Download e-book for iPad: Diseases of the Kidney and Urinary Tract by Robert W. Schrier

By Robert W. Schrier

ISBN-10: 0781793076

ISBN-13: 9780781793070

The completely up-to-date 8th variation of this vintage three-volume paintings offers the main finished, present, and authoritative info on illnesses of the kidney and urinary tract. This clinically orientated reference makes a speciality of analysis and remedy of particular ailments, problems, and issues and accommodates the elemental technological know-how training physicians have to assessment and deal with the sickness process.

Each of the fourteen sections is written by way of across the world well known members and gives insurance similar to a whole e-book. the 1st sections evaluate renal easy technology and describe present diagnostic instruments. the rest twelve sections hide numerous different types of ailments, together with high blood pressure, urological difficulties, and urinary tract issues. every one disease-oriented part starts off with an updated assessment of pathophysiology after which makes a speciality of particular ailments. This variation has new lead authors for greater than 25 chapters, and separate chapters on center ailment and the kidney, liver illness and the kidney, and the nephrotic syndrome.

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In more severe cases, the urethra may open widely in the shape of a funnel during cough (called “funneling”). In the worst-case scenario, as soon as the patient stands, the bladder funnels open widely, and fluid pours out onto the floor. 11 “Beaking” on VCU “Occult” Stress Incontinence 49 findings have been classified using various grading systems Herschorn [8]. VCU is very helpful in women with failed previous continence surgery. In the anteroposterior view, typical features of previous colposuspension or sling can be seen, with slightly “dog-ear”-shaped indentation just lateral to the bladder neck.

Once you have assessed the strength and duration of the pelvic floor contraction, you can start the patient on a pelvic floor muscle training program (see Chap. 6). Do All Urogynecology Patients Need a Rectal Examination? Patients with a fairly simple history of stress and/or urge incontinence do not really require a rectal examination, which is uncomfortable and embarrassing. If you suspect neurological disease (which can affect anal function), or the patient has anal incontinence, a rectal exam to assess the tone and quality of the external anal sphincter is often useful.

Pass a Sims Speculum Traditional advice is to ask the patient to assume the left lateral position for a Sims speculum exam. In fact, if they are obese, this may not be necessary; the bottom of the Sims may not hit the couch if the buttocks are sufficiently plump. If equipment is in short supply, the two leaves of a bivalve speculum can be unscrewed, and the anterior leaf used as a Sims speculum. Cystocele (prolapse of the bladder into the vagina) and rectocele (prolapse of the rectum into the vagina) are traditionally graded (during Valsalva or cough) as the following: Mild: The prolapse descends more than halfway down the vagina but not to the introitus.

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Diseases of the Kidney and Urinary Tract by Robert W. Schrier

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