ACUTE RENAL INSUFFICIENCY MADE RIDICULOUSLY SIMPLE BY CARLOS ROTELLAR M.D. Assistant Professor of Medicine, Georgetown University Hospital, Washington, D.C, 20007 First Edition; 1981, Barcelona, Spain. (Spanish) ‘Translation into English by Carlos Rotellar, M.D. and James F Winchester, M.D. (Professor of Medicine, Georgetown University Hospital, Washington, 1).C.). Lllustrations by Carlos Rotellar, M.D.INDEX Note from the author ..-. 0... .. siaae SeAG Da Ne Foreword. ...... aainee ata = eae eee + Vii CHAPTER | Concept and Classification. . Prerenal acute renal failure. ...........- Intrinsic acute renal failure, . Postrenal acute renal failure . CHAPTER IL Etiology, pathophysiology and pathology ....... seasonal CHAPTER III Signs and Symptoms beeen eevee eee ee 1B Period I (the kidney is in danger). ....-. caer cere mapas Period 11 (the Kidney i in ATN). ee eee Iv Symptoms due to organ system involvement supe emneee nana Gastrointestinal system Respiratory system .. Cardiovascular system. . . Neurologic system. Immune system. .. bbe e sete eee ee eeee WEBI siciinacceee te etiiene ne eI eS Period ILI (the kidney begins to open up) ee hat 27 Period LV (the kidney is working again!) . . palace a 28 Period V (the kidney is back to normal) ................... 28 iiiCHAPTER IV Differential diagnosis and prognosis..............-......29 CHAPTER V Prophylaxis and treatment... ... 0.00.00. 0 00 e ee e O Period | (the kidney is in danger)... 2... BF Period II (the kidney is in ATN) . 38 Water balance pees wee eee eee 39 Sodium and chloride balance. * eae CRIeR ieee M0 Potassium balance. . ete » Ad Indications for dialysis . . La oa dl Dialysis methods ..... 2.2.2.6 -0.5600. 00500 e ose 2 43 Complications... ... . cee ee dd Period III (the kidney hegins to open up: we AS Period IV (the kidney is working again 1). . 45 Period V (the kidney is back to normal)..... AT Appendix Useful data to remember ..........- cece ese eee senses 49 Alphabetical index 900006. 55 Recommended readings................... - 57