By Edgar V. Lerma MD FACP FASN FAHA, Allen R. Nissenson MD FACP
Nephrology secrets and techniques, third version, through Drs. Edgar V. Lerma and Allen R. Nissenson, supplies the nephrology solutions you want to be triumphant in your rotations and boards.. Its certain, hugely functional question-and-answer layout, record of the "Top a hundred Nephrology Secrets," and basic structure make it excellent for fast reference. Get the main go back to your learn time with the confirmed secrets and techniques® layout -- concise, effortless to learn, and powerful. Skim the "Top a hundred secrets and techniques" and "Key issues" packing containers for a quick review of the secrets and techniques you want to comprehend for fulfillment at the forums and in perform. take pleasure in swifter, 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 evaluate e-book except the remainder. hold it with you on your lab coat pocket for fast reference or evaluate each time, wherever. deal with each one scientific scenario with self assurance with chapters thoroughly up to date to mirror the newest details. locate the solutions you would like swifter because of a brand new, extra streamlined and problem-based association. Get the high-yield solutions you want to handle most sensible nephrology questions
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Extra info for Nephrology Secrets, 3rd Edition
N Gross hematuria is the presence of red or brown urine that is visible to the naked eye. The degree of discoloration has limited value because as little as 1 mL of blood per liter of urine can cause varying degrees of urine discoloration. In the initial evaluation of a patient with gross hematuria, it must be determined whether the urine discoloration is truly secondary to pathologic bleeding within the urinary tract. In patients who are menstruating or in the postpartum states, it is not ideal to evaluate them for hematuria.
The level of all known endogenous filtration markers is determined by factors other than GFR, including generation from metabolism and diet, tubular secretion, or reabsorption and extrarenal elimination. GFR estimating equations use the filtration marker in combination with demographic variables to overcome some of the limitations from non-GFR determinants. Two creatinine-based estimating equations are the MDRD Study equation and CKD-EPI equation. 3. All estimates of GFR based on serum creatinine will be less accurate in patients not in a steady state of creatinine balance (in whom serum creatinine is changing), in patients at the extremes of muscle mass (such as the frail elderly, critically ill, or those with cancer or, conversely, body builders), or those with unusual diets.
What is the typical time course of renal impairment in a patient with contrast nephropathy? Serum creatinine level rises over 1 to 2 days after contrast administration, peaks 4 to 7 days after contrast administration, and returns to normal 10 to 14 days after contrast administration. 25. What are the advantages and disadvantages of the various imaging methods used to diagnose renal artery stenosis? See Table 4-1. 26. What is the diagnostic utility of ultrasound in the evaluation of a renal transplant?