By Carlos Rotellar
A quick, transparent, sensible, and funny method of acute renal insufficiency.
Read Online or Download Acute Renal Insufficiency Made Ridiculously Simple (MedMaster Series, 2005 Edition) PDF
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Extra resources for Acute Renal Insufficiency Made Ridiculously Simple (MedMaster Series, 2005 Edition)
Cerebral hemorrhage), we can perform a CAT scan with contrast knowing that it may prolong the ARE First we have to save the patient and then the kidneys. , idiopathic rapid progressive glomerulonephritis, Wegener's granulomatosis, polyarteritis nodosa etc). Transplanted kidneys can suffer acute renal failure due to any of the etiologies discussed previously and the approach to diagnosis and treatment are the same as for native kidneys. However, in the differential diagnosis we have to add two major situations in which the acute renal failure is directly related to the fact that we are dealing with a transplanted kidney.
WBC = White blood cells . RBC 'FeNa is the percentage of the total Na ' filtered by glomeruli, that is excreted in the urine "I'his ratio may be increased by high protein intake, use of steroids, G.!. bleeding, tetracyclines and hypercatabolism. Always obtain a renal ultrasound acute renal failure) (Table IV). to rule out obstruction (postrenal Table IV: POST ACUTE RENAL FAILURE Gynecological tumors Blood clots Papillary necrosis Prostatic tumors Neurogenic bladder Ureteral obstruction (bilateral) Urethral obstruction (stricture) A diuretic phase is usually seen after releasing the obstruction.
X- RA~> Figure 37 Mannitol infusion as prophylaxis. TREATMENT PERIOD I (The Kidney is in Danger) This period starts at the time the kidney receives the insult and continues until intrinsic acute renal failure develops. The length of this period varies from one patient to another. During this time therapeutic 37 intervention may reverse and/or diminish the severity of the ARF (Fig . 38). s. ). It is unclear by which mechanism these measures may change the course of the ATN. In some circumstances the patients may respond to the use of diuretics with an increased urine output, but without a significant increase in the clearance of toxins.