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By A. M. Davison (Auth.)

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Parenchymal Glomerulonephritis Pyelonephritis Polycystic disease Irradiation injury Systemic diseases 42 HYPERTENSION 3. 4. 5. 6. 43 Hydronephrosis Segmental hypoplasia c. Tumours Haemangiopericytoma Hypernephroma Wilms's t u m o u r Adrenal a. Medulla P h a e o c h r o m o c y t o m a a n d related neural t u m o u r s b. Cortex Cushing's s y n d r o m e Conn*s s y n d r o m e Hyperplasia Coarctation of Aorta Pregnancy Eclampsia a n d pre-eclampsia Post-toxaemia s y n d r o m e s P o s t p a r t u m a c u t e renal failure Malignant (vide infra) Ε88ΕΝΉΑί HYPERTENSION T h e majority of p a t i e n t s with h y p e r t e n s i o n have n o obvious underlying cause a n d are t h u s t e r m e d ^essential'.

A clinical s y n d r o m e characterized b y t h e a c u t e o n s e t of h a e m a t u r i a , p r o t e i n u r i a , h y p e r t e n s i o n a n d oliguria usually following a n infective illness b y s o m e 1 0 - 2 0 d a y s . N o t all these findings a r e present simultaneously m all cases. CUnical Features. T h e s y n d r o m e m a y o c c u r a t a n y age b u t is m o s t c o m m o n m c h ü d r e n a n d y o u n g adults. T h e r e is frequently a h i s t o r y o f a preceding infective iUness often involving t h e u p p e r respiratory t r a c t .

I t is capable of d e m o n ­ strating h y d r o n e p h r o s i s a n d is of considerable value in screening t h e families of p a t i e n t s k n o w n t o have p o l y c y s t i c renal disease. I t requires skilled i n t e r p r e t a t i o n b u t is safe, non-invasive a n d can b e used r e p e a t e d l y w i t h o u t risk t o t h e p a t i e n t . Chapter 4 ACUTE GLOMERULONEPHRITIS Introduction - Acute glomerulonephritis - Recurrent haematuria INTRODUCnON T h e t e r m i n o l o g y i n glomerular disease is confusing as it c o m b i n e s clinical a n d pathological findings indiscriminately.

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