Chronic Kidney Disease A 49-year-old active male works at a large manufacturing plant. Recently he has begun

Chronic Kidney Disease A 49-year-old active male works at a large manufacturing plant. Recently he has begun to tire more easily, has little appetite, has unintentionally lost 5% of his normal body weight, and generally feels ill most of the time. He recently noticed some ankle swelling and blood in his urine. At his partner’s insistence, he finally decided to see his physician. After a complete workup, the physician’s findings included the following: • No prior illness except a case of the flu with a throat infection during his overseas service in the Army • Laboratory tests: Presence of albumin, red blood cells, and white blood cells in the urine; and high blood potassium, phosphorus, creatinine, and urea levels. • Other symptoms: Hypertension, edema in the lower legs, headache, occasional blurry vision, and low-grade fever. 1. Select four clinical symptoms assessed in the patient that are most indicative of chronic kidney disease. a. Dysphagia b. Proteinuria (protein in the urine) c. Hematuria (blood in the urine) d. Bradycardia e. Decreased glomerular filtration rate (GFR) f. Increased blood creatinine

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