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Renal Function Tests
Renal Function Tests
Renal Function Tests
Functions of kidney
1) Urine Formation:
• removal of potentially toxic waste products.
• it involves 3 processes
- filtration
- reabsorption
- secretion
.
4) Excretion of waste product of protein
metabolism
- oliguria
- polyuria
- nocturia
- frequency of urination
- appearance of oedema.
Renal Function Tests
Classification:
I . Complete Examination of urine:
II. Biochemical examination of serum:
III. Tests based on glomerular filtration:
i. Urea clearance test
ii. Creatinine clearance test
iii. Inulin clearance test
• broad CRF
Type of casts Associations
Concentration Test:
• Sp gr measured after 12 hrs of fast.
• Sp gr > 1.022 – adequate renal function
Intravenous Pyelography:
Gives information about size , shape , functioning of
kidney.
Commonly used substances are - Iodoxyl
- Diodrast
Radio active Renogram:
15-60 µci of Hippuran given slow IV ly
Information regarding - major assymetry in
function between 2 kidneys.
- presence of any obstruction
to urinary flow.
Radio active Scanning:
Dimercaptosuccinicacid scan (DMSA Scan):
detects any structural abnormalities in kidney