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What is A stage IV kidney disease is suspected in a lady with anaemia and progressive malnutrition. Which of the following renal parameters could be TRUE for her condition? and explain in detail?
When GFR progresses to stages 3 and 4, viually all organ systems are affected. The most evident complications include anemia and associated easy fatigability; decreasing appetite with progressive malnutrition; abnormalities in calcium, phosphorus, and mineral-regulating hormones, such as 1,25(OH) 2D3 (calcitriol) and parathyroid hormone (PTH). Ref: Harrisons Principles of Internal Medicine, 18th Edition, Page 2308