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The physician suspects that a patient's kidney function is impaired. Which of the following tests is the best indicator of renal function?

1) Glomerular filtration rate (GFR)

2) Lipase

3) Serum creatinine

4) Blood urea nitrogen (BUN)

User Jseabold
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Final answer:

Serum creatinine levels and creatinine clearance tests are critical for estimating the glomerular filtration rate (GFR), making GFR the most accurate indicator of renal function.

Step-by-step explanation:

The physician needs to assess the renal function of the patient to determine if there is impairment in kidney function. There are several tests available, but the glomerular filtration rate (GFR) is considered the best indicator of renal function. The GFR is estimated in clinical settings by measuring serum creatinine because naturally occurring creatinine, produced by muscle metabolism, is neither reabsorbed significantly nor secreted substantially by the kidney, and its level is an indirect marker of GFR. Although blood urea nitrogen (BUN) and creatinine are both used to assess renal function, GFR provides a more accurate assessment of kidney excretory function, which is critical for diagnosing kidney issues and for determining safe drug dosages in the presence of renal impairment.

The creatinine clearance test is a standard method used to calculate GFR, involving a formula that takes into account the concentrations of creatinine in both urine and plasma.

The serum creatinine and creatinine clearance tests are essential in estimating the glomerular filtration rate (GFR), which is the best indicator of renal function.

User RemoteSojourner
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