Nephrology to train in pediatric nephrology, and internal medicine (adult) trained physicians may enter general (adult) nephrology fellowships. History and physical examination are central to the diagnostic workup in nephrology. The history typically includes the present illness, family history, general medical history, diet, medication use, drug use and occupation. The physical examination typically includes an assessment of volume state, blood pressure, heart, lungs, peripheral arteries, joints, abdomen and flank. Examination of the urine (urinalysis) allows a direct assessment for possible kidney problems, which may be suggested by appearance of blood in the urine (haematuria), protein in the urine (proteinuria), pus cells
The six organs in the Palace of Mafra are common among Iberian instruments of the time. Other features, like the short-resonator reeds, the Italian voce umana, and especially the double-wind chest, (allowing the quick cancellation of the plenum stops) are typical of the school of Cerveira and Fontanes. The six organs in the Palace of Mafra Since their recent restoration, the six organs in the Basilica of the Palace of Mafra have become widely known around the world. The six instruments - designed and built all at the same time, and designed to play together as well - were built by the two most important Portuguese organ builders