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Pediatric nephrology, 4th edition
  1. S D Marks

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Edited by R N Srivastava and A Bagga. New Delhi: Jaypee Brothers Medical Publishers, 2005, pp 466. ISBN 81 8061 457 3

Clinical management of children with acute and chronic renal disorders can be complicated, even for the experienced clinician. The practice of paediatric nephrology can commence from fetal presentation to the management and transition of adolescents and young adults. More patients with complex multi-systemic diseases have shared care management between general paediatric departments, paediatric nephrology, and other subspecialty disciplines. There is a paucity of evidence based practice in paediatric nephrology, with recommendations based on extrapolation of adult data in patients with very different primary diseases. However, to relieve the anxiety of many clinicians, the fourth edition of Pediatric nephrology has arrived!

This concise text provides essential information on common nephro-urological disorders, which is both practical and comprehensive. For those who have not had access to the first three editions, this textbook has now been fully revised and updated for the 21st century. The emphasis remains on the diagnostic approach (with clinical, laboratory, and radiological evaluation) and management of children with renal disease. However, there is ample factual information for the clinician on basic anatomy, physiology, embryology, and aetiopathogenesis. The authors understand that busy clinical practice often means that chapters, books, and papers are rarely fully read, so each chapter includes the essential “Key Points” boxes.

The chapters cover the bread-and-butter approach to the clinical diagnoses of acute glomerulonephritis, vasculitis, nephropathies, haematuria/proteinuria, nephrotic syndrome, urinary tract infections, rickets, and hypertension. There is extensive coverage of acute, chronic, and end stage renal failure management with renal replacement therapy, including dialysis and transplantation.

The editorial board has increased the number of authors, with excellent contributions on disorders of micturition (including voiding disorders, nocturnal enuresis, and neurogenic bladders) and imaging of the urinary tract (including a chapter devoted to nuclear medicine scans).

The layout of the book is pleasing to the eye, with excellent anatomical artwork, radiological images, tables, and colour clinical, urinary microscopy, and histopathological photograph plates. Each chapter has a small, but excellent list of suggested references for further reading. There are excellent appendices providing further information, such as drug dosages and adjustments to dose and/or intervals in renal failure.

The textbook highlights specific implications for those practising in India, which I found fascinating comparing my own clinical practice in the UK. This textbook should be readily accessed from the shelves in the offices and libraries of general practitioners, paediatricians, nephrologists, urologists, intensivists, trainees, clinical nurse specialists, and any clinicians who manage children with nephro-urological disorders.

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