Pathophysiology Assignment 3
Case Study, Chapter 42, Acute Renal Injury and Chronic Kidney Disease
Will is a 68-year-old male with a history of hypertension. Eight months ago, he started
regular dialysis therapy for ESRD. Before that, his physician was closely monitoring his
condition because he had polyuria and nocturia. Soon it became difficult to manage his
hypertension. He also lost his appetite, became weak, easily fatigued, and had edema around
his ankles. Will debated with his physician about starting dialysis, but she insisted, before the
signs and symptoms of uremia increased, the treatment was absolutely necessary. (Learning
Objectives: 1, 2, 3, and 4)
1. What is the difference between azotemia and uremia?
2. Two years ago, Will's physician told him to decrease his protein intake. In spite of
what the physician ordered, Will could not stop having chicken, beef, pork, or eggs at
least once a day. Why did his physician warn him about his diet?
3. Will's feelings of weakness and fatigue are symptoms of anemia. Why is he anemic?
4. Knowing what you do about Will's history, why is left ventricular dysfunction a
concern for his physician?