Renal failure and the internist - Clinical and laboratorial management

Authors

  • Augusta Borges Interna do Internato Complementar de Medicina Interna, Serviço de Medicina I do Hospital de Egas Moniz, Lisboa
  • Teresa Aragão Assistente Hospitalar de Nefrologia, Nefromedicina do Hospital de Santa Cruz, Lisboa
  • Alberto Mello e Silva Assistente Hospitalar Graduado de Medicina Interna e Car­diologia, Serviço de Medicina I do Hospital de Egas Moniz, Lisboa
  • Fernando Borges Assistente Hospitalar de Medicina Interna e lnfecciologia, Serviço de Medicina I do Hospital de Egas Moniz, Lisboa
  • Luís Sousa Uva Director de Serviço, Serviço de Medicina I do Hospital de Egas Moniz, Lisboa

Keywords:

systemic disease, acute renal fai­lure, chronic renal failure, azotaemia

Abstract

A physician's approach to renalfailure should always be multifactoriaL It is important to esta­blish a differential diagnosis as regards the va­rious types of renal failure and to differentiate between an intrinsic renal lesion and multisys­ tem disorder. The initial approach should be non invasive and consist of a careful clinical history and examination, the analysis of the urinary se­diment and the renal ultrasound. The uncertainty about the etiological diagnosis and the need to correctly assess the degree of renal insufficiency determine the need to perform a renal biop­sy. The most important clinical aspects are due to failure to excrete nitrogenous products, volu­me and salt overload.

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References

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Additional Files

Published

1997-06-30

How to Cite

1.
Borges A, Aragão T, Mello e Silva A, Borges F, Sousa Uva L. Renal failure and the internist - Clinical and laboratorial management. RPMI [Internet]. 1997 Jun. 30 [cited 2024 May 18];4(2):125-8. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/2212

Issue

Vol. 4 No. 2 (1997): Abril/ Junho

Section

Comunicações Breves

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