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National Kidney Foundation Primer on Kidney Diseases E-Book

National Kidney Foundation Primer on Kidney Diseases E-Book

Scott Gilbert | Daniel E. Weiner

(2013)

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Book Details

Abstract

The National Kidney Foundation Primer on Kidney Diseases is your ideal companion in clinical nephrology! From anatomy, histology, and physiology, through the diagnosis and management of kidney disease, fluid and electrolyte disorders, hypertension, dialysis, and kidney transplantation, this trusted manual from Elsevier and the National Kidney Foundation provides an accessible, efficient overview of kidney diseases that’s perfect for residency, fellowship, clinical practice, and board review.

  • Incorporate the latest NKF Kidney/ Outcome Quality Initiative guidelines on chronic kidney disease staging and management.
  • Review the basics with a current and practical review of the anatomy, physiology, pathophysiology, diagnosis, and management of kidney disease, fluid and electrolyte disorders, hypertension, dialysis, and renal transplantation.

Table of Contents

Section Title Page Action Price
Front Cover Cover
IFC IFC
NATIONAL KIDNEY FOUNDATION’S PRIMER iii
Copyright iv
Preface xiii
Contents xv
SECTION 1 -STRUCTURE AND FUNCTION OF THE KIDNEYS AND THEIR CLINICAL ASSESSMENT 1
1 - Overview of Kidney Function and Structure 2
BASIC CONCEPTS 2
KIDNEY STRUCTURE 3
RENAL CIRCULATION 4
GLOMERULUS 4
TUBULAR FUNCTION: BASIC PRINCIPLES 7
SALT AND VOLUME REGULATION 10
WATER AND OSMOREGULATION 12
REGULATION OF BODY-FLUID POTASSIUM AND ACIDITY 14
RENAL HANDLING OF GLUCOSE AND AMINO ACIDS 17
2 - Kidney Development 19
DEVELOPMENT OF THE MAMMALIAN KIDNEY 19
RENAL MALFORMATION 21
CLINICAL MANAGEMENT OF CONGENITAL ANOMALIES OF THE KIDNEY AND URINARY TRACT 23
3 - ASSESSMENT OF GLOMERULAR FILTRATION RATE IN ACUTE AND CHRONIC SETTINGS 26
MEASUREMENT OF THE GLOMERULAR FILTRATION RATE 26
ESTIMATION OF THE GLOMERULAR FILTRATION RATE 26
CLINICAL APPLICATION OF ESTIMATED GLOMERULAR FILTRATION RATE 31
4 - Urinalysis and Urine Microscopy 33
SPECIMEN COLLECTION AND HANDLING 33
PHYSICAL AND CHEMICAL PROPERTIES OF THE URINE 33
MICROSCOPIC EXAMINATION OF THE SPUN URINARY SEDIMENT 36
5 - Hematuria and Proteinuria 42
HEMATURIA 42
PROTEINURIA 46
6 - Kidney Imaging 51
IMAGING MODALITIES 51
RISKS AND BENEFITS OF IMAGING CONTRAST IN KIDNEY DISEASE 53
