Nephrology

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

• Preface viiAcknowledgements ixHow to Use This Book xList of Abbreviations xiNormal range for investigations xivPart 1 Basics 1Basic science 1Approach to the patient 8Clinical overview 13Part 2 Cases 30Patients with Acute Renal FailureCase 1 An 84-year-old man with reduced urine output 30Case 2 A 74-year-old man with acute renal failure 37Case 3 A 64-year-old man with back pain and polydipsia 45Case 4 A 20-year-old woman with facial swelling and coke-coloured urine 51Case 5 A 68-year-old man with hearing loss, fatigue and arthralgia 56Case 6 A 19-year-old man with macroscopic haematuria 62Case 7 A 27-year-old woman with a rash and renal impairment 68Case 8 A 26-year-old man with haemoptysis and oliguria 72Case 9 A 25-year-old woman presents with rash and joint pain 78Case 10 An 18-year-old girl with lethargy and headache 86Patients with Nephrotic SyndromeCase 11 A 56-year-old man with ankle swelling 93Case 12 An 80-year-old man with abdominal discomfort and ankle swelling 98Case 13 A 23-year-old obese woman with ankle swelling 106Case 14 A 15-year-old girl with facial swelling and frothy urine 113Patients with HypertensionCase 15 A 50-year-old woman with hypertension 117Case 16 A 60-year-old male smoker with hypertension and renal impairment 123Patients with Urine Dipstick AbnormalitiesCase 17 A 25-year-old woman with dysuria and urine dipstick abnormalities 128Case 18 A 40-year-old ex-intravenous drug user with protein and blood on urine dipstick 133Case 19 A 35-year-old man with macroscopic haematuria 138Case 20 An 82-year-old woman with dark urine 143Acid–Base wnd Electrolyte ProblemsCase 21 A 28-year-old type I diabetic man with abdominal pain and vomiting 148Case 22 A 22-year-old man with weakness and lethargy 154Case 23 A 58-year-old type II diabetic with confusion and hyponatraemia 159Patients with Chronic Kidney Disease/End-Stage Renal FailureCase 24 A 49-year-old man with headache and malaise 163Case 25 A 23-year-old man with shortness of breath 169Case 26 A 34-year-old man on haemodialysis 176Case 27 A 54-year-old man with end-stage renal failure 181Case 28 A 50-year-old man on peritoneal dialysis with abdominal pain 187Renal TransplantationCase 29 A 49-year-old man with chronic kidney disease 193Case 30 A 38-year-old man with a rise in creatinine 2 weeks post renal transplant 201Case 31 A 45-year-old man with a renal transplant and fever 210Part 3 Self-assessment 215MCQs 215EMQs 220SAQs 227Answers 229Index of cases by diagnosis 246Index 247

"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) "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." (Journal of Tropical Pediatrics, 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." (Journal of Renal Nursing, may 2010)