By Edgar V. Lerma, Allen R. Nissenson
Nephrology secrets and techniques, third variation, by means of Drs. Edgar V. Lerma and Allen R. Nissenson, provides the nephrology solutions you must be triumphant in your rotations and boards.. Its certain, hugely sensible question-and-answer structure, record of the "Top a hundred Nephrology Secrets," and common layout make it ideal for fast reference.
* Get the main go back to your examine time with the confirmed Secrets<SUP>®</SUP> layout -- concise, effortless to learn, and powerful.
* Skim the "Top a hundred Secrets" and "Key Points" containers for a quick evaluation of the secrets and techniques you need to comprehend for fulfillment at the forums and in perform.
* get pleasure from speedier, more uncomplicated evaluate and grasp the head matters in nephrology with mnemonics, lists, quick-reference tables, and an off-the-cuff tone that units this overview e-book except the remainder.
* hold it with you on your lab coat pocket for speedy reference or evaluate each time, wherever.
* deal with every one scientific scenario with self belief with chapters thoroughly up-to-date to mirror the newest information.
* locate the solutions you would like speedier due to a brand new, extra streamlined and problem-based association.
Get the high-yield solutions you must deal with best nephrology questions
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Additional info for Nephrology Secrets (3rd Edition)
Sample text
Radiographics 2004;24:S101–S115. 3. ). Textbook of Uroradiology, 3rd ed. Philadelphia: Lippincott, Williams & Wilkins, 2001. 4. ). Comprehensive Clinical Nephrology, 3rd ed. Philadelphia: Mosby, 2003. 5. Kawashima A, Vrtiska TJ, LeRoy AJ, Hartman RP, McCollough CH, King BF. CT urography. Radiographics 2004;24:S35–S54. 37 CHAPTER 5 RENAL BIOPSY C. Craig Tisher, MD, and Byron P. Croker, MD, PhD 1. What are the major clinical uses for a renal biopsy? n To diagnose kidney disease n To assess prognosis n To monitor disease progression n To aid in the selection of a rational approach to therapy n To monitor and assess response to treatment 2.
The diagnosis is established by performing a split urine collection. The protocol for a split urine collection is as follows: (1) The first morning void is discarded. (2) A 16-hour upright collection is obtained between 7 am and 11 pm, with the patient performing normal activities and finishing the collection by voiding just before 11 pm. ) (3) The patient should assume the recumbent position 2 hours before the upright collection is finished to avoid contamination of the supine collection with urine formed when in the upright position.
CASTS Urinary Casts Disease Associations Hyaline May be nonspecific; seen in normal individuals or during severe intravascular volume depletion (after strenuous exercise or with diuretic use) Granular Acute tubular necrosis (“muddy-brown” granular casts) Waxy and broad Advanced kidney disease Red blood cell Glomerulonephritis White blood cell Urinary tract infections (pyelonephritis, cystitis), tubulointerstitial nephritis, renal tuberculosis, vaginal infections Fatty Nephrotic syndrome (“Maltese-cross” appearance under polarized light) URINALYSIS A B C Figure 2-1.
