Question 196 · LEK · Chronic kidney disease
The clinical symptoms of chronic (end-stage) renal failure indicating the necessity to start renal replacement therapy (dialysis) do not include:
- A. lack of appetite, nausea and possible development of malnutrition.
- B. significant fluid retention with dyspnoea and crepitations at the bases of both lungs despite loop diuretics being used chronically in high dose.
- C. systolic blood pressure > 200 mmHg despite high doses of antihypertensive drugs from 5 groups (beta-blocker, alpha-blocker, calcium channel blocker, loop diuretic and clonidine).
- D. gout.
- E. pruritus not responding to hydroxyzine.
Hint
Which of these is a uremic complication that dialysis relieves, and which is a common metabolic problem managed with drugs?
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