CYSTIC RENAL LESIONS 54
SOLID KIDNEY MASSES 55
RENAL ARTERY STENOSIS 57
RENAL PARENCHYMAL DISEASE AND KIDNEY TRANSPLANTATION 58
SUMMARY 59
SECTION 2 - ACID-BASE, FLUID, AND ELECTROLYTE DISORDERS 61
7 - Hyponatremia and Hypoosmolar Disorders 62
DEFINITIONS 62
PATHOGENESIS 62
DIFFERENTIAL DIAGNOSIS 63
CLINICAL MANIFESTATIONS OF HYPONATREMIA 66
TREATMENT 67
8 - Hypernatremia 71
DEFINITIONS 71
BACKGROUND 71
EPIDEMIOLOGY 71
CLINICAL MANIFESTATIONS 72
PATHOPHYSIOLOGY 72
DIAGNOSTIC APPROACH AND PATHOGENESIS 73
TREATMENT 75
COMPLICATIONS OF HYPERNATREMIA 78
9 - Edema and the Clinical Use of Diuretics 80
INDIVIDUAL CLASSES OF DIURETICS 80
ADAPTATION TO DIURETIC THERAPY 82
SPECIAL CONSIDERATIONS IN EDEMA MANAGEMENT 87
DIURETIC-RELATED ADVERSE EFFECTS 87
10 - DISORDERS OF POTASSIUM METABOLISM 90
LABORATORY TESTS TO EVALUATE POTASSIUM DISORDERS 92
HYPOKALEMIA 92
HYPERKALEMIA 95
11 - DISORDERS OF MINERAL METABOLISM: CALCIUM, PHOSPHORUS, AND MAGNESIUM 100
DISORDERS OF MINERAL METABOLISM 104
12 - Approach to Acid-Base Disorders 113
ACIDEMIA, ALKALEMIA, ACIDOSIS, AND ALKALOSIS 113
SIMPLE (SINGLE) ACID-BASE DISTURBANCES AND COMPENSATION 114
ANION GAP 114
MIXED ACID-BASE DISTURBANCES 116
13 - Metabolic Acidosis 123
OVERVIEW OF ACID-BASE BALANCE 123
EVALUATION OF URINARY ACIDIFICATION 123
COMPLICATIONS OF ACIDOSIS 124
APPROACH TO ACID-BASE DISORDERS 125
ANION GAP ACIDOSIS 126
HYPERCHLOREMIC METABOLIC ACIDOSIS 132
14 - Metabolic Alkalosis 137
PATHOGENESIS 137
DIFFERENTIAL DIAGNOSIS 137
METABOLIC ALKALOSIS DUE TO EXOGENOUS BICARBONATE LOADS 137
SYMPTOMS OF METABOLIC ALKALOSIS 142
TREATMENT OF METABOLIC ALKALOSIS 143
15 - RESPIRATORY ACIDOSIS AND ALKALOSIS 144
RESPIRATORY ALKALOSIS 148
SECTION 3 - GLOMERULAR DISEASES 151
16 -Glomerular Clinicopathologic Syndromes 152
ASYMPTOMATIC HEMATURIA AND RECURRENT GROSS HEMATURIA 152
ACUTE GLOMERULONEPHRITIS AND RAPIDLY PROGRESSIVE GLOMERULONEPHRITIS 153
GLOMERULONEPHRITIS ASSOCIATED WITH SYSTEMIC DISEASES 157
ASYMPTOMATIC PROTEINURIA AND NEPHROTIC SYNDROME 160
CHRONIC GLOMERULONEPHRITIS AND KIDNEY FAILURE 162
KIDNEY BIOPSY: INDICATIONS AND METHODS 162
17 - MINIMAL CHANGE DISEASE 164
PATHOPHYSIOLOGY 164
INCIDENCE 165
CLINICAL PRESENTATION 165
INITIAL TREATMENT 166
SHORT-TERM COURSE 166
LONG-TERM TREATMENT 167
PROGNOSIS 168
CONCLUSION 168
18 - Focal Segmental Glomerulosclerosis 170
CLINICAL FEATURES AND DIAGNOSIS 170
PATHOGENESIS 170
PATHOLOGY 172
COURSE AND THERAPY 173
19 - MEMBRANOUS NEPHROPATHY 176
