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Saturday, April 18, 2020 | History

2 edition of Renal cortical necrosis and the kidney of concealed accidental haemorrhage found in the catalog.

Renal cortical necrosis and the kidney of concealed accidental haemorrhage

H. L. Sheehan

Renal cortical necrosis and the kidney of concealed accidental haemorrhage

  • 162 Want to read
  • 39 Currently reading

Published by Charles C. Thomas in Springfield, Ill .
Written in English

    Subjects:
  • Kidney Diseases.,
  • Uterine Hemorrhage.

  • Edition Notes

    Bibliography: p. 177-183.

    Statementby H.L. Sheehan and H.C. Moore.
    SeriesAmerican lecture series publication -- no.
    ContributionsMoore, H. C.
    The Physical Object
    Pagination186 p. :
    Number of Pages186
    ID Numbers
    Open LibraryOL14737044M

    Prevention and early management of acute renal failure second renal insult, then cortical necrosis with non-recoverable glomerular destruction must be sus- septic abortion, concealed accidental haemorrhage, andsepticaemic states. Wheneveroliguria (20 ml/hr or less) Cited by: as each renal artery comes from the Aorta to the kidney it divides into 5 segmental arteries within the renal sinus, each segmental artery branches further to formseveral interlobular the medulla-cortex junction, the interlobular arteries branch into the Arcuate arteries that arch over the bases of the medullary pyramids.


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Renal cortical necrosis and the kidney of concealed accidental haemorrhage by H. L. Sheehan Download PDF EPUB FB2

Renal Cortical Necrosis and the Kidney of Concealed Accidental Haemorrhage; Email alerts. Article Text. Article menu. Article Text; Article info; Citation Tools; Share; Responses; Article metrics; Alerts; PDF.

Book Reviews. Renal Cortical Necrosis and the Kidney of Concealed Accidental by: Full text Full text is available as a scanned copy of the original print version.

Get a printable copy (PDF file) of the complete article (K), or click on a page image below to browse page by by: Get this from a library. Renal cortical necrosis and the kidney of concealed accidental haemorrhage.

[H L Sheehan; H C Moore]. In all instances the fetus is killed by the hemorrhage within the uterus, and too frequently the mother dies of renal cortical necrosis from spasm of the renal vessels. In the past there have been several conjectures as to the cause of the condition; this led the authors to make a careful study of 67 autopsied cases.

Renal Cortical Necrosis and the Kidney of Concealed Accidental Haemorrhage By J. Heggie Topics: Book ReviewsAuthor: J. Heggie. Renal Cortical Necrosis and the Kidney of Concealed Accidental Haemorrhage. Heggie JF. Journal of Clinical Pathology, 01 May6(2): PMCID: PMC Review Free to read.

Share this article Share with email Share. Ischaemic necrosis of the kidney (renal infarction) usually results from arterial obstruction; its extent depends largely on the size and number of vessels involved.

Arterial occlusion is most frequently due to thromboembolism by thrombus formed within the heart cavities as a complication of myocardial infarction, atrial fibrillation or infective : R.

Risdon, D. Turner. The pattern of disturbed renal function in acute tubular necrosis due to concealed accidental haemorrhage is similar to that in acute tubular necrosis due to any other disturbance of the general circulation or to poisoning-e.g., mercury and by: 8.

To the Editor.— The article on "Renal Cortical Necrosis Following Streptococcal Infection" in the Archives (, ), reminded me of a patient I cared for. kidney pathology caused by hypertensive states of pregnancy. Early stage of renal ischaemia causes renal tubular necrosis which is reversible.

Later on, irreversible cortical necrosis occurs. Postpartum haemorrhage is common as the result of: uterine damage, uterine atony, coagulation failure (DIC), anaemia. Pregnancy-related renal cortical necrosis may lead to end-stage renal disease.

Although this obstetric complication had virtually disappeared in high-income countries, we have noted new cases in France over the past few years, all following postpartum by: Renal cortical necrosis (RCN) is a rare cause of acute kidney failure.

The condition is "usually caused by significantly diminished arterial perfusion of the kidneys due to spasms of the feeding arteries, microvascular injury, or disseminated intravascular coagulation" and is the pathological progression of acute tubular lty: Nephrology.

Serial ultrasounds showed a progressive. decrease in renal size, and a radiograph of the abdomen showed. speckled calcification in both renal areas. A CT scan of abdomen. showed diffuse cortical calcification involving the entire right. kidney and upper half of the left kidney.

