Washington Manual of Nephrology Subspeciality Consult 3rd Edition PDF
8.2 MB PDF
Preface
The first and second editions of The Washington Manual Nephrology Subspecialty Consult achieved the goal of the “subspecialty” series because they were well written, well organized, and served as an efficient bedside resource for residents and students. The hope of this and future editions is to build on that success by updating content with new developments while maintaining the original high standards.
The fieeld of nephrology is changing rapidly, as new advances change the management of acute kidney injury (AKI), chronic kidney disease, and renal transplantation. AKI continues to be a life-threatening problem for the hospitalized patient, and new clinical trials have addressed the role of intensive renal replacement therapy in AKI. Glomerulonephritides generate signifficant challenges to the nephrologist as we strive to treat the patient effectively but at the same time try to minimize side effects from the treatment regimen. Newer agents have been added as induction therapies to decrease rejection rates after renal transplantation. Early initiation of hemodialysis has recently been proven to be not beneficial in patients with chronic kidney disease.
The field of nephrology remains a fascinating, challenging, and exciting area of internal medicine. Electrolyte and acid–base problems will always pose an interesting and thought-provoking dilemma to the trainee and the attending alike. The thrill of working up a patient with hyponatremia or narrowing down the differential diagnoses to get to the underlying etiology of hypokalemia never changes with time, and we hope to transfer our passion of nephrology to medical students and residents and inspire them to pursue a career in nephrology.
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