Creatinine
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Creatinine test is a laboratory test used to measure level of creatinine in blood. Creatinine is a waste product that is produced continuously during normal muscle breakdown. The kidneys filter creatinine from the blood into the urine, and reabsorb almost none of it. Serum creatinine is widely used as a test of renal function both as a general screen, along with urine protein, for renal disease, and as a test for serial monitoring of renal function. When the kidneys are functioning normally, the serum creatinine level should remain constant and normal. Slight increases in creatine levels can appear after meals, especially after ingestion of large quantities of meat, and some diurnal variation may occur, with a low point at 7 A.M. and a peak at 7 P.M. Serious renal disorders, such as glomerulonephritis, pyelonephritis, and urinary obstruction, will cause abnormal elevations. The creatinine level is interpreted in conjunction with another kidney function test called the Blood Urea Nitrogen (BUN). The serum creatinine level has much the same significance as the BUN but tends to rise later. Because of this, determinations of creatinine help to chronicle a disease process. Generally, a doubling of creatinine suggests a 50% reduction in kidney filtration rate.
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