Understanding Kidney Diseases (2016) (PDF) Hugh C. Rayner



Basic Information:

  • Year: 2016
  • Page Number: 324
  • File Type: PDF
  • File Size: 14.14 MB
  • Authors/ Editiors: Hugh C. Rayner


This text aids medical students and trainee doctors in developing their knowledge of the conditions covered and improving their ability to clinically assess patients and formulate a management plan. Once doctors are comfortable in interpreting these graphs, they can use them in consultations with patients about their kidney condition and so support self-management by patients, an increasingly important aspect of healthcare. Kidney diseases and the speciality of nephrology have traditionally been regarded as difficult to understand. This is compounded by the use of complex definitions and terminology. These complex definitions result from a need to categorise kidney diseases according to the way kidney function changes over time, and then to express this in numbers and words. Central to the assessment of patients is the measurement of kidney function. In our teaching of medical students and trainee doctors, as well as in our clinical practice and interaction with GPs and consultant colleagues, we have found that viewing graphs of patients’ kidney function (estimated glomerular filtration rate, or eGFR) against time is a much easier way of understanding kidney diseases. It provides the patient’s ‘kidney history’ and leads into a description of the natural history and management of their condition. We were surprised to find that this graphical approach is not used routinely in teaching or in daily clinical practice. We therefore believe there is a need for a book that uses this approach and we thus sought to compile a collection of illustrative case studies covering an array of disease categories, together with patients’ eGFR readings.

User’s Review:

Renal medicine is often deemed to be a complex subject for many medical students and junior doctors. There is currently a paucity of resources which helps them understand and appreciate this fascinating speciality. This book is thus a valuable tool for both students and doctors in training as the book teaches the subject of renal medicine in a very practical and enjoyable manner. I really like the format of each chapter in this book. Each chapter begins with an outline of the key points to help focus the reader’s mind. In addition, there are also several case studies and beautiful illustrations which help to explain the fundamental aspects of each chapter. The authors have successfully covered a wide breadth of topics within the speciality without overwhelming the reader with too much factual knowledge. This concise and well-written book will not only enhance the reader’s understanding of renal medicine, but will also increase the confidence of both students and junior doctors when they assess a patient with kidney disease. I thoroughly recommend this book to all medical students and junior doctors. The first four chapters of this book can be accessed free on the International Society of Nephrology website. The following web address provides the link:

Having just started specialty medical rotations as part of my 4th year clinical studies, this book has proved invaluable for my learning and understanding of Kidney disease and renal medicine. I really like the structure of the book and the contextualised case examples per chapter. A definite must-have book for students and doctors alike!


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