Document Detail


Postural hemodilution in nephrotic edema: a cause of spurious hemorrhage after renal biopsy.
MedLine Citation:
PMID:  9100056     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A patient with massive edema caused by nephrotic syndrome showed a nine-point decline in hematocrit after an otherwise uneventful renal biopsy. Investigation showed no evidence of hemorrhage. The decrease in hematocrit was shown to be dilutional, occurring as a result of reabsorption of edema fluid into the vascular space that occurred during the patient's prolonged recumbency after the biopsy. The phenomenon was later reproduced in this patient under study conditions. The implications of this phenomenon are discussed in light of the pathophysiology of edema formation in the nephrotic syndrome.
Authors:
D M Clive
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of kidney diseases : the official journal of the National Kidney Foundation     Volume:  29     ISSN:  0272-6386     ISO Abbreviation:  Am. J. Kidney Dis.     Publication Date:  1997 Apr 
Date Detail:
Created Date:  1997-04-30     Completed Date:  1997-04-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8110075     Medline TA:  Am J Kidney Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  627-30     Citation Subset:  IM    
Affiliation:
Division of Renal Medicine, University of Massachusetts Medical Center, Worcester 01655, USA.
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MeSH Terms
Descriptor/Qualifier:
Biopsy, Needle / adverse effects*
Edema / etiology,  physiopathology*
Fluid Shifts*
Hematocrit*
Hemorrhage / diagnosis,  etiology*
Humans
Kidney / pathology*
Male
Middle Aged
Nephrotic Syndrome / complications*,  pathology
Posture*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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