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Nephrology rounds / David J. Leehey.
- Format:
- Book
- Author/Creator:
- Leehey, David J., author.
- Language:
- English
- Subjects (All):
- Kidneys--Diseases--Diagnosis.
- Kidneys.
- Kidneys--Diseases--Treatment.
- Physical Description:
- 1 online resource (174 pages) : illustrations
- Edition:
- 1st ed.
- Place of Publication:
- Philadelphia, Pennsylvania : Wolters Kluwer, 2016.
- Language Note:
- English
- Summary:
- How should changes in plasma creatinine be interpreted?What is a fractional excretion, and how does measuring it help in clinical practice?Is it helpful to diagnose a triple acid-base disturbance, or is it just a mental exercise?Focusing on the areas that are particularly challenging for trainees, Dr. David Leehey presents 20 of the most perplexing and clinically relevant nephrology questions faced by medical students, residents, and nephrology fellows and attendings. His three decades of teaching experience provide real-world perspective on topics such as complex acid base disturbances, sodium concentration disorders, and the utility of urine anion and osmolal gaps. This concise title is an excellent teaching and learning tool for anyone who needs expert insight on this often-difficult subspecialty of medicine.Provides accurate, concise answers to 20 of today's most difficult questions in nephrology.Pays particular attention to the principal concepts involved with each challenging nephrology question.Includes questions that involve controversy in treatment, such as the use of bicarbonate to treat metabolic acidosis and phosphorus binders to treat hyperphosphatemia.
- Contents:
- How is the urinalysis helpful in patients with kidney disease?
- How should changes in plasma creatinine be interpreted?
- What is a fractional excretion (and how does measuring it help in clinical practice)?
- What is the urine albumin to creatinine ratio? (or is it protein to creatinine ratio?)
- What is the meaning of the urine to plasma creatinine ratio?
- Is it helpful to diagnose a triple acid-base disturbance? (or is it just a mental exercise?)
- Why are disorders of sodium concentration so difficult?
- What is free water clearance and how useful is it?
- How does one interpret the urine anion gap and urine osmolal gap?
- Is it 'acute renal failure' or 'acute kidney injury'?
- What exactly is dialysis and when is it needed?
- When does metabolic acidosis require treatment with bicarbonate?
- Is there any advantage to colloids vs. crystalloids for volume repletion?
- Is computed tomography (CT) with contrast or magnetic resonance imaging (MRI) with contrast preferred in patients with chronic kidney disease?
- Is there a risk to rapidly lowering the plasma potassium in patients with hyperkalemia?
- Should calcium-based phosphate binders be used in patients with chronic kidney disease?
- Which renal cysts require follow-up evaluation?
- Are renin angiotensin aldosterone system blockers friends or foes of the kidneys?
- Does a patient with a mild decrease in estimated glomerular filtration rate (eGFR) really have a disease?
- Why are kidney stones a nephrologic as well as a urologic disease?.
- Notes:
- Bibliographic Level Mode of Issuance: Monograph
- Includes bibliographical references and index.
- Description based on online resource; title from PDF title page (ebrary, viewed May 18, 2017).
- ISBN:
- 1-4963-4784-6
- OCLC:
- 946069325
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