Nephrology

Clinical Cases Uncovered

Menna Clatworthy (Autor)

Buch | Softcover

272 Seiten

2010
Wiley-Blackwell (Verlag)
978-1-4051-8990-3 (ISBN)

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Nephrology is an important speciality; patients with acute or chronic kidney failure are encountered in every medical and surgical speciality, as well as in general practice. On most general medical rotations and on most surgical wards there are patients with renal problems. Renal medicine is taught on rotation during degree courses, and Foundation training programmes frequently include attachments in nephrology, urology, and renal transplantation. Nephrology: Clinical Cases Uncovered contains clinical presentations with real-life patient cases and outcomes as seen on the wards and in exams, and leads students through a practical approach to diagnosis and management of kidney disease. Following a question-answer approach, including self-assessment material and a ‘refresher’ section on the basic science of this clinical area, Nephrology: Clinical Cases Uncovered features investigations and the treatment options available for patients with renal disease, including those requiring renal replacement therapy with dialysis and transplantation. Difficult concepts are clarified, using simple diagrams to explain the link between pathology and clinical presentation.

Nephrology: Clinical Cases Uncovered is ideal for medical students, junior doctors on the Foundation Programme, GP trainees, and specialist nurses and nurse practitioners. This book is also a useful refresher for nephrology trainees at the beginning of their specialist training programme.

Dr Menna Clatworthy, Clinical Lecturer in Renal Medicine, University of Cambridge.

Preface vii

Acknowledgements ix

How to Use This Book x

List of Abbreviations xi

Normal range for investigations xiv

Part 1 Basics 1

Basic science 1

Approach to the patient 8

Clinical overview 13

Part 2 Cases 30

Patients with Acute Renal Failure

Case 1 An 84-year-old man with reduced urine output 30

Case 2 A 74-year-old man with acute renal failure 37

Case 3 A 64-year-old man with back pain and polydipsia 45

Case 4 A 20-year-old woman with facial swelling and coke-coloured urine 51

Case 5 A 68-year-old man with hearing loss, fatigue and arthralgia 56

Case 6 A 19-year-old man with macroscopic haematuria 62

Case 7 A 27-year-old woman with a rash and renal impairment 68

Case 8 A 26-year-old man with haemoptysis and oliguria 72

Case 9 A 25-year-old woman presents with rash and joint pain 78

Case 10 An 18-year-old girl with lethargy and headache 86

Patients with Nephrotic Syndrome

Case 11 A 56-year-old man with ankle swelling 93

Case 12 An 80-year-old man with abdominal discomfort and ankle swelling 98

Case 13 A 23-year-old obese woman with ankle swelling 106

Case 14 A 15-year-old girl with facial swelling and frothy urine 113

Patients with Hypertension

Case 15 A 50-year-old woman with hypertension 117

Case 16 A 60-year-old male smoker with hypertension and renal impairment 123

Patients with Urine Dipstick Abnormalities

Case 17 A 25-year-old woman with dysuria and urine dipstick abnormalities 128

Case 18 A 40-year-old ex-intravenous drug user with protein and blood on urine dipstick 133

Case 19 A 35-year-old man with macroscopic haematuria 138

Case 20 An 82-year-old woman with dark urine 143

Acid–Base wnd Electrolyte Problems

Case 21 A 28-year-old type I diabetic man with abdominal pain and vomiting 148

Case 22 A 22-year-old man with weakness and lethargy 154

Case 23 A 58-year-old type II diabetic with confusion and hyponatraemia 159

Patients with Chronic Kidney Disease/End-Stage Renal Failure

Case 24 A 49-year-old man with headache and malaise 163

Case 25 A 23-year-old man with shortness of breath 169

Case 26 A 34-year-old man on haemodialysis 176

Case 27 A 54-year-old man with end-stage renal failure 181

Case 28 A 50-year-old man on peritoneal dialysis with abdominal pain 187

Renal Transplantation

Case 29 A 49-year-old man with chronic kidney disease 193

Case 30 A 38-year-old man with a rise in creatinine 2 weeks post renal transplant 201

Case 31 A 45-year-old man with a renal transplant and fever 210

Part 3 Self-assessment 215

MCQs 215

EMQs 220

SAQs 227

Answers 229

Index of cases by diagnosis 246

Index 247

Reihe/Serie	Clinical Cases
Verlagsort	Hoboken
Sprache	englisch
Maße	191 x 246 mm
Gewicht	653 g
Themenwelt	Medizinische Fachgebiete ► Innere Medizin ► Nephrologie
Themenwelt	Medizin / Pharmazie ► Medizinische Fachgebiete ► Urologie
ISBN-10	1-4051-8990-8 / 1405189908
ISBN-13	978-1-4051-8990-3 / 9781405189903
Zustand	Neuware