Unusual cases of acute tubular necrosis.

Abstract

Article1 July 1957UNUSUAL CASES OF ACUTE TUBULAR NECROSISMARTIN PERLMUTTER, M.D., F.A.C.P.MARTIN PERLMUTTER, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-47-1-81 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThere is general agreement as to the basic pathophysiology, the usual chemical abnormalities of the serum and urine, the average clinical course, and the desired therapy for renal failure due to tubular necrosis.1, 2, 3, 4 However, because of this unanimity of opinion, the unusual case may either be misdiagnosed or be treated in a rather routine fashion without regard to exceptional complications, which may necessitate departure from the usual therapy.It is the purpose of this presentation to describe three cases which differed from the classic type. First the concept of the classical clinical features of acute tubular necrosis...Bibliography1. Strauss MB: Acute renal insufficiency due to lower nephron nephrosis, New England J. Med. 239: 693, 1948. CrossrefMedlineGoogle Scholar2. BullJoekesLowe GMAMKG: Renal functional studies in acute tubular necrosis, Clin. Sc. 9: 379, 1950. MedlineGoogle Scholar3. SwannMerrill RCJP: The clinical course of acute renal failure, Medicine 32: 215, 1953. CrossrefMedlineGoogle Scholar4. ElkintonDanowski JRTS: The body fluids, 1955, The Williams and Wilkins Co., Baltimore, p. 294. Google Scholar5. BurwellKinneyFinch ELTDCA: Renal damage following intravascular hemolysis, New England J. Med. 237: 657, 1947. CrossrefMedlineGoogle Scholar6. CollerCampbellIob FAKNV: Treatment of renal insufficiency in the surgical patient, Ann. Surg. 128: 379, 1948. CrossrefGoogle Scholar7. MarshallHoffman DWS: Nature of altered renal function in lower nephron nephrosis, J. Lab. and Clin. Med. 34: 31, 1949. MedlineGoogle Scholar8. Sirota JH: Carbon tetrachloride poisoning in man: mechanism of renal failure and recovery, J. Clin. Investigation 28: 1412, 1949. CrossrefMedlineGoogle Scholar9. Sevitt S: Distal tubular necrosis with little or no oliguria, J. Clin. Path. 9: 12, 1956. CrossrefMedlineGoogle Scholar10. Richards AN: Direct observation of changes in function of the renal tubules caused by certain poisons, Tr. A. Am. Physicians 44: 64, 1929. Google Scholar11. IseriBatchelorBoyleMyers LTTMAJGB: Studies of fluid, electrolytes and nitrogen balance in acute renal insufficiency, Arch. Int. Med. 89: 188, 1952. CrossrefGoogle Scholar12. Govaerts P: Ratio of creatinine clearance to urea clearance in toxic nephropathies, Stanford M. Bull. 6: 71, 1948. MedlineGoogle Scholar13. Darrow DC: Body fluid physiology—role of potassium in clinical disturbances of body water and electrolyte, New England J. Med. 242: 978, 1950. CrossrefMedlineGoogle Scholar14. Schwartz WB: Potassium and the kidney, New England J. Med. 253: 601, 1955. CrossrefMedlineGoogle Scholar15. SchreinerBerman GELB: The clinical spectrum of post-partum acute renal insufficiency, Ann. Int. Med. 43: 1230, 1955. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Brooklyn, N. Y.*Received for publication September 24, 1956.From the Department of Medical Services, Maimonides Hospital of Brooklyn, N. Y., and the Department of Medicine, State University of New York, College of Medicine at New York City, Brooklyn, N. Y.Requests for reprints should be addressed to Martin Perlmutter, M.D., Department of Medical Services, Maimonides Hospital of Brooklyn, 4802 Tenth Avenue, Brooklyn 19, N. Y. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAcute renal failure in obstetric septic shockThe Differential Diagnosis of Azotemia in the Surgical PatientAkutes NierenversagenLiteraturverzeichnisTHE PATHOGENESIS OF URÆMIA IN ACUTE RENAL FAILURE ABNORMALITY OF INTRARENAL VASCULAR TONE AS POSSIBLE MECHANISMACUTE RENAL FAILURE IN ASIATIC CHOLERA: CLINICOPATHOLOGIC CORRELATIONS WITH ACUTE TUBULAR NECROSIS AND HYPOKALEMIC NEPHROPATHY*CHANYO BENYAJATI, M.D., MUNI KEOPLUG, M.D., WILLIAM R. BEISEL, EUGENE J. GANGAROSA, HELMUTH SPRINZ, F.A.C.P., VISITH SITPRIJA, M.D.Acute Renal FailureInsuficiencia renal aguda o necrosis tubular aguda en obstetricia 1 July 1957Volume 47, Issue 1Page: 81-91KeywordsAttentionAutopsyHospital medicineNecrosisObstetrics and gynecologyRenal failureResearch laboratoriesSodiumUreaUrine ePublished: 1 December 2008 Issue Published: 1 July 1957 PDF downloadLoading ...