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Clinical evaluation is necessary for all patients with alterations in kidney function or structure. The expectation of the Work Group is that the diagnostic approach will usually begin with assessment of GFR and SCr. However, evaluation of kidney function and structure is not complete unless markers of kidney damage—including urinalysis, examination of the urinary sediment, and imaging studies— have been performed. Table 14 shows a summary of the diagnostic approach using measures for kidney function and structure. Based on interpretation of each measure separately, the clinical diagnosis indicated by an ‘‘X’’ can be reached.
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