Children with urinary tract infections and their occasional complications, and children and adolescents with asymptomatic proteinuria, are seen frequently in a busy pediatric office. Other renal diseases and disorders - while not frequent - still must be considered in ones practice and evaluated on occasion, and the pediatric practitioner must have both an appropriate knowledge base and good clinical acumen to properly diagnose and manage these conditions.
This issue of Pediatric Annals provides clear, concise data on the etiology, pathogenesis, evaluation, diagnosis, and management of the five most common renal disorders and their presentations in the pediatric and adolescent population groups. After review of this issue, practitioners wifl have a better understanding of urinary tract infections, hematuria, proteinuria, nephrotic syndrome, and hemolytic uremic syndrome and acute renal failure, and know when and for which patients referral to a pediatric nephrologist would be indicated.
HOW TO OBTAIN CME CREDITS BY READING THIS ISSUE
Pediatricians can receive Category I credits for the Physician's Recognition Award of the American Medical Association by reading the following articles and successfully completing the quiz at the end of the issue. Complete Instructions are given on the quiz pages.
The Pretest below has been prepared to assist you in studying the following material. It indicates some of the areas to be covered and will make it possible for you to challenge your present knowledge of the material before reading further.
1 . Urinary tract infection can be present in the absence off pyuria.
2. A child with hematuria and associated proteinuria should always be evaluated for glomerular renal disease.
3. Edema is the most common sign heralding the diagnosis off nephrotic syndrome of childhood.
4. Hemolytic uremic syndrome is caused primarily by:
A. Drinking unsanitary water.
B. Insect-transmitted viruses.
C. Eating incompletely cooked hamburgers.
Answers to the Pretest:
1.A 2.A 3.A 4.C