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JOHN P. MERRILL, M.D.

AMA Arch Intern Med. 1958;102(6):891-895.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Of the many problems which face the physician who deals with renal failure, both acute and chronic, it is the purpose of this communication to touch upon only a few. The list is necessarily incomplete, and those which are to be discussed will be dealt with in a summary fashion, in the hope of highlighting them for future discussion rather than truly clarifying the issues involved.

For the purposes of this discussion let me somewhat arbitrarily classify renal failure into two groups. The first group comprises those patients whose renal disease is most strikingly manifested by renal losses, or "wasting." This is usually manifested by inability to conserve sodium (and bicarbonate), water, and occasionally potassium. The second group is characterized by inability to excrete, or "retention." In this case the retention consists of the products of metabolism and ingested food, i. e., potassium phosphates, sulfates, organic acids, "X-factors," and, most . . . [Full Text PDF of this Article]

Author Affiliations
Boston

Footnotes
Submitted for publication June 26, 1958.

Read in the Symposium on the Clinical Application of the Artificial Kidney before the Section on Experimental Medicine and Therapeutics at the 107th Annual Meeting of the American Medical Association, San Francisco, June 26, 1958.

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