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Rational Imaging : Investigating progressive unexplained renal impairment and hypertension
Oleh:
Ratnam, L.A.
;
Nelson, S.R.
;
Belli, A M
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
British Medical Journal (keterangan: ada di Proquest) vol. 335 no. 7629 (Nov. 2007)
,
page 1094.
Ketersediaan
Perpustakaan FK
Nomor Panggil:
B16.K.2007.01
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
Learning points • Renal artery stenosis is a common condition in elderly people presenting with renal impairment and hypertension • Ultrasonography is the first line method of imaging as it is safe, inexpensive, and widely available and readily detects obstructive causes. However, a normal renal ultrasound study does not exclude the diagnosis of renal artery stenosis • Magnetic resonance angiography and computed tomography angiography are the preferred non-invasive imaging methods to identify renal artery stenosis. Digital subtraction angiography should be reserved for patients in whom endovascular intervention is being considered or when non-invasive imaging is inconclusive The patient A 79 year old hypertensive man was referred for investigation of impaired renal function. At the time of referral he was taking a single antihypertensive agent and his blood pressure measured 170/85 mm Hg. He smoked 50 g of pipe tobacco a week. He had no other medical history of note. No renal artery bruit was . . .
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