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Approach to the Patient with Renal Disease

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Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation

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Abstract

A 35-year-old man presents with a 1-week history of progressive shortness of breath and an episode of hemoptysis earlier today. For the past 2 days he has had decreased urine volume and dark colored urine. He has no past medical history and takes no medications. Blood pressure is 145/85 mmHg. Pulse is 110 beats per minute. Temperature is 36.8 °C. Pulse oximetry is 87 % on room air. He is anxious and slightly pale. Pulmonary exam reveals bibasilar crackles. The remainder of his exam is unremarkable. His laboratory data is notable for a hemoglobin level of 10.9 g/dL and serum creatinine of 2.7 mg/dL. His chest X-ray shows bilateral pulmonary infiltrates.

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Authors and Affiliations

  1. Internal Medicine, Nephrology, University of Nebraska Medical Center, 983040 Nebraska Medical Center, Omaha, NE, 68918-3040, USA

    Jennifer A. Fillaus D.O. & Troy J. Plumb M.D.

Authors
  1. Jennifer A. Fillaus D.O.
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  2. Troy J. Plumb M.D.
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Corresponding author

Correspondence to Troy J. Plumb M.D. .

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Editors and Affiliations

  1. Chicago College of Medicine, Nephrology, University of Illinois, Wisconsin Avenue 3543, Berwyn, 60402, Illinois, USA

    Edgar V. Lerma

  2. , Division of Nephrology, University of Virginia Health System, Box 800133, Charlottesville, 22908, Virginia, USA

    Mitchell Rosner

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Fillaus, J.A., Plumb, T.J. (2013). Approach to the Patient with Renal Disease. In: Lerma, E., Rosner, M. (eds) Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4454-1_1

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  • DOI: https://doi.org/10.1007/978-1-4614-4454-1_1

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4453-4

  • Online ISBN: 978-1-4614-4454-1

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