In the clinic, you can determine whether the patient has kidney disease by asking medical history, physical examination, laboratory and imaging tests, etc. It mainly relies on the examination, such as the abnormalities of urine routine and blood creatinine which often suggests kidney disease.
1. First of all, we need to ask about the medical history: for example, we need to ask whether the patient has a history of diabetes, hypertension, chronic nephritis, etc. We need to ask whether the patient has a history of polycystic kidney and other hereditary diseases, and we also need to ask whether the patient has clinical symptoms such as edema and hypertension.
2. Physical examination: the patient’s blood pressure can be measured to see if the patient has high blood pressure, and to see if the patient has symptoms of swelling in the eyelids or ankles.
3. Laboratory and imaging tests: for example, the common ones are urine routine, 24-hour urine protein quantification, renal function, renal ultrasound, and some difficult cases need special tests such as renal puncture to make it clear.
To determine whether a patient has kidney disease, it is necessary to consult a regular hospital and improve the examination and make a clear diagnosis under the guidance of nephrologist.