PATHOLOGY 176
PATHOGENESIS 178
DIAGNOSIS 178
TREATMENT OF SECONDARY TYPES 179
NATURAL HISTORY AND TREATMENT OF PRIMARY/IDIOPATHIC MEMBRANOUS NEPHROPATHY 179
PREDICTING OUTCOME 179
RESPONSE GOALS 180
TREATMENT 180
MANAGEMENT PLAN 183
20 - Immunoglobulin A Nephropathy and Related Disorders 185
EPIDEMIOLOGY 185
CLINICAL PRESENTATION 185
SECONDARY IMMUNOGLOBULIN A NEPHROPATHY 186
PATHOLOGY 186
PATHOGENESIS 187
GENETICS OF IMMUNOGLOBULIN A NEPHROPATHY 188
NATURAL HISTORY AND PROGNOSIS 189
TREATMENT OF IMMUNOGLOBULIN A NEPHROPATHY 189
FOLLOW-UP 191
KIDNEY TRANSPLANTATION AND IMMUNOGLOBULIN A NEPHROPATHY 191
HENOCH-SCHÖNLEIN PURPURA 191
21 - Goodpasture Syndrome and Other Antiglomerular Basement Membrane Diseases 193
CLINICAL FEATURES 193
PATHOLOGY 193
DIFFERENTIAL DIAGNOSIS 194
PATHOGENESIS 195
EPIDEMIOLOGY 195
ASSOCIATED DISEASES 195
TREATMENT 196
PROGNOSIS 196
SECTION 4 - THE KIDNEY IN SYSTEMIC DISEASE 199
22 - Postinfectious Glomerulonephritis 200
CLINICAL APPROACH 200
PATHOLOGY 201
ETIOLOGY AND EPIDEMIOLOGY 203
PATHOGENESIS 204
PROGNOSTIC INDICATORS AND OUTCOME OF POSTINFECTIOUS GLOMERULONEPHRITIS 206
TREATMENT 206
23 - Kidney Involvement in Systemic Vasculitis 207
PATHOLOGY 207
PATHOGENESIS 210
CLINICAL FEATURES 211
DIAGNOSIS 212
THERAPY AND OUTCOME 213
24 - Kidney Manifestations of Systemic Lupus Erythematosus 215
PRESENTATION 215
EVALUATION 215
TREATMENT 218
PROGNOSIS 220
25 - Pathogenesis, Pathophysiology, and Treatment of Diabetic Nephropathy 222
PATHOPHYSIOLOGY 222
PATHOLOGY 223
STRUCTURAL–FUNCTIONAL RELATIONSHIPS IN DIABETIC NEPHROPATHY 224
REVERSAL OF DIABETIC NEPHROPATHY LESIONS 226
MEDICAL MANAGEMENT OF DIABETES 226
CONCLUSION 234
26 - Dysproteinemias and Amyloidosis 235
IMMUNOGLOBULIN LIGHT-CHAIN METABOLISM AND CLINICAL DETECTION 235
GLOMERULAR LESIONS OF PLASMA CELL DYSCRASIAS 237
TUBULOINTERSTITIAL LESIONS OF PLASMA CELL DYSCRASIAS 240
WALDENSTRÖM MACROGLOBULINEMIA 242
27 - THROMBOTIC MICROANGIOPATHIES 244
THROMBOTIC THROMBOCYTOPENIC PURPURA 244
HEMOLYTIC UREMIC SYNDROME 247
ATYPICAL HUS 247
TYPICAL HEMOLYTIC UREMIC SYNDROME 248
ANTIPHOSPHOLIPID SYNDROME 249
SCLERODERMA RENAL CRISIS 250
28 - Viral Nephropathies: Human Immunodeficiency Virus, Hepatitis C Virus, and Hepatitis B Virus 253
HUMAN IMMUNODEFICIENCY VIRUS, HEPATITIS C VIRUS, AND HEPATITIS B VIRUS 253
HUMAN IMMUNODEFICIENCY VIRUS 253
HEPATITIS C 257
HEPATITIS B 259
29 - Acute Cardiorenal Syndrome 262
