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High-Dose Urography in Oliguric and Anuric Patients.

William Martel, MD
Arch Intern Med. 1974;133(1):162. doi:10.1001/archinte.1974.00320130164031.
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This monograph deals essentially with the value and limitations of high-dose urography in diseases associated with severe renal impairment. It presents personal studies and an in-depth review of the recent literature on this and related subjects.

There are chapters dealing with physiologic aspects of excretion of contrast media in the normal and diseased states, effects of hemodialysis, pathways of extrarenal excretion of contrast media, and considerations of dosages and technique of radiologic examination. The quality of the illustrations is moderately good.

The authors conclude that impairment of renal or liver function no longer represent a contraindication to the use of urographic contrast media. The most important reason for performing urography in oliguric and anuric patients is to demonstrate or exclude extra-renal obstructive lesions, which may be amenable to surgical treatment. The book is recommended for urologists, internists, and radiologists particularly interested in the problem of evaluating renal function in the


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