Renal Diseases Most Recent
Proteinuria is a common incidental finding in adult primary care practice, especially in the elderly population.
Due to the excellent outcomes of renal transplantation, there is an increasing number of people surviving with, or receiving a transplant, at an older age.
MD, FRCPC, FACP, AGSF
I am always pleased when we focus on renal disease among older adults, because for the past few years I have been heavily involved in the administration of a dialysis rehabilitation program for older patients at the Toronto Rehabilitation Institute.
Kidney stones occur frequently among the North American population and tend to be recurrent. It is usually possible to identify one or more abnormal urinary risk factors for the specific stone composition under consideration.
In the older individual, the presence of CKD is predictive of cardiovascular death, increased all- cause mortality, and progression to end-stage renal disease and the need for dialysis.
Alterations in potassium balance occur frequently in all patient populations, but in particular, among older adults. Physicians commonly encounter such disorders when taking care of patients in the clinic or in the hospital.
Irritable bowel syndrome (IBS) in the older adult offers challenges for diagnosis and treatment; however, very little research has been done in this regard.
Arterial occlusive disease of the lower extremities is an important cause of disability in older adults and those with risk factors for atherosclerosis.
The patient is an 80-year-old man, weighing 60 kg. He has a long standing history of hypertension and a more recent history of type 2 diabetes mellitus.