DEFINITION AND EPIDEMIOLOGY OF ACUTE CARDIORENAL SYNDROME 262
PATHOPHYSIOLOGY OF ACUTE CARDIORENAL SYNDROME 262
TREATMENT OF ACUTE CARDIORENAL SYNDROME 265
SUMMARY 267
30 - Hepatorenal Syndrome and Other Liver-Related Kidney Diseases 268
PATHOGENESIS 268
NATURAL COURSE OF KIDNEY DYSFUNCTION IN CIRRHOSIS 269
OTHER TYPES OF KIDNEY FAILURE IN CIRRHOSIS 272
MANAGEMENT OF KIDNEY DYSFUNCTION AND ASCITES IN CIRRHOSIS 272
TREATMENT AT THE DIFFERENT PHASES OF THE DISEASE 274
PREVENTION OF HEPATORENAL SYNDROME 275
CONCLUSIONS 275
31 - The Kidney in Cancers 277
ACUTE KIDNEY INJURY IN THE CANCER PATIENT 277
ELECTROLYTE DISORDERS 281
KIDNEY DISEASE IN HEMATOPOIETIC CELL TRANSPLANTATION 282
CONCLUSION 284
SECTION 5 - ACUTE KIDNEY INJURY 287
32 -Pathophysiology of Acute Kidney Injury 288
PATHOGENESIS 288
CELL DEATH, REPAIR, AND REGENERATION 292
THERAPEUTIC CONSIDERATIONS 292
33 - Clinical Approach to the Diagnosis of Acute Kidney Injury 294
TOOLS FOR DIAGNOSIS, STAGING, AND EVALUATION OF ACUTE KIDNEY INJURY 296
DIFFERENTIAL DIAGNOSIS AND EVALUATION 299
34 - Acute Tubular Injury and Acute Tubular Necrosis 304
ISCHEMIC ACUTE TUBULAR INJURY 304
CHOLESTEROL ATHEROEMBOLIC KIDNEY DISEASE 305
KIDNEY INFARCTION 307
ACUTE TUBULAR INJURY FROM ENDOGENOUS NEPHROTOXINS 309
35 - Acute Interstitial Nephritis 312
CLINICAL PRESENTATION 312
LABORATORY FINDINGS 312
IMAGING 312
PATHOLOGY 313
PATHOGENESIS 313
CAUSES OF ACUTE INTERSTITIAL NEPHRITIS 314
DRUG-ASSOCIATED INTERSTITIAL NEPHRITIS 314
INFECTIONS 315
SYSTEMIC DISEASES 316
TREATMENT 316
36 - Management of Acute Kidney Injury 318
EARLY RECOGNITION AND INITIAL MANAGEMENT 318
SUPPORTIVE CARE AND MEDICAL MANAGEMENT OF COMPLICATIONS 318
NUTRITIONAL SUPPORT 320
RENAL REPLACEMENT THERAPY 320
LONG-TERM FOLLOW-UP 323
SECTION 6 -DRUGS AND THE KIDNEY 325
37 - Kidney Disease Caused by Therapeutic Agents 326
RENAL SUSCEPTIBILITY TO NEPHROTOXIC AGENTS 326
KIDNEY INJURY ASSOCIATED WITH MEDICATIONS 327
DIAGNOSTIC AGENTS 327
THERAPEUTIC AGENTS 329
CHEMOTHERAPEUTIC AGENTS 330
ANTIMICROBIAL AGENTS 331
MISCELLANEOUS 334
38 - Principles of Drug Therapy in Patients with Reduced Kidney Function 337
DRUG ABSORPTION 337
DRUG DISTRIBUTION 337
DRUG METABOLISM AND TRANSPORT 338
RENAL EXCRETION OF DRUGS 339
ESTIMATION OF KIDNEY FUNCTION FOR DRUG DOSING PURPOSES 339
STRATEGIES FOR DRUG THERAPY INDIVIDUALIZATION 340
CLINICAL DECISION SUPPORT TOOLS 344
CONCLUSIONS 344
SECTION 7 - HEREDITARY KIDNEY DISORDERS 347
39 -Genetically Based Renal Transport Disorders 348