In the young child (Case No. 1), dehydration secondary to severe gastroenteritis was the cause of renal cortical necrosis, which remains the most common cause of this lesion in child In three cases no obvious underlying cause of cortical necrosis.

Experimental ischemic renal arterial necrosis with resolution Article (PDF Available) in American Journal Of Pathology 58(1) February with 15 Reads How we measure 'reads'. of the areas of cortical necrosis with sparing of a suffi-cient amount of cortex to allow life to continue.

Furthermore Sheehan and Moore (), in a study of 67 cases of fatal concealed accidental haemorrhage, found that patients with only a small amount of actual renal cortical necrosis may die in anuria as a result of damage to the tubular Cited by:   Unequivocal acute tubular necrosis was present in only two of the eight cases examined post mortem.

These findings are compatible with Goormaghtigh's proposal that an excess of renin and angiotensin may act within the kidney to produce acute renal by: Eventually dystrophic calcification of the renal cortex may be seen (cortical nephrocalcinosis).

MRI. Low signal intensity on both T1 and T2 weighted sequences affecting the inner renal cortex and the columns of Bertin is the major characteristic finding of renal cortical necrosis 1. Additional features include: swelling of both kidneys.

Acute kidney injury (AKI) is a common, but often predictable and avoidable complication post-operatively. It should be considered a significant medical condition that warrants early diagnosis, investigation and management. Acute kidney injury can be defined (as per KDIGO and RIFLE criteria) as any of the following:5/5.

THE PATHOGENESIS of renal medullary (or papillary) necrosis is still quite obscure. The lesion has all the earmarks of an ischemic infarct, in the absence of obstruction of a major blood vessel.

Furthermore, the necrosis never involves the cortex. An apparent counterpole to this lesion is. *5, Shockkidney. Cortical necrosis.

* Lowernephronnephroses (LuckeS3.) Prerenal Thedifferential diagnosis ofthe causes ofacute renal failure must, again, depend largely on obtaining an accurate history, Concealed accidental (ante-partum) haemorrhage is usually preceded by the signs of toxaemia even if only for a few days, and if com- Cited by: 2.

(A) Kidney biopsy specimen shows (right) deep cortical extensive necrosis, whereas the superficial cortex is spared from renal cortical necrosis (hematoxylin-eosin-saffron; original magnification, ×).

(B) An area of coagulation necrosis shows Cited by: Read "Combined Anterior Pituitary Necrosis and Bilateral Cortical Necrosis of the Kidneys, Following Concealed Accidental Haemorrhage. *, BJOG: An International Journal of Obstetrics & Gynaecology" on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips.

July 2, ACCIDENTAL HAEMORRHAGE M b*" ^ ___Medical Journal 3. The maternal deaths which occurred in the 25 Haemorrhage, renal failure, and foetal asphyxia render Renal Cortical Necrosis and the Kidney of Concealed Accidental Haemorrhage. Blackwell, Oxford.

Sophian. Irish J. med. Sei., p. - (). Toxaemias of. 67 cases of fatal concealed accidental haemorrhage, found that patients with only a small amount of actual renal cortical necrosis may die in anuria as a result of damage to the tubular portion of the kidney.

It is probable that in some at least of the fatal cases recorded in the literature the patient would not have died if.

Kidney is the most important organ of the body whose function is to filter the blood in the body. Renal Cortical Necrosis results in renal failure due to ischemic (lack of blood supply) necrosis of the this article, we will discuss about different symptoms, causes, and treatment rendered for the Renal Cortical Necrosis.

Investigation of the smaller of a pair of unequal kidneys showed a band of atrophy in the inner medulla, sparing the papillary tip, which was viable and contained collecting ducts. The kidney had extensive cortical atrophy with glomerulocystic disease and multiple tiny renal cell neoplasms.

These changes were considered secondary to the medullary lesion. Study of 85 other kidneys Author: Howie Aj, Wilson Ca, Carey Mp, Smithson N.

Harold Leeming Sheehan has written: 'Renal cortical necrosis and the kidney of concealed accidental haemorrhage' -- subject(s): Diseases, Haemorrhage, Uterine, Kidneys, Uterine Haemorrhage Asked.

Renal cortical necrosis is a rare cause of acute renal failure secondary to ischemic necrosis of the renal cortex.

