By F. John Gennari
Consolidating a wealth of data and the newest learn effects into one accomplished reference, clinical administration of Kidney and Electrolyte issues is an authoritative consultant to diagnosing, knowing, and treating sufferers with kidney and electrolyte disorders.
Covers a breadth of nephrology themes, specially the indications, diagnoses, and therapy of significant electrolyte and acid-base issues.
Supplemented with helpful and simply comprehensible tables, summaries, and guidelines!
Combining sufferer, medical, and diagnostic views for extra encompassing care, clinical administration of Kidney and Electrolyte Disorders
Expertly authored via forty five experts and containing approximately six hundred literature references, tables, drawings, pictures, and equations, scientific administration of Kidney and Electrolyte issues is a plenary and precious reference for nephrologists, fundamental care and emergency room physicians, internists, intensivists, and clinical college scholars in those disciplines.
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Extra info for Medical management of kidney and electrolyte disorders
Sample text
San Diego; Academic Press, 1998:253-259. Zeudek ML. Recent advances in water transport. Sen1 in Nephrol 1998; 18: 167-177. Zerbe RL, Robertson GL. A comparisonof plasma vasopressin measurements with a standard indirect test in the differential diagnosis of polyuria. N Engl J Med 1981; 305: 1539- 1546. Edema Rainer Lang University Erlangen-Nurnberg, Nurnberg, Germany 1. INTRODUCTION Humans can eat as little or as much salt as they like and drink just a few sips or more than two gallons of liquid a day and still be able to maintain a relatively constant blood volume.
A diagnosis of deep vein thrombosis or even bilateral iliac thrombosis is much less likely but may be considered. B. DifferentialDiagnosis Chronic venous insufficiency is typically associated with brawny induration or venous stasis ulcers. These signs may be absent in unilateral venous edema of recent onset. Thefirst and most persistent symptomof lymphedema is a puffiness of the dorsum of the foot that does not disappear even with bed rest. Primary lymphedema is caused by an inherited defect in the lymphatic system with hypoplasia or varicose dilatation that affects women 10 times more commonly than men.
A. Diuretics Diuretics are potent disrupters of volume regulation, which makes them valuable for the treatment of edema. With the exceptionof the carbonic anhydrase inhibitors, all clinically useful diuretics interfere with Na' reabsorption by blocking specific transport mechanisms. They are grouped into classes according to their 2). Most of the side effects are class site of action along the nephron (Table specific and can be explained by the physiological role of the transporter that is inhibited.