Download PDF by A. M. Davison (Auth.): A Synopsis of Renal Diseases

By A. M. Davison (Auth.)

ISBN-10: 0723605696

ISBN-13: 9780723605690

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Extra resources for A Synopsis of Renal Diseases

Example text

A variety o f appearances m a y b e f o u n d a n d these, in o r d e r of frequency are: 1. Mesangial IgG/IgA disease. 2. F o c a l g l o m e r u l o n e p h r i t i s . 3. Diffuse proliferative g l o m e r u l o n e p h r i t i s . 4 . Mesangiocapillary g l o m e r u l o n e p h r i t i s . Chapter 5 NEPHROTIC S Y N D R O M E I n t r o d u c t i o n . T h e n e p h r o t i c s y n d r o m e is a c o m m o n m o d e of p r e s e n t a t i o n in a wide variety of glomerular diseases. In itself it is n o t a diagnosis b u t a description of a clinical s y n d r o m e j u s t as t h e t e r m s ' a c u t e nephritis', ' r e c u r r e n t h a e m a t u r i a ' and 'renal failure' describe differing m o d e s of clinical p r e s e n t a t i o n .

This system can b e t e s t e d b y a w a t e r deprivation test w i t h or w i t h o u t t h e a d d i t i o n of vasopressin. Test 1. T h e p a t i e n t is given a n o r m a l l u n c h b u t thereafter n o fluid is allowed a l t h o u g h a ' d r y ' meal m a y b e given in t h e evening. 2 . e. 18 h later) t w o samples o f u r i n e are o b t a i n e d a n d t h e osmolality e s t i m a t e d . INVESTIGATION O F RENAL FUNCTION 29 3. I t is also useful t o o b t a i n a plasma sample for osmolality a t this t i m e .

In c o n d i t i o n s w h e r e t h e a c u t e n e p h r i t i s is t h e clinical m a n i f e s t a t i o n of a systemic disease t h e n t h e n a t u r a l h i s t o r y will d e p e n d o n t h e n a t u r e of t h e systemic disease. Clinical Associations. T h e p r e s e n t a t i o n of a c u t e n e p h r i t i s m a y o c c u r in a wide variety of c o n d i t i o n s including: Henoch-Schönlem syndrome Polyarteritis ( n o d o s a a n d m i c r o s c o p i c f o r m ) Wegener's g r a n u l o m a t o s i s Systemic lupus erythematosus E x p e r i m e n t a l Studies.

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A Synopsis of Renal Diseases by A. M. Davison (Auth.)


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