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Clinical Evaluation of the Child with Suspected Renal Disease

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Book cover Pediatric Nephrology

Abstract

Renal disease in children may present with overt symptoms clearly associated with the urinary tract, such as the development of macroscopic hematuria or profound oliguria. However, in many instances, symptoms may be very nonspecific or seemingly mild. Children with chronic kidney disease present with a wide variety of symptoms including enuresis, failure to thrive, short stature, lethargy, and pallor. The onset may be silent and the progress insidious, with symptoms only developing late in the disease course. Urinary tract infection in infants and small children may, in contrast to older children, present with nonspecific manifestations including poor feeding, vomiting, irritability, abdominal pain, failure to thrive, lethargy, and restlessness. The possibility of renal disease should therefore be considered in the differential diagnosis of any child presenting to the hospital with acute or chronic symptoms.

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Authors and Affiliations

  1. Department of Pediatric Nephrology, Royal Manchester Children’s Hospital, Manchester, UK

    Mohan A. Shenoy & Nicholas J. A. Webb

Authors
  1. Mohan A. Shenoy
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  2. Nicholas J. A. Webb
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Editor information

Editors and Affiliations

  1. Department of Pediatrics, Medical College of Wisconsin, Children’s Research Institute, Children’s Hospital, Health System of Wisconsin, Milwaukee, Wisconsin, USA

    Ellis D. Avner

  2. Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts, USA

    William E. Harmon

  3. Service de Néphrologie Pédiatrique, Hôpital Necker-Enfants Malades, Université Paris-Descartes, Paris, France

    Patrick Niaudet

  4. Department of Pediatrics, Wakayama Medical University, Wakayama City, Japan

    Norishige Yoshikawa

  5. Division of Nephrology, Bambino Gesù Children’s Hospital – IRCCS, Rome, Italy

    Francesco Emma

  6. Division of Nephrology and Hypertension, The Heart Institute, Cincinnati Children’s Hospital Medical Center, College of Medicine, Cincinnati, Ohio, USA

    Stuart L. Goldstein

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© 2016 Springer-Verlag Berlin Heidelberg

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Shenoy, M.A., Webb, N.J.A. (2016). Clinical Evaluation of the Child with Suspected Renal Disease. In: Avner, E., Harmon, W., Niaudet, P., Yoshikawa, N., Emma, F., Goldstein, S. (eds) Pediatric Nephrology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43596-0_18

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  • DOI: https://doi.org/10.1007/978-3-662-43596-0_18

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-43595-3

  • Online ISBN: 978-3-662-43596-0

  • eBook Packages: MedicineReference Module Medicine

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