JAMES J. CALLAWAY, M.D.; WILLIAM ROEMMICH, M.D.
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Acute renal insufficiency due to lower nephron nephrosis1 occurs in the crush syndrome,2, 3, 4 intravascular hemolysis due to transfusion of incompatible blood5, 6, 7 and various poisons, especially carbon tetrachloride.8-13 Since the earlier descriptions of this syndrome by Bywaters,3, 4 there have been many therapeutic advances. At the present time treatment is based on the maintenance of fluid, electrolyte and nitrogen balance during the period of anuria and diuresis. The "artificial kidney" holds much promise for the management of these patients, but the technical difficulty associated with its use necessitates that the majority of patients with lower nephron nephrosis
CALLAWAY JJ, ROEMMICH W. LOWER NEPHRON NEPHROSIS: DEVELOPMENT OF HYPOKALEMIA DURING RECOVERY1. Ann Intern Med. ;37:784–792. doi: 10.7326/0003-4819-37-4-784
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Published: Ann Intern Med. 1952;37(4):784-792.
Endocrine and Metabolism, Fluid and Electrolyte Disorders, Nephrology.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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