肾病门诊（或肾病 Rounds）

English | 2016 | ISBN: 1496319702 | PDF (converted) | pages: 174 | 7.7 mb

How should changes in plasma creatinine be interpreted? What is a fractional excretion, and how does measuring it help in clinical practice? Is it helpful to diagnose a triple acid-base disturbance, or is it just a mental exercise? Focusing on the areas that are particularly challenging for trainees, Dr. David Leehey presents 20 of the most perplexing and clinically relevant nephrology questions faced by medical students, residents, and nephrology fellows and attendings. His three decades of teaching experience provide real-world perspective on topics such as complex acid base disturbances, sodium concentration disorders, and the utility of urine anion and osmolal gaps. This concise title is an excellent teaching and learning tool for anyone who needs expert insight on this often-difficult subspecialty of medicine. - Provides accurate, concise answers to 20 of today’s most difficult questions in nephrology. - Pays particular attention to the principal concepts involved with each challenging nephrology question. - Includes questions that involve controversy in treatment, such as the use of bicarbonate to treat metabolic acidosis and phosphorus binders to treat hyperphosphatemia.

如何解释血浆肌酐的变化？什么是 fractional excretion，并且测量它在临床实践中有何帮助？ 诊断三重酸碱失衡是否有助于诊断，还是仅仅是一种脑力游戏？ 大卫·李海医生特别针对培训生感到棘手的领域提出了20个最困惑和临床相关性强的肾病问题。这些问题涉及医学学生、住院医师以及肾脏病专科医生和护士。他的教学经验提供了复杂酸碱失衡、钠浓度障碍以及尿液阴离子和渗透压间隙应用的实际世界视角。这本书是一本优秀的教学和学习工具，对于需要此专门领域专业知识的人士来说非常有用。 - 提供了20个当今最难回答的肾脏问题的准确且简洁的答案。 - 特别关注每个具有挑战性的肾脏问题的核心概念。 - 包括涉及治疗争议的问题，例如使用碳酸氢钠治疗代谢性酸中毒和使用磷结合剂治疗高磷血症。

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