The 2 A.M. Consult, Solved Before You Reach the Chart
Built for the resident paged about a rising creatinine, the fellow reading an unexplained potassium of 6.8, or the hospitalist facing acid-base numbers that don't add up, this handbook connects nephron physiology to the decision at the bedside. It moves from filtration, tubular transport, and autoregulation through fluid, electrolyte, and acid-base disorders, acute kidney injury, chronic kidney disease staging and progression-slowing therapy, glomerular and tubulointerstitial disease, hypertension, dialysis, transplantation, and kidney disease across pregnancy, diabetes, and the lifespan — the full clinical arc, built on one coherent physiology rather than twenty-four disconnected topics.
Every chapter embeds the Nephron Signal Recognition System, a recurring five-part callout — Signal, Signal Read, Decision, Trap Logic, Signal Anchor — that turns a lab value or urine finding into an immediate clinical action, consolidated at the back into a fully cross-referenced Master Index for bedside lookup.
From Nephron Physiology to the Consult Note, You Will
Read a rising creatinine correctly — the thirty percent threshold that separates an expected drug effect from true injury, applied consistently from ACE inhibitors to SGLT2 inhibitors.
Disentangle any acid-base picture — a six-step systematic approach that catches mixed disorders a single blood gas would hide.
Run a hyperkalemia code without hesitation — stabilize, shift, remove, in the right order, every time.
Localize acute kidney injury fast — prerenal, intrinsic, or postrenal, confirmed by trajectory, not guesswork.
Stage and slow CKD — the combined GFR-albuminuria risk map and the four-pillar pharmacologic regimen now defining modern care.
Separate nephrotic from nephritic disease — and recognize the crescentic glomerulonephritis that cannot wait for a full workup.
Manage the dialysis and transplant patient — access, adequacy, and the trough-level-first approach to unexplained graft dysfunction.
Handle kidney disease in pregnancy, diabetes, and across the lifespan — with dosing and risk reasoning built for the patient in front of you, not a textbook average.
Put the reasoning behind every kidney consult you'll ever take in one reference — open it before the next page comes in.
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PAP. Zustand: New. New Book. Shipped from UK. Established seller since 2000. Artikel-Nr. L2-9780557976010
Anzahl: Mehr als 20 verfügbar