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Doody's Review ServiceReviewer: Francis Dumler, MD (Wayne State University)
Description: This practical textbook of nephrology focuses on symptoms, laboratory data related to renal disease, and diagnosis and management of renal disease and electrolyte abnormalities. The book emphasizes physiologic information applied to clinical practice.
Purpose: The purpose is to provide a compendium of authoritative guidance for assistance in recognition and management of renal dysfunction. This book also aims to provide comprehensive information about most renal diseases with a particular emphasis on water and electrolyte disorders. These objectives have important clinical significance and have been well met by the authors.
Audience: General practitioners, internists, hospitalists, emergency room physicians, physician assistants, nurse practitioners, and house officers are the intended audience. Medical students interested in nephrology are also likely to benefit from this textbook.
Features: This is a good introduction to presenting signs and symptoms of kidney disease, that reviews physiology related to disease states and provides diagnostic and therapeutic approaches in renal disease and electrolyte disorders. The writing is succinct and clear, with good illustrations and tables. The style is uniform. As expected with multiple authors, there is some overlap. Overall the book is excellent. Chapter 5 is a little too mathematical for the target audience. Chapter 15 should mention avoidance of ACE-I/AARB in the prevention of acute renal failure from intravenous contrast administration. Chapter 23 is a bit too long. Chapter 32 should include ARB and selective COX inhibitors in the discussion of specific drug classes.
Assessment: This is a nice addition to the library of medical professionals dealing with patients at risk of developing renal dysfunction, renal disease, and/or electrolyte abnormalities. The physical presentation is very good, the tables are informative, and the illustrations helpful. It provides perhaps a more comprehensive but significantly pricier alternative to Schrier's Manual of Nephrology, 5th Edition (Lippincott Williams & Wilkins, 2000).