Approach to the patient with renal disease

Jennifer A Fillaus; Troy J. Plumb

doi:10.1007/978-1-4614-4454-1_1

Approach to the patient with renal disease

Jennifer A Fillaus, Troy J. Plumb

Research output: Chapter in Book/Report/Conference proceeding › Chapter

1 Scopus citations

Abstract

A 35-year-old man presents with a 1-week history of progressive shortness of breath and an episode of hemoptysis earlier today. For the past 2 days he has had decreased urine volume and dark colored urine. He has no past medical history and takes no medications. Blood pressure is 145/85 mmHg. Pulse is 110 beats per minute. Temperature is 36.8 °C. Pulse oximetry is 87 % on room air. He is anxious and slightly pale. Pulmonary exam reveals bibasilar crackles. The remainder of his exam is unremarkable. His laboratory data is notable for a hemoglobin level of 10.9 g/dL and serum creatinine of 2.7 mg/dL. His chest X-ray shows bilateral pulmonary infiltrates.

Original language	English (US)
Title of host publication	Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation
Publisher	Springer New York
Pages	3-10
Number of pages	8
ISBN (Electronic)	9781461444541
ISBN (Print)	1461444535, 9781461444534
DOIs	https://doi.org/10.1007/978-1-4614-4454-1_1
State	Published - Nov 1 2013

ASJC Scopus subject areas

Medicine(all)

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10.1007/978-1-4614-4454-1_1

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abstract = "A 35-year-old man presents with a 1-week history of progressive shortness of breath and an episode of hemoptysis earlier today. For the past 2 days he has had decreased urine volume and dark colored urine. He has no past medical history and takes no medications. Blood pressure is 145/85 mmHg. Pulse is 110 beats per minute. Temperature is 36.8 °C. Pulse oximetry is 87 % on room air. He is anxious and slightly pale. Pulmonary exam reveals bibasilar crackles. The remainder of his exam is unremarkable. His laboratory data is notable for a hemoglobin level of 10.9 g/dL and serum creatinine of 2.7 mg/dL. His chest X-ray shows bilateral pulmonary infiltrates.",

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AB - A 35-year-old man presents with a 1-week history of progressive shortness of breath and an episode of hemoptysis earlier today. For the past 2 days he has had decreased urine volume and dark colored urine. He has no past medical history and takes no medications. Blood pressure is 145/85 mmHg. Pulse is 110 beats per minute. Temperature is 36.8 °C. Pulse oximetry is 87 % on room air. He is anxious and slightly pale. Pulmonary exam reveals bibasilar crackles. The remainder of his exam is unremarkable. His laboratory data is notable for a hemoglobin level of 10.9 g/dL and serum creatinine of 2.7 mg/dL. His chest X-ray shows bilateral pulmonary infiltrates.

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Approach to the patient with renal disease

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