Examination

Kidney Function Restoration Program

Natural Medicine for Kidney Damage

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Signs of chronic renal failure (anaemia, fluid overload)?

Examine for dialysis access: fistula, central line, transplant and Tenckhoff catheter.

Examine for hypertension and check for end-organ damage (e.g. retinopathy, left ventricular hypertrophy).

Are there bilateral palpable kidneys? (Classically ballottable, irregular and bilateral [though may be difficult to palpate or only present unilaterally].)

Is there an enlarged cystic liver? (Liver failure is rare.)

Examine for mitral valve prolapse, aortic regurgitation and mitral regurgitation.

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