Download e-book for kindle: Clinical Nephrology by Woo K.T.

By Woo K.T.

ISBN-10: 0071629378

ISBN-13: 9780071629379

ISBN-10: 0071745343

ISBN-13: 9780071745345

The e-book presents a huge assessment of kidney ailments with reference to signs, research and therapy. It bargains with a number of scientific entities akin to glomerulonephritis, renal stones, high blood pressure, urinary an infection and renal failure. Chapters on dialysis and transplantation highlighting neighborhood occurrence and information were integrated. the present strategies and cures of kidney ailments in addition to most modern statistics on kidney illnesses also are lined.

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Sample text

The unfavourable long-term prognostic indices are proteinuria of more than 1 gm a day, hypertension, glomerulosclerosis exceeding 20%, presence of crescents, medial hyperplasia of blood vessels on renal biopsy. It would appear that control of hypertension is of paramount importance in preventing or delaying the onset of end stage renal failure. How does glomerulonephritis come about? Most forms of nephritis arise because of abnormal immunological mechanisms in the body. The immunological system defends our body against invasion by foreign organisms (bacteria, viruses, fungi, parasites).

In glomerular bleeding (due to glomerulonephritis) the urinary RBC have a dysmorphic pattern. There is a profusion of RBC of bizarre shapes and dissimilar sizes. Normal centrifuged urine contains up to 21 22 Clinical Nephrology 8000 dysmorphic RBC per ml of urine. Increased number of dysmorphic RBC suggests a diagnosis of glomerular disease. The presence of concomitant proteinuria is another clue which points to a diagnosis of glomerular disease. In non-glomerular bleeding associated with urinary calculus, tumours and papillary necrosis, the RBC are isomorphic (of uniform size and shape).

Sometimes the 36 Clinical Nephrology symptoms are complicated by encephalopathy and congestive heart failure. This condition may be caused by bacteria, parasites, viruses, systemic lupus erythematosus, HenochSchonlein purpura and Guillain-Barre syndrome. Post streptococcal glomerulonephritis which classically presents as the nephritic syndrome is better referred to as Post Infectious Glomerulonephritis because apart from streptococci, other bacteria and viruses can be the causative agent. It affects children principally, but no age is exempt.

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Clinical Nephrology by Woo K.T.


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