Indications for Kidney Disease Not Adequately Discussed
The continuing education contribution (1) gives a comprehensive overview of the symptom “shortness of breath.” The pulmonary and cardiac causes of dyspnea and the possibilities of differential diagnoses are presented in detail. The frequent comorbidity of both organ systems is pointed out.
Causes of dyspnea outside the respiratory and cardiovascular systems are treated only briefly: anemia, ENT, neuromuscular disorders, and psychogenic and medicinal causes. However, I find a specific mention of renal diseases, and in particular, references to acute renal failure in chronic kidney disease, to be missing.
The authors only indirectly draw attention to the importance of kidney function (in Figure 1: basic evaluation, laboratory tests, renal function tests).
Why are the main nephrogenic causes of dyspnea, which are very easy to misinterpret, especially in geriatrics, not mentioned in detail?
Dipl.-Med. Ulrike Thäle
|1.||Berliner D, Schneider N, Welte T, Bauersachs J: The differential diagnosis of dyspnoea. Dtsch Arztebl Int 2016; 113: 834–45 VOLLTEXT|