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The kidney is an organ that primarily regulates volume and composition of the internal fluid environment; its excretory function is incidental to their regulatory function. In renal failure, this regulatory function is impaired.
Medicine is more than the sum of our knowledge about disease. Medicine concerns the experiences, feelings, and interpretation of human beings in often-extraordinary moments of fear, pain, anxiety, and doubt. In this extremely vulnerable position, it is medical professionalism that underpins the trust the public has in doctors. Efforts to build professionalism must be based on a sharing of values over...
Initial reports by Frerichs (1861) and Flint (1863) [1], who had noted an association between advanced liver disease with ascites and acute oliguric renal failure in the absence of significant histological changes in the kidneys, led Heyd [2], and later Helwig and Schutz [3], to introduce the concept of the hepatorenal syndrome (HRS) to explain the increased frequency of acute renal failure after...
Background: Adrenal ultrasonography (US) in dogs with hyperadrenocorticism (HAC) is commonly used to distinguish adrenocorticotropic hormone (ACTH)‐independent (AIHAC) and ACTH‐dependent hyperadrenocorticism (ADHAC). To date, no cut‐off values for defining adrenal atrophy in cases of adrenal asymmetry have been determined. Given that asymmetrical hyperplasia is sometimes observed in ADHAC, adrenal...
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