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Preface and Contents

Diagnosis of Kidney Diseases

Blood Tests

2. Blood Tests

Various blood tests are necessary to establish appropriate diagnosis of different kidney diseases.

  • Creatinine and Urea Blood levels of creatinine and urea reflects the function of the kidneys. Creatinine and urea are two by- products which are normally removed from the blood by the kidney. When the kidney function slows down, the blood levels of creatinine and urea increase. Normal value of serum creatinine is 0.9 to 1.4 mg/dl and normal value of blood urea nitrogen (BUN) is 20 to 40 mg/dl. Higher values suggest damage to the kidneys. Creatinine level is a more reliable guide of kidney function as compared to BUN.
  • Hemoglobin Healthy kidneys help in the production of red blood cells which contain hemoglobin. When hemoglobin is low, it is called anemia. Anemia is a common and important sign of chronic kidney diseases. However anemia can occur quite frequently in other illnesses. So anemia is not a specific test for kidney diseases.
  • Other blood tests Different blood tests frequently performed in kidney patients include: blood sugar, serum albumin, cholesterol, electrolytes (sodium, potassium and chloride), calcium, phosphorous, bicarbonate, ASO titer, complement levels etc.
Serum creatinine is a standard blood test used routinely to screen for and monitor kidney disease.