Extrarenal uremia
ICD-10 R39.2 is a billable code used to indicate a diagnosis of extrarenal uremia.
Extrarenal uremia refers to the clinical condition characterized by the accumulation of urea and other nitrogenous waste products in the blood due to renal failure or dysfunction, where the kidneys are unable to excrete these waste products effectively. This condition can manifest with a variety of symptoms including fatigue, weakness, confusion, nausea, vomiting, and pruritus. Patients may also exhibit signs such as hypertension, edema, and altered mental status. Laboratory findings typically reveal elevated blood urea nitrogen (BUN) and creatinine levels, along with electrolyte imbalances. Extrarenal uremia can occur in various contexts, including acute kidney injury, chronic kidney disease, and conditions leading to decreased renal perfusion. It is crucial for healthcare providers to recognize the signs and symptoms of extrarenal uremia promptly to initiate appropriate management and prevent further complications.
Detailed history and physical examination, including renal function tests and symptomatology.
Patients presenting with fatigue, confusion, and elevated BUN/creatinine levels.
Ensure comprehensive documentation of all relevant lab findings and patient history.
Acute care documentation including vital signs, lab results, and immediate interventions.
Patients presenting with altered mental status and signs of volume overload.
Rapid assessment and documentation of acute symptoms and interventions are critical.
Used to assess electrolyte levels and kidney function in patients suspected of uremia.
Document the rationale for ordering the panel and the results.
Internal medicine and nephrology may require more detailed documentation.
Common symptoms include fatigue, confusion, nausea, vomiting, and pruritus, often accompanied by signs of fluid overload such as edema and hypertension.
