title: Acute presentation of undiagnosed end-stage renal disease in a young active duty male soldier.
abstract: Chronic renal insufficiency is a condition involving the deterioration of renal function over a period of months to years. This differs from acute renal failure, which is a sudden decrease in renal function that occurs over a period of hours to days. Patients with chronic renal insufficiency are often clinically asymptomatic until nearing end-stage renal disease, at which time their signs and symptoms reflect subtle changes in metabolic and volume control. In contrast, acute renal failure patients often present with overt symptoms caused by sudden metabolic abnormalities and volume overload. We describe a patient who's clinical presentation suggested acute renal failure but was actually caused by end-stage renal disease from a chronic renal process.
authors.affiliation: Primary Care Clinic No. 2, Irwin Army Community Hospital, 600 Caisson Hill, Fort Riley, KS 66442, USA.
authors.forename: Joseph Y
authors.initials: JY
authors.lastname: Lee
authors.forename: John
authors.initials: J
authors.lastname: Napierkowski
authors.forename: Rafael J
authors.initials: RJ
authors.lastname: Igartua
mesh_terms: D000328:Adult; D000419:Albuminuria; D003404:Creatinine / Q000097:blood; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D008297:Male; D008889:Military Personnel; D011654:Pulmonary Edema / Q000209:etiology* / Q000628:therapy; D006435:Renal Dialysis; D014508:Urea / Q000097:blood
chemical_list: D014508:Urea; D003404:Creatinine