By Anil K. Mandal M.B.B.S., F.A.C.P. (auth.)
Anil okay. Mandai, M.D., is among the trailblazers within the use of the transmission electron microscope within the examine of the urinary sediment. during this e-book, he studies his huge efforts to tie his immense medical expe rience to his dependent uncomplicated study with the electron microscope. the photographs are complete, and the medical correlates are well defined in tables and textual content. it might astonish a few readers booklet for fellows and scientific nephrol ogists has been written at the use of the transmission electron microscope within the learn of urine. a few may possibly view this as a cosmopolitan study device. I, even if, applaud the hassle. such a lot of discoveries and advances in uncomplicated technological know-how lie unutilized simply because clinicians should not conscious of the instruments to be had or have little guideline of their use. might be that's the reason why such a lot of checks have come and long past, were came upon lifeless and dropped, or have easily been deserted after being judged too complicated-some simply because they have been, others simply because they have been by no means utilized and interpreted correctly. the entire box of study seems pulling forward and clear of medical medication. as a result, an attempt like this one, which quickly and obviously attempts to introduce a sophisticated study exam approach into medical medication, is helpful of admiration and sup port.
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Additional info for Assessment of Urinary Sediment by Electron Microscopy: Applications in Renal Disease
8 Prognosis and Management It has been stated that TH protein is produced in large amounts in renal parenchymal diseases in which an excessive number of casts can often be demonstrated in the urine. Therefore, an excessive number of casts in the urine (cylindriuria) may have some relevance to the disease process. A few casts or the occasional cast in the urine, irrespective of type, may imply an inactive pathological process, whereas many casts suggest an active disease process. 9 When the disease process is active, cylindriuria is of greater prognostic significance when it is accompanied by an increased proteinuria.
10. Mandai AK: Electron Microscopy of the Kidney, ed. I. New York, Plenum Publishing Corp, 1979, pp 59-90. II. Leeson TS, Leeson CR: Histology, ed. 2. Philadelphia, WB Saunders Co, 1970, pp 17-55. 12. Prescott LF: Th normal urinary excretion rates of renal tubular cells, leukocytes, and red blood cells. Clin Sci 1966; 31:425-435. 13. Mandai AK, Sklar AH, Hudson JB: Transmission electron microscopy of urinary sediment in human acute renal failure. Kidney Int 1985; 28:58-63. 14. Lindner LE, Vacca D, Haber MH: Identification and composition of types of granular urinary casts.
For 12 hr prior to surgery, during surgery, and after surgery furosemide was infused at the rate of 20 mg/hr. The postoperative course is shown in Fig. 3-9. As seen in this figure, two days after surgery, his Ccr decreased to less than 10% of base ACUTE RENAL FAILURE 51 line, but urine output remained unchanged and high. It was thought that he had nonoliguric ARF possibly the result of tubular ischemia. The finding of a markedly low fractional sodium excretion in the face of high urine output was intriguing.
Assessment of Urinary Sediment by Electron Microscopy: Applications in Renal Disease by Anil K. Mandal M.B.B.S., F.A.C.P. (auth.)