DISORDERS OF PROXIMAL TUBULAR TRANSPORT FUNCTION 348
DISORDERS OF TRANSPORT IN THE MEDULLARY THICK ASCENDING LIMB OF HENLE 351
DISORDERS OF TRANSPORT IN THE DISTAL CONVOLUTED TUBULE 353
DISORDERS OF TRANSPORT IN THE COLLECTING TUBULE 354
40 - Sickle Cell Nephropathy 357
PATHOPHYSIOLOGY 357
KIDNEY HEMODYNAMICS 357
TUBULOINTERSTITIAL DISEASE 357
SICKLE CELL GLOMERULOPATHY 360
MANAGEMENT OF CHRONIC KIDNEY DISEASE 360
END-STAGE RENAL DISEASE 361
SICKLE CELL TRAIT 361
41 - Polycystic and Other Cystic Kidney Diseases 362
AUTOSOMAL DOMINANT POLYCYSTIC KIDNEY DISEASE 362
AUTOSOMAL RECESSIVE POLYCYSTIC KIDNEY DISEASE 368
TUBEROUS SCLEROSIS COMPLEX 368
VON HIPPEL-LINDAU DISEASE 369
ACQUIRED CYSTIC KIDNEY DISEASE 370
42 - Nephronophthisis and Medullary Cystic Kidney Disease 371
EPIDEMIOLOGY 371
PATHOLOGY 371
PATHOGENESIS 371
CLINICAL FEATURES/DIAGNOSIS 373
TREATMENT 374
43 - Alport Syndrome and Related Disorders 375
JUVENILE AND ADULT FORMS 375
BIOCHEMISTRY 375
GENETICS 375
IMMUNOCHEMISTRY 375
PATHOLOGY 376
CLINICAL FEATURES 376
DIAGNOSIS 377
TREATMENT 378
RELATED DISORDERS 378
APPROACH TO THE PATIENT WITH HEREDITARY NEPHRITIS 379
44 - Fabry Disease 381
KIDNEY MANIFESTATIONS OF FABRY DISEASE 381
PATHOLOGY OF KIDNEY DISEASE IN FABRY DISEASE 381
TREATMENT ISSUES IN FABRY DISEASE 383
SECTION 8 - TUBULOINTERSTITIAL NEPHROPATHIES AND DISORDERS OF THE URINARY TRACT 389
45 - Chronic Tubulointerstitial Disease 390
HISTOPATHOLOGY 390
MECHANISMS OF TUBULOINTERSTITIAL FIBROSIS 390
CLINICAL FEATURES 391
CLINICAL COURSE AND THERAPY 392
DISTINCT CAUSES OF CHRONIC TUBULOINTERSTITIAL NEPHRITIS 392
46 - Obstructive Uropathy 397
UNILATERAL URETERAL OBSTRUCTION 397
BILATERAL URETERAL OBSTRUCTION 397
TUBULAR DYSFUNCTION 397
FIBROSIS 399
APOPTOSIS 400
POSTOBSTRUCTIVE DIURESIS 400
SPECIFIC CAUSES OF OBSTRUCTIONS 400
OBSTRUCTION WITH INFECTION 403
47 - Nephrolithiasis 405
SCOPE OF THE PROBLEM 405
ACUTE RENAL COLIC 405
TYPES OF STONES 406
PATHOGENESIS 406
CLINICAL EVALUATION 408
LABORATORY (METABOLIC) EVALUATION 408
MEDICAL TREATMENTS 408
NONCALCIUM STONES 410
SURGICAL MANAGEMENT OF STONES 410
LONG-TERM FOLLOW-UP 411
48 - Urinary Tract Infection and Pyelonephritis 412
ACUTE UNCOMPLICATED URINARY INFECTION 412
ACUTE NONOBSTRUCTIVE PYELONEPHRITIS 413
COMPLICATED URINARY INFECTION 415
ASYMPTOMATIC URINARY INFECTION 416
SPECIAL POPULATIONS 416
OTHER PRESENTATIONS OF URINARY INFECTION 418
SECTION 9 - THE KIDNEY IN SPECIAL CIRCUMSTANCES 421
