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Related Concept Videos

Serum Studies: Renal Function Tests01:24

Serum Studies: Renal Function Tests

Renal function tests are crucial for assessing kidney health, monitoring disease progression, and evaluating the kidneys' efficiency in waste elimination, fluid balance, and electrolyte regulation. These tests offer critical insights into kidney function, even though routine measurements may appear normal until there is a significant decline in the glomerular filtration rate or GFR. Typically, signs of kidney impairment only become evident when the GFR falls to about 50% of its normal level.
Drug Dosing in Renal Diseases: Dose Adjustments Based on Drug Clearance and Elimination Rate Constant01:25

Drug Dosing in Renal Diseases: Dose Adjustments Based on Drug Clearance and Elimination Rate Constant

In patients with renal disease, dosage adjustments are necessary to maintain therapeutic plasma drug concentrations and prevent toxicity or subtherapeutic exposure. Renal impairment alters drug pharmacokinetics, especially in conditions like uremia, where changes such as prolonged elimination half-life and altered apparent volume of distribution can significantly affect drug disposition. These changes require careful modification of the dosing regimen to achieve the desired clinical...
Renal Failure: Dose Adjustments01:11

Renal Failure: Dose Adjustments

In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Drug Dosing in Renal Diseases: Estimation of Glomerular Filtration Rate Based on Serum Creatinine Concentration01:28

Drug Dosing in Renal Diseases: Estimation of Glomerular Filtration Rate Based on Serum Creatinine Concentration

Glomerular filtration rate (GFR) can be estimated from serum creatinine using the modification of diet in renal disease (MDRD) formula or the chronic kidney disease–epidemiology collaboration (CKD–EPI) equation. Both methods are widely used in clinical practice to assess kidney function and guide treatment decisions.The MDRD equation does not require weight or height measurements and is normalized to the body surface area of 1.73 m², considered the average adult surface area. This equation is...
Drug Dosing in Renal Diseases: Measurement of Serum Creatinine Concentration and Clearance01:25

Drug Dosing in Renal Diseases: Measurement of Serum Creatinine Concentration and Clearance

In healthy individuals, serum creatinine levels remain stable due to a balance between its constant production—primarily from muscle metabolism—and renal excretion. Creatinine is freely filtered by the glomeruli, making it a valuable marker for estimating renal function. When the glomerular filtration rate (GFR) decreases, the kidneys can only eliminate less creatinine, causing serum levels to rise.Serum creatinine concentration is widely used to estimate creatinine clearance (Clcr), a...
Toxicity Testing in Animals01:23

Toxicity Testing in Animals

Toxicity tests in animals are grounded on two main assumptions: first, the effects observed in laboratory animals can be extrapolated to humans, especially when adjusted for body surface area; second, high-dose exposure in animals is essential to identify potential human hazards from lower doses. This is based on the quantal dose-response concept, which faces the challenge of extrapolating results from relatively few test animals to much larger human populations. For example, a 0.01% incidence...

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Updated: Jun 19, 2026

Therapeutic Effectiveness of a Dietary Supplement for Management of Halitosis in Dogs
07:33

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Published on: July 6, 2015

II. RENAL THRESHOLD FOR HEMOGLOBIN IN DOGS UNINFLUENCED BY MERCURY POISONING.

W H Havill1, J A Lichty, G B Taylor

  • 1Department of Pathology, The University of Rochester School of Medicine and Dentistry, Rochester, N. Y.

The Journal of Experimental Medicine
|October 30, 2009
PubMed
Summary

Mercuric chloride does not alter the renal threshold for dog hemoglobin, even with tubular injury. The glomerular tuft, not tubular epithelium, dictates hemoglobin passage into urine.

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08:22

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Published on: February 20, 2020

Area of Science:

  • Nephrology
  • Toxicology
  • Renal Physiology

Background:

  • The renal threshold for hemoglobin is a critical indicator of kidney function.
  • Understanding the mechanisms of hemoglobinuria and renal handling of proteins is essential for diagnosing kidney diseases.
  • Previous studies suggested tubular involvement in hemoglobin filtration, but this research investigates alternative pathways.

Purpose of the Study:

  • To investigate the effect of mercuric chloride on the renal threshold for dog hemoglobin.
  • To elucidate the role of tubular epithelium versus glomerular tuft in hemoglobin filtration.
  • To determine if tubular injury modifies the hemoglobin renal threshold.

Main Methods:

  • Dogs were administered moderate doses of mercuric chloride.
  • Hemoglobin injections were used to assess renal thresholds.
  • Histological examination of renal tubules and glomeruli was performed.

Main Results:

  • Moderate doses of mercuric chloride did not alter the minimal or depressed renal threshold for dog hemoglobin.
  • Renal injury primarily affected the convoluted tubular epithelium, sparing the glomeruli.
  • Evidence suggests the glomerular tuft, not the tubular epithelium, is responsible for hemoglobin passage into the tubules.
  • Normal tubular epithelium initially reabsorbs hemoglobin, explaining a high threshold, which decreases with saturation.

Conclusions:

  • The glomerular tuft establishes the hemoglobin renal threshold under conditions of moderate tubular injury.
  • Tubular epithelium saturation, not active transport, explains the depressed renal threshold after repeated hemoglobin exposure.
  • Further tubular injury with mercury does not change the minimal threshold unless tubular obstruction occurs.