By David Goldsmith, Satish Jayawardene, Penny Ackland

ISBN-10: 1405136758

ISBN-13: 9781405136754

The ABC of Kidney illness is a new identify within the profitable ABC sequence and is the reason this complex zone completely and obviously, in a pragmatic and easy demeanour. offering details on a wide selection of renal illnesses, this ebook guarantees non-renal healthcare staff may be able to display, establish, deal with and refer renal sufferers appropriately.Covering symptoms, indicators, remedies and motives of renal sickness, this name comprises the typical matters proposing to GPs, what checks to take advantage of, the right way to interpret effects and while to refer a sufferer to a kidney professional. The ABC of Kidney sickness is a perfect functional reference for GPs, GP registrars and junior medical professionals.

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Extra resources for ABC of Kidney Disease (ABC Series)

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Further reading Bisceglia M, Galliani CA, Senger C, Stallone C, Sessa A. (2006) Renal cystic diseases: a review. Adv Anat Pathol; 13(1):26–56. Stratta P, Canavese C, Quaglia M. (2006) Pregnancy in patients with kidney disease. J Nephrol; 19(2):135–43. Sutters M. (2006) The pathogenesis of autosomal dominant polycystic kidney disease. Nephron Exp Nephrol; 103(4):e149–55. Taylor EN, Curhan GC. (2006) Diet and fluid prescription in stone disease. Kidney Int; 70(5):835–9. CHAPTER 7 Acute Kidney Injury Rachel Hilton OVERVIEW • The term acute kidney injury (AKI) is now preferred in kidney circles to the older term acute renal failure (ARF), but we retain the use of ARF in this chapter for ease of recognition by nonnephrological readers • The life-threatening consequences of ARF are volume overload, hyperkalaemia and metabolic acidosis.

G. those with GFR < 30 mL/ min, diabetics). In high-risk patients radiocontrast procedures should be limited where possible and alternative imaging considered. Intravascular volume depletion is a key risk factor, which can be corrected by appropriate volume expansion with intravenous saline. Oral use of the antioxidant N-acetylcysteine has been widely assessed with conflicting results and its role remains uncertain. However, it is an inexpensive agent without significant side-effects and its use in clinical practice may not therefore be inappropriate.

There are countless retrospective reports from individual centres and in most, irrespective of the revascularization technique, although an improvement in renal function is observed in a minority (< 25%) of patients, the overall effect upon renal functional outcome in the whole ARVD group is generally minimal. Large-scale RCTs are essential to determine the overall effects of intervention, and to help identify which sub-groups of patients will benefit from revascularization. A UK-led international trial, ASTRAL, that will recruit up to 750 patients with ARVD, will be complete in 2007 and will report in 2008.

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ABC of Kidney Disease (ABC Series) by David Goldsmith, Satish Jayawardene, Penny Ackland


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