49 - The Kidney in Infants and Children 422
KIDNEY DEVELOPMENT AND MATURATION 422
ACUTE KIDNEY INJURY 422
CHRONIC KIDNEY DISEASE 424
HYPERTENSION 425
Chapter 50 - The Kidney in Pregnancy 427
ANATOMIC CHANGES DURING NORMAL PREGNANCY 427
PHYSIOLOGIC CHANGES DURING NORMAL PREGNANCY 427
HYPERTENSIVE DISORDERS OF PREGNANCY 429
ACUTE KIDNEY INJURY IN PREGNANCY 432
PREGNANCY IN CHRONIC KIDNEY DISEASE 434
PREGNANCY IN DIALYSIS PATIENTS 434
PREGNANCY IN KIDNEY TRANSPLANT 436
51 - Kidney Disease in the Elderly 437
AGE AND THE PREVALENCE OF CHRONIC KIDNEY DISEASE 437
PROGRESSION TO END-STAGE RENAL DISEASE 437
CLINICAL SIGNIFICANCE OF MODERATE REDUCTIONS IN ESTIMATED GLOMERULAR FILTRATION RATE IN THE ELDERLY 439
COMORBIDITY AND GERIATRIC SYNDROMES AMONG OLDER ADULTS WITH CHRONIC KIDNEY DISEASE 440
OUTCOMES AMONG OLDER ADULTS WITH ADVANCED CHRONIC KIDNEY DISEASE 441
MANAGEMENT OF OLDER ADULTS WITH CHRONIC KIDNEY DISEASE 442
SECTION 10 - CHRONIC KIDNEY DISEASE AND ITS THERAPY 447
52 - Pathophysiology of Chronic Kidney Disease 448
HOW IS CHRONIC KIDNEY DISEASE DEFINED? 448
PATHOPHYSIOLOGIC MECHANISMS OF CHRONIC KIDNEY DISEASE 448
TREATMENT AND PREVENTION OF CHRONIC KIDNEY DISEASE PROGRESSION 453
CONCLUSIONS 457
53 - Staging and Management of Chronic Kidney Disease 458
DEFINITION AND STAGING OF CHRONIC KIDNEY DISEASE 458
DIAGNOSIS, EVALUATION, AND MANAGEMENT 461
HEALTHCARE STRUCTURE FOR TREATMENT OF CHRONIC KIDNEY DISEASE 465
54 - Nutrition and Kidney Disease 467
PROTEIN AND CALORIES 467
ALTERED NUTRIENT REQUIREMENTS 468
NUTRITION ASSESSMENT AND MANAGEMENT OF CHRONIC KIDNEY DISEASE 472
INTRADIALYTIC NUTRITION SUPPORT 475
55 - Bone Disorders in Chronic Kidney Disease 476
HISTOLOGIC CLASSIFICATIONS OF BONE DISEASE ASSOCIATED WITH CHRONIC KIDNEY DISEASE 478
CLINICAL MANIFESTATIONS OF BONE DISEASES ASSOCIATED WITH CHRONIC KIDNEY DISEASE 479
DIAGNOSIS OF BONE DISEASES ASSOCIATED WITH CHRONIC KIDNEY DISEASE 482
TREATMENT OF DISORDERED BONE AND MINERAL METABOLISM IN CHRONIC KIDNEY DISEASE 483
56 - Cardiac Function and Cardiovascular Disease in Chronic Kidney Disease 488
EPIDEMIOLOGY OF CARDIOVASCULAR DISEASE IN CHRONIC KIDNEY DISEASE 488
TYPES OF CARDIOVASCULAR DISEASE 489
RISK FACTORS FOR CARDIOVASCULAR DISEASE 490
ISCHEMIC HEART DISEASE 490
LEFT VENTRICULAR HYPERTROPHY AND HEART FAILURE 494
ARRHYTHMIA AND SUDDEN CARDIAC DEATH 495
STROKE 495
57 - Anemia and Other Hematologic Complications of Chronic Kidney Disease 497
