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What is The Uremic Syndrome: Definition, Diagnosis, Causes of Signs and Symptoms, Complications about?

Uremia is a battery of signs and symptoms caused by renal failure. Depending on the nature of the renal failure (acute or chronic), its severity, and its duration, the symptoms of the uremic syndrome may differ greatly in nature and severity, iatrogenic factors (see Chapter 15) and therapy (see Chapters 14 and 15) may largely influence the clinical aspect of uremic patients when compared to untreated ones. ## DIAGNOSIS The simultaneous presence of anorexia, vomiting, anemia, tremors, pruritus, mental confusion, a tendency to flap, dyspnea, brown-grey color of the skin, and bleeding constitutes the clinical picture of the severe chronic uremic syndrome. In such cases diagnosis is easy, but it is extremely rare to see patients suffering such a severe condition. In the less severe cases, presenting only a few symptoms, it may be difficult to formulate a correct diagnosis on clinical grounds alone. However, blood chemistry tests-routine today in most patients-dramatically reduce the number of undiagnosed uremics, and this number drops to zero among hospital inpatients. The typical blood chemical abnormalities of chronic renal failure (CRF) (see Chapter 6) confirm the origin of the sign

Author

S. Giovannetti

Published

1989

Language

EN