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July 25, 1966

The Treatment of Renal Failure: Therapeutic Principles in the Management of Acute and Chronic Uremia

JAMA. 1966;197(4):301-302. doi:10.1001/jama.1966.03110040111038

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The second edition of this well known book is somewhat larger than the first, having added 128 pages of text and 257 more references. The scope of the book remains much the same as in the previous edition. Introductory chapters deal with normal anatomy and renal function, and then two chapters discuss function in the diseased kidney and signs and symptoms of renal failure. The remainder of the book is largely taken up by two chapters of immediate importance in the care of a patient, "Diagnosis and Treatment of Acute Renal Failure" and "Treatment of Chronic Renal Failure."

Merrill correctly stresses the need for a logical diagnostic approach to the patient with acute renal failure, and he includes specific examples. He proposes a thoughtful, conservative course, instead of a perhaps harmful diagnostic assault. Although he cites many references, the author gives no really critical discussion of the mechanisms of production