RECENT ADVANCES IN THE MANAGEMENT OF RENAL DISEASE IN CHILDREN (Part II)
| Autor: | Wallace W. McCrory, Duncan Macaulay |
|---|---|
| Rok vydání: | 1957 |
| Předmět: |
Cystic kidney
medicine.medical_specialty Kidney business.industry Urinary system Renal function medicine.disease Hypoplasia medicine.anatomical_structure Pediatrics Perinatology and Child Health medicine Vomiting medicine.symptom Intensive care medicine Urinary tract obstruction business Obstructive uropathy |
| Zdroj: | Pediatrics. 19:639-650 |
| ISSN: | 1098-4275 0031-4005 |
| DOI: | 10.1542/peds.19.4.639 |
| Popis: | The last decade has provided the interested physician with a number of advances in the management of these complicated problems. A means of prompt diagnosis of the existence of chronic renal insufficiency is often afforded the physician by the presence of certain common but typical symptoms (failure of growth, recurrent bouts of vomiting, and/or dehydration without apparent cause, convulsions, refractory anemia, and bone disease). Early recognition of the existence of chronic renal failure is very important since the rate of deterioration of renal function can be lessened by eradicating associated active infection of the urinary tract and prompt surgical intervention when indicated for relief of obstructive uropathy. Since progressive loss of functioning renal tissue may result from a number of different disturbances (congenital hypoplasia or obstructive unopathy with or without associated infection, other anomalies, polycystic kidneys, chronic pyelonephritis, or glomerulonephritis, etc.) exact diagnosis is essential for the establishment of appropriate therapy. Symptomatic improvement manifested by return of appetite, relief of vomiting, increased activity tolerance, and at times some degree of growth can be achieved by foregoing a "do nothing" attitude. Only the principles of treatment will be reviewed and available sources should be consulted for details. An increased intake of water and output of urine is needed to permit excretion of solutes by a kidney with limited concentrating and diluting abilities. Since patients with renal insufficiency have a limited capacity for flexibility in renal response to administered loads of water, electrolyte, and solutes, excesses or inadequacies in intake are not tolerated and should be avoided. Regulation of the content of electrolytes in the body is aimed at maintaining the patient at his symptomatic best rather than chemically normal. |
| Databáze: | OpenAIRE |
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