The causes of chronic renal failure

a radiological characterization

M. H. Schreiber

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)121-175
Number of pages55
JournalTexas Reports on Biology and Medicine
Volume31
Issue number2
StatePublished - 1973

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Urography
Chronic Kidney Failure
Kidney
Pyelonephritis
Blood Urea Nitrogen
Glomerulonephritis
Urinary Tract
Chronic Renal Insufficiency
Intravenous Infusions
Angiography
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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 journalArticle

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