07/09/2023
Nephrology Pearls by prof : Mohamed Salem 🌸
🔹️Pearl 1;
The decision of when to initiate dialysis remains complex. Our approach is based upon the presence of end-stage kidney disease (ESKD)-related signs and symptoms, and the estimated glomerular filtration rate (eGFR), These factors must be considered together..
🔹️Prarl 2;
Most patients with eGFR ≥10 mL/min/1.73 m2 and symptoms attributed to impaired kidney function can be treated medically. Among patients who have persistent, disabling uremic symptoms despite a creatinine-based eGFR that is consistently ≥10 mL/min/1.73 m2, it is reasonable to obtain a more accurate estimate of GFR.
🔹️Pearl3;
For asymptomatic patients with eGFR >5 mL/min/1.73 m2, dialysis initiation based solely on eGFR criteria does not improve outcomes.
🔹️Pearl4;
– Most patients with eGFR ≥10 mL/min/1.73 m2 and symptoms attributed to impaired kidney function can be treated medically. Symptoms due to advanced kidney dysfunction are usually not disabling until the eGFR is
