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Renal

  • Robert S. Holzman
  • Thomas J. Mancuso
  • Navil F. Sethna
  • James A. DiNardo
Chapter

Abstract

A 3-month-old male, 4.2 kg with chronic obstructive nephropathy as a result of bilateral megaureter presents for megaureter repair and bilateral ureteral reimplant. His hematocrit is 29%, with electrolytes Na+ = 132 meq/dL, K+ = 4.0 meq/dL, Cl = 103 meq/dL, HCO3 = 19 meq/dL, BUN = 8 mg%, and Cr = 1.7 mg%. He is on sulfamethoxazole/trimethoprim once a day. Heart rate is 110 bpm, BP 110/70 mmHg, and RR 20/min.

Keywords

Serum Potassium Glomerular Basement Membrane Renal Tubular Acidosis Obstructive Uropathy Prune Belly Syndrome 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

General References

  1. 1.
    Roth KS, Koo HP, Spottswood SE, Chan JC (2002) Obstructive uropathy: an important cause of chronic renal failure in children. Clin Pediatr (Phila) 41:309–314CrossRefGoogle Scholar
  2. 2.
    Laing CM, Toye AM, Capasso G, Unwin RJ (2005) Renal tubular acidosis: developments in our understanding of the molecular basis. Int J Biochem Cell Biol 37:1151–1161PubMedCrossRefGoogle Scholar
  3. 3.
    Salusky IB, Kuizon BG, Juppner H (2004) Special aspects of renal osteodystrophy in children. Semin Nephrol 24:69–77PubMedCrossRefGoogle Scholar
  4. 4.
    D’Addessi A, Bongiovanni L, Racioppi M, Sacco E, Bassi P (2008) Is extracorporeal shock wave lithotripsy in pediatrics a safe procedure? J Pediatr Surg 43:591–596PubMedCrossRefGoogle Scholar
  5. 5.
    Sanchez CP (2008) Mineral metabolism and bone abnormalities in children with chronic renal failure. Rev Endocr Metab Disord 9:131–137PubMedCrossRefGoogle Scholar
  6. 6.
    Holder JP (1989) Pathophysiologic and anesthetic correlations of the prune-belly syndrome. AANA J 57:137–141PubMedGoogle Scholar
  7. 7.
    Donckerwolcke R, Yang WN, Chan JC (1989) Growth failure in children with renal tubular acidosis. Semin Nephrol 9:72–74PubMedGoogle Scholar
  8. 8.
    Martinez JR, Grantham JJ (1995) Polycystic kidney disease: etiology, pathogenesis, and treatment. Dis Mon 41:693–765PubMedCrossRefGoogle Scholar
  9. 9.
    Kemper MJ, Harps E, Muller-Wiefel DE (1996) Hyperkalemia: therapeutic options in acute and chronic renal failure. Clin Nephrol 46:67–69PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Robert S. Holzman
    • 1
  • Thomas J. Mancuso
    • 1
  • Navil F. Sethna
    • 1
  • James A. DiNardo
    • 1
  1. 1.Children’s Hospital BostonHarvard Medical SchoolBostonUSA

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