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Chapter-10 Nephrology

BOOK TITLE: Partha’s Management Algorithms in Pediatric and Adolescent Practice

Author
1. Deshpande Pankaj
2. Sangeetha G
ISBN
9789352703838
DOI
10.5005/jp/books/14142_11
Edition
1/e
Publishing Year
2018
Pages
16
Author Affiliations
1. Hinduja Hospital, Mahim, Veer Savarkar Marg, Dr Yewale’s Hospital, Sector-9, Vashi, Navi Mumbai, Maharashtra, India, Hinduja Hospital, Mumbai, Maharashtra, India, Hinduja Hospital, Veer Savarkar Marg, Mahim and Dr Yewale’s Hospital, Mumbai, Maharashtra, India, MGM Hospital Bethany Hospital, Mumbai, Maharashtra, India, Hinduja Hospital, Mahim and Dr Yewale’s Hospital, Navi Mumbai, Maharashtra, India, Hinduja Hospital, Mumbai, Maharashtra, Parmanand Deepchand Hinduja National Hospital and Research Center, Mumbai, Maharashtra, PD Hinduja Hospital, Mumbai, Maharashtra, India
2. Sri Ramachandra Medical College and Research Institute, Porur, Chennai, Tamil Nadu, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India
Chapter keywords
Nephrology, renal tubular acidosis, RTA, hypertension, adolescent, urinary tract infection, blood pressure, pharmacotherapy, urine examination, bowel bladder dysfunction

Abstract

The objective of this chapter is to introduce the nephrology. This chapter is divided into four parts, which include renal tubular acidosis, infection-related glomerulonephritis, approach to hypertension in children and adolescents, and approach to recurrent urinary tract infection in children. Renal tubular acidosis (RTA) is one of the common causes of failure to thrive in children. Lack of adequate growth according to the growth centiles should prompt one to think about RTA. Postinfectious glomerulonephritis is a fairly common condition and presentation can be varied. There may be mild edema or tea- or cola-colored urine. Some children may present with hypertensive encephalopathy or seizures. Hypertension in children and adolescents is becoming a significant global health problem. Though secondary hypertension is common in younger age group, primary hypertension is showing increasing trend due to an epidemic of obesity in the younger generation.

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