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September 3, 1982

Nephrology: An Approach to the Patient With Renal Disease

JAMA. 1982;248(9):1111. doi:10.1001/jama.1982.03330090081043

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This book represents an interesting experiment: Can one write a textbook of nephrology for internists? The effort to do this has led to a certain amount of omission and perhaps is also responsible for the lack of bibliographic citations in the text. In any event, a careful reading of several chapters has convinced me that the end result is a textbook for nephrologists.

The chapters range the entire spectrum from excellent to poor, but the reviewer must pay tribute to the high points. The discussion of the pathogenesis of acute renal failure by Gross and colleagues is superb. They have taken all of the well-known experimental data that support one or another theory and combined them into a clearly stated hypothesis in which a drop in filtration rate, induced by cortical vasoconstriction, is the initiating event. One can easily imagine Dr Trueta smiling benignly from somewhere on high. The clinical