history
Last reviewed 09/2021
A good history is often important in determining the character and aetiology of chronic renal failure:
- the history is not dramatic but the biochemical disarray may be profound
- chronic renal failure is often well tolerated
- nocturia - concentration defect
Past Medical History:
- specific renal illness e.g. recurrent UIT's
- hypertension:
- obstetric history e.g. pre-eclampsia
- insurance checks noting hypertension
Drug History:
- analgesics
- anti-rheumatic medications - gold, penecillamine
- antibiotics - e.g. gentamycin, aminoglycosides and cephalosporins
Family History:
- adult polycystic disease
- Alports syndrome
Social History:
- nephrotoxic exposures at work
- how has dialysis affect work and leisure ?