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Renal Disease: An Illustrated Guide (Paperback, 1981)
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Renal Disease: An Illustrated Guide (Paperback, 1981)
Series: Topics in Renal Disease
Expected to ship within 10 - 15 working days
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This book does not pretend to be a comprehensive textbook of
nephrology, nor is it a guide to the management of renal disease,
as space does not allow the description or discus sion of
investigation and treatment. Its intention is to illustrate the
diverse diseases which present to nephrologists. Since the key to
understanding the effects and progression of a disease are to know
and com prehend its pathology, I have approached the subject not by
discussing presenting symptoms of single diseases in different
sections, which would lead to much repetition, but by describing
the disorders according to the mechanisms which cause them. To
illustrate the text I have chosen the most immediate clue which
usually appears in a given dis ease, which may therefore be a
clinical sign, a radiograph or the histological appearance of a
renal biopsy. D. Gwyn Williams Guy's Hospital, London 1. Trauma
Trauma is a common cause of acute renal failure. This may arise
directly from injuries to the kidneys themselves despite their
protected position (Figure 1). Trauma can also cause acute renal
failure by damaging the renal arteries, which may be actually
avulsed from the kidneys, or stretched at the time of impact, with
tearing of the arterial wall and secondary thrombosis. Figure 2
shows the renal arteriogram of a young man who presented with
anuric acute renal failure after a motorbike accident. Only the
upper pole of the right kidney is Figure 1.
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