Chronic Renal Failure
Springer Netherlands, Aug 31, 1988 - Medical - 166 pages
For the last two decades, the topic of chronic renal failure has been dominated by discussions on dialysis and transplantation. As facilities for treating patients with end-stage renal failure have become more readily available, at least in Europe and North America, attention has once again been drawn to conservative measures which may improve both the overall prognosis and the quality of life of patients with renal impairment. Although severe renal failure may be progressive and many patients will ultimately require some form of renal replacement therapy, it is now widely appreciated that distressing symptoms can often be ameliorated by judicious medical treatment. Children as well as, and perhaps to a greater extent than, adults may benefit from such therapy. This volume examines relevant trends in the conservative man agement of both adults and children with chronic renal failure. Each chapter has been written by recognized experts and provides infor mation of clinical relevance for the average clinician. As the overall prognosis for patients with end-stage renal failure improves it is clear the management of patients with relatively stable chronic renal failure is an important topic not only for nephrologists but for all practising clinicians.
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abnormalities albumin altered aluminium amino acids anaemia aplastic bone disease assessment beneﬁcial blood body bone histology calciﬁcations calcium CAPD carbohydrate catabolism child chronic renal failure Clin clinical cortisol creatinine decreased deﬁciency diagnosis dialysis patients dietary difﬁcult effect endocrine Endocrinol erythropoietin factors Felsenfeld FIGURE ﬁltration ﬁndings ﬁrst ﬂuid glucagon glucose haemodialysis hemodialysis patients histological hyper hypercalcaemia hyperphosphataemia hyperprolactinaemia hypertension impaired important increased insulin Kidney Int LTOM malnutrition Massry Metab metabolism metabolites mixed osteitis muscle natriuretic Nephron normal nutritional osteitis ﬁbrosa osteoid osteomalacia paediatric parathyroid hormone parathyroidectomy pathogenesis patients with chronic patients with CRF peritoneal dialysis phosphate plasma protein intake PTH levels reduced reﬂect renal disease renal function renal osteodystrophy renal transplantation reported require response role secondary hyperparathyroidism secretion serum calcium serum concentrations sexual dysfunction signiﬁcant skeletal sodium studies suggested therapy thyroid tissue treatment uraemia uraemic patients uraemic women urea uremic urinary vascular vitamin vitamin D zinc