The lesions are usually caused by significantly diminished renal arterial perfusion secondary to vascular spasm, microvascular injury, or. Renal Cortical Necrosis in a Cat. Hall. Veterinary Pathology 9 Sheehan, H.L., Moore, H.C.: Renal cortical necrosis and the kidney of concealed accidental haemorrhage (Blackwell, Oxford Selective renal vasospasm and ischemic renal necrosis produced experimentally with staphylococcal toxin.

Observations on the pathogenesis Cited by: 3. Harold Leeming Sheehan FRCP FRCOG FRCPath TD (–) was a British physician, he recognized the association between concealed accidental haemorrhage and renal cortical necrosis and recognized that obstetrical shock and haemorrhage could induce necrosis of the anterior lobe of the pituitary gland.

Born: 4 AugustCarlisle, Cumbria. Acute Renal Failure: Causes and Prognosis T here are many causes—more than fifty are given within this present chapter—that can trigger pathophysiological mecha-nisms leading to acute renal failure (ARF).

This syndrome is characterized by a sudden decrease in kidney. Waterhouse-Friderichsen syndrome and bilateral renal cortical necrosis (BRCN) are rare complications of meningococcal sepsis associated with high mortality rates.

We describe a year-old man who presented with a 1-day history of fever, chills, malaise, and vomiting. He collapsed in the emergency room, requiring mechanical ventilation and intravenous Cited by:   comment: Renal papillary necrosis is a specific entity involving the tip of the renal papilla.

Early stages involve loss of cellular definition and loss of staining affinity in the area of the papillary tip (Figure 1).More severe cases may involve necrosis of the entire renal papilla (Figure 2).Depending on the chronicity of the lesion, urothelial hyperplasia, hemorrhage.

clin. Path. (), 15, 31 Bilateral renal cortical necrosis associated with calcification: report ofa case anda review ofaetiology M. PHILLIPS1 Fromthe RoyalAir Force Institute ofPathology andTropical Medicine, Halton SYNOPSIS Clinico-pathological details are given ofa patient whosurvived bilateral renal cortical necrosis for 44 days as a result of treatment by Cited by: 9.

Acute kidney injury was one of the most expensive conditions seen in U.S. hospitals inwith an aggregated cost of nearly $ billion for approximatelyhospital stays. This was a % increase in hospitalizations fromwhen there w acute kidney injury lty: Nephrology, Urology.

Renal function impairment is a frequent condition during septic shock with an incidence of acute kidney injury (AKI) ranging from 55 to 73% [1,2,3].It is independently associated with mortality [].Renal perfusion alterations, especially at the microvascular level, appear to play a crucial role in AKI occurrence [].However, renal perfusion status remains Cited by: 9.

renal [re´nal] pertaining to the kidney; called also nephric. renal clearance tests laboratory tests that determine the ability of the kidney to remove certain substances from the blood.

The most commonly used is the creatinine clearance test, which is a measure of the glomerular filtration rate. renal failure inability of the kidney to maintain normal. Two patients with presumed impending cortical necrosis, after haemolytic uraemic syndrome in one and after concealed accidental haemorrhage in the other, were treated by local infusion of urokinase and heparin into the renal artery.

Both recovered and one regained normal renal function. Renal papillary necrosis is a disorder of the kidneys in which all or part of the renal papillae die. The renal papillae are the areas where the openings of the collecting ducts enter the kidney and where urine flows into the ureters.

Renal papillary necrosis often occurs with analgesic nephropathy. This is damage to one or both kidneys caused. Numerous bilateral retinal hemorrhages is common to patients with cerebral malaria.

These, together with high parasitaemia, has high risk of leading to death if not attended to and treated.Renal Cortical necrosis; Coagulopathy.

Consumptive Coagulopathy; Placental separation from the uterus with bleeding (concealed or vaginal) before fetal birth, with or without maternal/fetal compromise.(NICHD) ABRUPTIO PLACENTAE, Accidental haemorrhage, Accidental hemorrhage, Placental abruption NOS, Placental abruption unspecif.Renal Cortical Necrosis and the Kidney of Con-cealed Accidental Haemorrhage.

By H. L. Sheehan and H. C. Moore. Oxford: Blackwell Scientific Publications. Pp. ; 64 figures. Price 35s.

In presenting this study of renal cortical necrosis and examples of other lesions that follow upon con-cealed accidental haemorrhage-examples of lesser.