Abstract
Chronic renal insufficiency produces conditions in which radiographic visualization of the urinary tract may be difficult. In the face of a chronically and markedly elevated BUN, ordinary excretion urography may produce poor visualization at best. Other techniques are available to augment intravenous pyelography, and of these the high dose or drip infusion pyelogram may be especially helpful. Seldom will retrograde urography be required to exclude obstruction. In recent years, renal arteriography has proven to be valuable in the study of the patient with chronic renal failure. While the arterial pattern in end stage renal disease may be insufficiently characteristic to permit a specific diagnosis to be made, the amount of functioning renal parenchyma can be assessed as a guide to therapy and prognostication of outcome. The commonest causes of chronic renal failure are chronic glomerulonephritis and pyelonephritis. The radiographic, pyelographic and angiographic findings in these conditions have been described in detail. In addition, less common but still important causes of chronic renal failure have been radiologically defined and illustrated. It is concluded that the application of appropriate radiologic procedures to the study of the patient with chronic renal failure can greatly extend the nephrologist's ability to secure the correct diagnosis, estimate the stage of the disease and the amount of surviving functioning renal parenchyma, and formulate a meaningful prognosis.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 121-175 |
| Number of pages | 55 |
| Journal | Texas Reports on Biology and Medicine |
| Volume | 31 |
| Issue number | 2 |
| State | Published - 1973 |
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ASJC Scopus subject areas
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The causes of chronic renal failure : a radiological characterization. / Schreiber, M. H.
In: Texas Reports on Biology and Medicine, Vol. 31, No. 2, 1973, p. 121-175.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The causes of chronic renal failure
T2 - a radiological characterization
AU - Schreiber, M. H.
PY - 1973
Y1 - 1973
N2 - Chronic renal insufficiency produces conditions in which radiographic visualization of the urinary tract may be difficult. In the face of a chronically and markedly elevated BUN, ordinary excretion urography may produce poor visualization at best. Other techniques are available to augment intravenous pyelography, and of these the high dose or drip infusion pyelogram may be especially helpful. Seldom will retrograde urography be required to exclude obstruction. In recent years, renal arteriography has proven to be valuable in the study of the patient with chronic renal failure. While the arterial pattern in end stage renal disease may be insufficiently characteristic to permit a specific diagnosis to be made, the amount of functioning renal parenchyma can be assessed as a guide to therapy and prognostication of outcome. The commonest causes of chronic renal failure are chronic glomerulonephritis and pyelonephritis. The radiographic, pyelographic and angiographic findings in these conditions have been described in detail. In addition, less common but still important causes of chronic renal failure have been radiologically defined and illustrated. It is concluded that the application of appropriate radiologic procedures to the study of the patient with chronic renal failure can greatly extend the nephrologist's ability to secure the correct diagnosis, estimate the stage of the disease and the amount of surviving functioning renal parenchyma, and formulate a meaningful prognosis.
AB - Chronic renal insufficiency produces conditions in which radiographic visualization of the urinary tract may be difficult. In the face of a chronically and markedly elevated BUN, ordinary excretion urography may produce poor visualization at best. Other techniques are available to augment intravenous pyelography, and of these the high dose or drip infusion pyelogram may be especially helpful. Seldom will retrograde urography be required to exclude obstruction. In recent years, renal arteriography has proven to be valuable in the study of the patient with chronic renal failure. While the arterial pattern in end stage renal disease may be insufficiently characteristic to permit a specific diagnosis to be made, the amount of functioning renal parenchyma can be assessed as a guide to therapy and prognostication of outcome. The commonest causes of chronic renal failure are chronic glomerulonephritis and pyelonephritis. The radiographic, pyelographic and angiographic findings in these conditions have been described in detail. In addition, less common but still important causes of chronic renal failure have been radiologically defined and illustrated. It is concluded that the application of appropriate radiologic procedures to the study of the patient with chronic renal failure can greatly extend the nephrologist's ability to secure the correct diagnosis, estimate the stage of the disease and the amount of surviving functioning renal parenchyma, and formulate a meaningful prognosis.
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M3 - Article
VL - 31
SP - 121
EP - 175
JO - Texas Reports on Biology and Medicine
JF - Texas Reports on Biology and Medicine
SN - 0040-4675
IS - 2
ER -