[Dangers of drug and surgical treatment in chronic renal failure (conclusion)]

Patients at the stage of advanced renal insufficiency with and without haemodialytic treatment are in general exclusively treated by the nephrologist. Nevertheless, some of these patients consult other physicians when complications or a second disease appear. According to our experiences to this belong above all emergency cases, such as feverish infections, disturbances of the gastrointestinal tract, fractures, combustions but also gynaecological diseases, inoculations or diseases of the teeth. In these cases the patient at the stage of the compensated retention not infrequently conceals the size of his renal disease, or the physician in charge underestimates the sequels of numerous medicamentous or operative therapies. On account of the dangers therefore the cooperation with the nephrologist is necessary.