Ever since I was a medical student, I have found the kidney to be one of the most fascinating organs. However, despite years of active medical practice, I still find the kidney to be a bit of a “black box” to understand. Chronic kidney disease (CKD) is a major medical issue facing our country. CKD is the #9 cause of death in the United States and effects nearly 5 million people per 2017 CDC statistics. This has resulted in nearly 500,000 dialysis patients and 200,000 kidney transplant patients according to the National Kidney Foundation.
To help both providers and patients, the National Kidney Foundation has released numerous free and handy apps for acute and chronic kidney disease. Their website contains links to apps, tools, and guidelines for both primary care providers and nephrologists. On iMedicalApps, we have previously reviewed some of their apps and summarized those we recommend here. The latest app from the National Kidney Foundation is called Chronic Kidney Disease (CKD) Care. The app calculates eGFR and based on other input including the albumin creatinine ratio, demographics and urinary findings generates a differential diagnosis for a specific patient. The app contains quick reference guides for each of these diagnoses based on NKF guidelines.
You are seeing in clinic and evaluating a 75 year old female with known CKD who reports she has been feeling more fatigued than usual and notes some increased lower extremity swelling. You obtain labs which demonstrate a serum Cr of 3.5 (baseline 2.0) and albumin creatinine ratio of 250 with casts noted in her urinalysis. What is your differential diagnosis for this patient?
Chronic Kidney Disease (CKD) Care from the National Kidney Foundation is written by nurse practitioners and nephrologists. The app’s purpose is to help providers care for patients with CKD, AKI and/or at-risk for those conditions. The app is based on guidelines from the National Kidney Foundation Kidney Disease Outcomes Quality Initiative (KDOQI) and the Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. The Quick Reference sections are the best part of the app and include links to UpToDate articles.
Who would benefit from this App?
Any healthcare provider who takes care of patients with acute and chronic kidney diseases including students, residents, primary care, emergency medicine and critical care providers.
Disclaimer: The views expressed are those of the author(s) and do not reflect the official policy of the Department of the Army, the Department of Defense or the U.S. Government.