Internal Medicine

Download Exercise-Induced Acute Renal Failure: Acute Renal Failure by Isao Ishikawa PDF

By Isao Ishikawa

Acute renal failure brought about by way of rhabdomyolysis after strenuous, lengthy workout akin to marathon working or climbing is a well known scientific phenomenon, yet exercise-induced acute renal failure after temporary anaerobic workout - for example, short-distance music races - has been famous only in the near past. This monograph offers in-depth info on exercise-induced acute renal failure after non permanent anaerobic workout, which motives critical soreness within the loin and patchy renal ischemia without signal of rhabdomyolysis. 1/2 the sufferers being affected by this event renal hypouricemia, for which nearly 20% are handled with dialysis. this whole medical reference e-book contains features of the disorder, analysis, remedy and diagnosis, and corresponding preventive measures. vital details on gene research and etiology can be integrated, making a useful source for nephrologists in addition to for emergency physicians and people within the box of activities drugs.

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Additional info for Exercise-Induced Acute Renal Failure: Acute Renal Failure with Severe Loin Pain and Patchy Renal Ischemia after Anaerobic Exercise

Sample text

The grade of pain in our patients was severe in 10 of the 22 patients, making lying down, sleeping, and driving impossible. Because of the severe pain, the physician (Patient 5) with exercise-induced acute renal failure (ALPE) made a self-diagnosis of acute pancreatitis. Initially, most patients are diagnosed as having ureteral stone, but some physicians diagnose “lumbar pain” or lumbar disc hernia. Table 7. Sites and features of pain Site of pain Loin pain Lumbar pain Abdominal pain Anterior chest pain Feature of pain Rolling over due to acute severe pain Cannot sleep at night Cannot drive a car due to acute severe pain Colicky Number of cases 103 23 28 1 155 Number of cases 3 3 2 2 53 54 Exercise-Induced Acute Renal Failure 3 Mechanism Involved in Pain The mechanism involved in the pain remains to be clarified.

5 mg/dl, 116 U/l, 592 IU/l (derived from the salivary gland), and 2+, respectively. 7°C, and his blood pressure was 110/60 mmHg. His pulse and respiratory rate were 120/min and 22/min, respectively. Delayed CT 6 h after the administration of contrast medium showed wedge-shaped contrast enhancement in the noncystic renal parenchyma (Fig. 34). On July 24, a bone scan with MDP revealed patchy lesions (Fig. 35). 0 mg/dl on July 27. The patient was then discharged. Patient 14: a 15-year-old boy This patient was diagnosed as having acute enteritis.

1 mg/dl, and on December 25, neither kidney CT nor delayed CT showed any abnormal findings. 32 Exercise-Induced Acute Renal Failure Fig. 32. Delayed CT 12 h after the administration of contrast medium (the upper and lower rows show different slice levels) Fig. 33. Bone scan with MDP. An uneven abnormal accumulation of an isotope was seen in the parenchyma of the bilateral kidneys Our Series (22 Patients) 33 Patient 13: a 21-year-old man This patient, who had autosomal dominant polycystic kidney disease (ADPKD), almost drowned and then developed ALPE.

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