Nephrology For Lawyers (Medic0-Legal Practitioner Series) by Lawerence Baker, Walter Scott, Laurence Baker

By Lawerence Baker, Walter Scott, Laurence Baker

This textual content is aimed almost always at these within the felony career who care for scientific negligence. It units out in uncomplicated language information of the constitution and serve as of the kidneys and urinary tract,the leader equipment of research of kidney illness, and the typical problems which confront the renal surgeon. Many illustrative situations are described.It is was hoping that, specifically, barristers and solicitors will locate the booklet an reduction to comprehension of the technical concerns raised by means of circumstances with which they deal.

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Nephrology For Lawyers (Medic0-Legal Practitioner Series)

This article is aimed more often than not at these within the criminal occupation who take care of scientific negligence. It units out in basic language info of the constitution and serve as of the kidneys and urinary tract,the leader tools of research of kidney illness, and the typical problems which confront the renal health practitioner.

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An aggressive glomerulonephritis brings the patient to the attention of the nephrologist. In recent years, circulating antibodies to antigens in blood neutrophils (white cells) has been found in association with these conditions. Whether such antibodies play a part in damage to vessels or are simply a marker of disease is at present debated. The diagnostic usefulness of testing for antineutrophil cytoplasmic antibody (ANCA) is not in doubt. Systemic vasculitis appears to be on the increase, particularly in elderly patients.

Contraindications to renal biopsy include: • small kidneys; • unco-operative patient; • gross obesity; • uncontrolled hypertension; • haemorrhagic disorders such as haemophilia and thrombocytopenia; • single kidney. A single kidney (with the exception of a transplant kidney) is usually considered a contraindication to transcutaneous renal biopsy since haemorrhage necessitating nephrectomy would be disastrous. If a histological diagnosis is essential in a patient with a single (or functionally single) kidney, it is usual to recommend open surgical biopsy to ensure haemostasis.

He was visited by the family doctor who diagnosed acute glomerulonephritis and recommended bedrest. The family doctor did not take his blood pressure, test his urine or arrange blood tests to assess kidney function. At a visit two days thereafter, the young man complained of headache and aspirin was prescribed. He failed to mention that the amount of urine he was passing appeared to have declined. The following evening the young man suffered a prolonged seizure during which he inhaled vomit, suffered a cardiac arrest and died.

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