DIAGNOSTIC ERRORS OF NEPHROPATIES AT INTERNAL DESEASES
V.M. Haroutyunian,
A.S. Bagdasarian
The authors of the monography, Head of Internal Diseases
Department of Yerevan Medical University, Head Therapeutist of
the Republic of Armenia, Doctor of Medicine, Professor Vilen M.
Haroutyunian, and Assistant Professor of the same Department
Albert S. Bagdasarian, from the most advenced scientific
positions have cosidered the most frequent errors of nephropathy
diagnostics at internal deseases.
In the first Chapter diagnostic errors in regard of
laboratory and instrumental methods of patient examination were
analyzed. To percieve the large variety of internal deseases
leading to the renal affection the authors have described the
contemporary classification of nephropatphies.
In the second Chapter one of the most urgent problems of
the internal medicine, namely, arterial hypertension is considered.
Modern aspects of pathogenesis, essential hypertension clinics
and certain forms of symptomatic arterial hypertension
(pheochromocytome, Conn's syndrome, renovascular hypertonia,
etc.) and the main errors in their diagnostics are considerd.
In the third Chapter înephritic masksď of some deseases
from the ilne of rheumatic ones, such as systematic lupus erythematosis,
rheumatic fever, Goodpasture's syndrome and Wegener's
granulomatosis are considered.
In the fourth Chapter the renal affections at periodic
deseases (Mediterrenian fever) are considered. Rare cases of
periodic deseases are described, when nephropathies are not of
amyloidosis but of the glomerulonephritis type.
In the fifth Chapter various affections of renal parenchima
at diabetes mellitus are considered.
In the following Chapter the errors in nephropathy diagnostics
at tumors, paraproteinosis, disseminated vascular coagulation
syndrome, tuberculosis, liver deseases, chronic cardiac
insufficiency are described.
Recent yerars a large varienty of drugs was produced and
the problem of polypragmasia, thus that of drug nephropathies
became important. This is the reason this problem was considered
in a separate Chapter.
Recently many monographies and manuals were published where
on a high proffesional level the contemporary concepts of
pathogenesis, clinics and treatment of internal deseases are
cosidered. However, practically no monographies analyzing the
most frequent diagnostic errors are availabele. The authors with
great professional boldness analyze these errors and give
practical recomendations for their elimination.
The rich clinical experience of the authors enables them to
describe in the monography outstanding clinical examples as
case records. This makes the book interesting and
understandable wide professional circle of reating and
understandable for wide professional circle of readers.
Yerevan 1996, p. 212