early symptoms: asymptomatic, fatigue, nocturia

with progression: anaemia, hypertension

End stage: Uraemic sx - Fatigue, anorexia, nausea, vomiting, pruritis, Pericarditis, peripheral neuropathy, encephalopathy, Oliguria, fluid overload → pulmonary oedema, LVH, ↑↑CVD

<aside> 💡 >3 months evidence of structural damage, decrease in GFR (<60ml/min), or other evidence of renal damage (persistent albuminuria, haematuria, biopsy, imaging)

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Urine findings in CKD