Case Study #1RF is 45 yo, married, and works as a city engin…
Case Study #1RF is 45 yo, married, and works as a city engineer for a large municipal government. He cited a recent hx of nausea, anorexia, hematuria, and swollen ankles during a physical examination. His wife reported that he had been tiring more easily than usual during the past year and that he recently complains of a metallic taste in his mouth. A hx of prior illnesses proved negative, except for a severe case of influenza with sore throat 10 years ago. RF’s BP was 160/98 and he has lost 4 kg during the past 2 months. A urinalysis shows albumin and red and white blood cells. He is 6′ 1″ and 172 lbs. His current urine output is approximately 450 cc/day.Lab values are as follows:BUN 103 mg/dl GFR 15 ml/min HCT 32% Hgb 11 mg/dl (reference range is 14-17.4 for males)What signs and symptoms does RF have that indicate uremia? What is uremia? What are the causes and consequences of uremia?