Details

Nephrology, eTextbook


Nephrology, eTextbook

Clinical Cases Uncovered
1. Aufl.

von: Menna Clatworthy

42,99 €

Verlag: Wiley-Blackwell
Format: PDF
Veröffentl.: 02.09.2010
ISBN/EAN: 9781444392890
Sprache: englisch
Anzahl Seiten: 272

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Beschreibungen

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. <i>Nephrology: Clinical Cases Uncovered</i> 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. <p>Following a question-answer approach, including self-assessment material and a ‘refresher’ section on the basic science of this clinical area, <i>Nephrology: Clinical Cases Uncovered</i> 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.</p> <p><i>Nephrology: Clinical Cases Uncovered</i> 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.</p>
<p>Preface vii</p> <p>Acknowledgements ix</p> <p>How to Use This Book x</p> <p>List of Abbreviations xi</p> <p>Normal range for investigations xiv</p> <p><b>Part 1 Basics 1</b></p> <p>Basic science 1</p> <p>Approach to the patient 8</p> <p>Clinical overview 13</p> <p><b>Part 2 Cases 30</b></p> <p>Patients with Acute Renal Failure</p> <p>Case 1 An 84-year-old man with reduced urine output 30</p> <p>Case 2 A 74-year-old man with acute renal failure 37</p> <p>Case 3 A 64-year-old man with back pain and polydipsia 45</p> <p>Case 4 A 20-year-old woman with facial swelling and coke-coloured urine 51</p> <p>Case 5 A 68-year-old man with hearing loss, fatigue and arthralgia 56</p> <p>Case 6 A 19-year-old man with macroscopic haematuria 62</p> <p>Case 7 A 27-year-old woman with a rash and renal impairment 68</p> <p>Case 8 A 26-year-old man with haemoptysis and oliguria 72</p> <p>Case 9 A 25-year-old woman presents with rash and joint pain 78</p> <p>Case 10 An 18-year-old girl with lethargy and headache 86</p> <p>Patients with Nephrotic Syndrome</p> <p>Case 11 A 56-year-old man with ankle swelling 93</p> <p>Case 12 An 80-year-old man with abdominal discomfort and ankle swelling 98</p> <p>Case 13 A 23-year-old obese woman with ankle swelling 106</p> <p>Case 14 A 15-year-old girl with facial swelling and frothy urine 113</p> <p>Patients with Hypertension</p> <p>Case 15 A 50-year-old woman with hypertension 117</p> <p>Case 16 A 60-year-old male smoker with hypertension and renal impairment 123</p> <p>Patients with Urine Dipstick Abnormalities</p> <p>Case 17 A 25-year-old woman with dysuria and urine dipstick abnormalities 128</p> <p>Case 18 A 40-year-old ex-intravenous drug user with protein and blood on urine dipstick 133</p> <p>Case 19 A 35-year-old man with macroscopic haematuria 138</p> <p>Case 20 An 82-year-old woman with dark urine 143</p> <p>Acid–Base wnd Electrolyte Problems</p> <p>Case 21 A 28-year-old type I diabetic man with abdominal pain and vomiting 148</p> <p>Case 22 A 22-year-old man with weakness and lethargy 154</p> <p>Case 23 A 58-year-old type II diabetic with confusion and hyponatraemia 159</p> <p>Patients with Chronic Kidney Disease/End-Stage Renal Failure</p> <p>Case 24 A 49-year-old man with headache and malaise 163</p> <p>Case 25 A 23-year-old man with shortness of breath 169</p> <p>Case 26 A 34-year-old man on haemodialysis 176</p> <p>Case 27 A 54-year-old man with end-stage renal failure 181</p> <p>Case 28 A 50-year-old man on peritoneal dialysis with abdominal pain 187</p> <p>Renal Transplantation</p> <p>Case 29 A 49-year-old man with chronic kidney disease 193</p> <p>Case 30 A 38-year-old man with a rise in creatinine 2 weeks post renal transplant 201</p> <p>Case 31 A 45-year-old man with a renal transplant and fever 210</p> <p><b>Part 3 Self-assessment 215</b></p> <p>MCQs 215</p> <p>EMQs 220</p> <p>SAQs 227</p> <p>Answers 229</p> <p>Index of cases by diagnosis 246</p> <p>Index 247</p>
"This is a helpful resource for medical students, medicine interns and residents, and nephrology fellows, as well as a reference for teachers of nephrology ... I would recommend this for academic nephrologists and nephrology fellows, but mainly for residents and students on nephrology rotations." (Doody's, 9 March 2012) <p> "The presentation is lively and the author's experience and enthusiasm for teaching the subject over more than a decade is evident...This book should appeal not only to medical undergraduates but also to trainees in renal diseases and other related specialties." (<i>Journal of Tropical Pediatrics</i>, January 2011)"The beauty of this book is that it translates a lot of the very dry information provided in traditional text books into real-life scenarios. The cases are interesting to read and you always like to see if your own management plan corresponds to the expert's one. In summary this is a very useful book for all who work in renal medicine. The clear format makes it suitable for nurses as well as doctors, and explains the rationale behind a lot of the treatment decisions we make. Overall highly recommended." (<i>Journal of Renal Nursing,</i> may 2010)</p>
<p><b>Dr Menna Clatworthy</b>, Clinical Lecturer in Renal Medicine, University of Cambridge.</p>

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