy to be misdiagnosed. Let’s see how to avoid misdiagnosis so as to provide guidance for more effective treatments and medicines.

Digestive system

Renal failure patients can have nausea, vomiting, hiccups, hematemesis, hematochezia, anorexia, diarrhea, etc. It is easy to be misdiagnosed as hepatitis, dysentery, gastritis, peptic ulcer or bleeding, gastroenteritis, etc. If these symptoms can not be alleviated after repeated gastroscope examinations and having stomach medicines, it can be due to renal failure.

Neuromuscular system

Sleepiness, lethargy, coma are easy to be misdiagnosed as hepatic coma; paresthesia is easy to be misdiagnosed as peripheral neuritis; insomnia, depression and difficulty in concentration are easy to be misdiagnosed as psychoneurosis; hallucination and mental disorder are easy to be misdiagnosed as psychosis; seizure is easy to be misdiagnosed as primary epilepsy.

Cardiovascular respiratory system

Hypertension is easy to be misdiagnosed as primary hypertension; left heart failure is easy to be misdiagnosed as coronary heart disease, hypertensive heart disease; difficulty in breathing is easy to be misdiagnosed as pulmonary heart disease; acidosis respiratory is easy to be misdiagnosed as chronic bronchitis; uremic lung is easy to be misdiagnosed as bronchiectasis, bronchial asthma.

Blood system

Anemia is easy to be misdiagnosed as iron-deficiency anemia, aplastic anemia; epistaxis is easy to be misdiagnosed as epidemic hemorrhagic fever; skin purpura is easy to be misdiagnosed as allergic purpura and thrombocytopenic purpura.

Skeletal system

Osteomalacia, bone hardening, fibrous osteitis are easy to be misdiagnosed as arthritis; renal rickets is easy to be misdiagnosed as dystrophic rickets.

At last I want to say that accurate diagnosis is the first step and it is very crucial for effective medicines and treatments. Therefore kidney disease patients should to to standard and specialized kidney disease hospital and receive timely, systemic and scientific treatments so as to have an early recovery!

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