ANEMIA 497
OTHER HEMATOLOGIC MANIFESTATIONS OF KIDNEY DISEASE 504
SECTION 11 - KIDNEY REPLACEMENT THERAPIES: DIALYSIS AND TRANSPLANTATION 507
58 - Hemodialysis 508
PRINCIPLE FUNCTIONS OF HEMODIALYSIS 508
59 - Peritoneal Dialysis 520
PRINCIPLES OF PERITONEAL DIALYSIS 520
TECHNIQUES OF PERITONEAL DIALYSIS 522
PERITONEAL DIALYSIS SOLUTIONS 523
Peritoneal Catheters 524
MANAGEMENT OF PERITONEAL DIALYSIS 524
COMPLICATIONS OF PERITONEAL DIALYSIS 528
OUTCOMES OF PERITONEAL DIALYSIS 531
PERITONEAL DIALYSIS FOR ACUTE KIDNEY INJURY 532
ASSISTED PERITONEAL DIALYSIS 532
60 - Outcomes of Kidney Replacement Therapies 534
MAINTENANCE DIALYSIS OR KIDNEY TRANSPLANTATION 534
HEMODIALYSIS OR PERITONEAL DIALYSIS 534
ALTERNATIVE HEMODIALYSIS REGIMENS 536
VARIATIONS IN PERITONEAL DIALYSIS REGIMENS 537
DIALYSIS MODALITY IN CHILDREN 541
IMPLICATIONS FOR DIALYSIS MODALITY SELECTION 541
61 - Selection of Prospective Kidney Transplant Recipients and Donors 542
WHO SHOULD BE CONSIDERED FOR KIDNEY TRANSPLANTATION? 542
Medical Evaluation for Transplantation 542
DECEASED DONOR ORGANS 547
LIVING KIDNEY DONATION 548
62 - Posttransplantation Monitoring and Outcomes 553
RECIPIENT AND DONOR CHARACTERISTICS 553
THE FIRST WEEK 553
OUTPATIENT CARE 554
IMMUNOSUPPRESSION 554
ALLOGRAFT DYSFUNCTION 556
INFECTIOUS COMPLICATIONS 558
HEMATOLOGIC COMPLICATIONS 558
METABOLIC COMPLICATIONS 559
POSTTRANSPLANT MALIGNANCY 559
CARDIOVASCULAR RISK FACTORS 561
63 - Immunosuppression in Transplantation 564
PHYSIOLOGY OF IMMUNORECOGNITION 564
STRATEGIES FOR IMMUNOSUPPRESSION 566
IMMUNE MONITORING 573
64 - Infectious Complications of Kidney Transplantation 575
IMMUNOSUPPRESSIVE AGENTS AND INFECTIOUS RISK 575
DONOR-DERIVED INFECTIONS 576
BACTERIAL INFECTIONS 577
VIRAL INFECTIONS 578
FUNGAL INFECTIONS 579
PARASITIC INFECTIONS 580
IMMUNIZATIONS AND INFECTION PREVENTION 580
SECTION 12 - HYPERTENSION 583
65 - Pathogenesis of Hypertension 584
PATHOPHYSIOLOGY OF HYPERTENSION 584
IMPLICATED MEDIATORS OF HYPERTENSION 587
PATHOGENESIS OF HYPERTENSION IN CHRONIC KIDNEY DISEASE 588
66 - Evaluation and Management of Hypertension 590
EVALUATION OF HYPERTENSION 590
MANAGEMENT OF HYPERTENSION 594
CONCLUSION 599
67 - Secondary Hypertension 601
KIDNEY CAUSES OF SECONDARY HYPERTENSION 601
ENDOCRINE CAUSES OF SECONDARY HYPERTENSION 606
CARDIOVASCULAR AND CARDIOPULMONARY CAUSES OF SECONDARY HYPERTENSION 610
INHERITED CAUSES OF SECONDARY HYPERTENSION 610
Index 615
IBC IBC